04-101727 • • r 't
y of Federal Way
Cotmmunity Development Services Building - Multi Family Permit #:04 - 101727 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: STONEHAVEN APTS,BUILDING 23
Project Address: 1900 SW CAMPUS DR Parcel Number: 132103 9103
Project Description: ALT-Re-roofing over existing shingle roof with new 30-year laminate shingle roofing,taking out old
vents&skylights,installing new metal vents and skylights in same location. BUILDING 23
Owner Applicant Contractor Lender
UDK KENTON LP CIO UNITED DO] MOWERY ROOFING*DAVID MOV MOWERY ROOFING*DAVID MOV NONE
1900 SW CAMPUS DR 10308 JOVITA BLVD E MOWERR*07304 11/7/04
FEDERAL WAY WA 98023 PUYALLUP WA 98372 10308 JOVITA BLVD E
PUYALLUP WA 98372 NONE
Includes:
Census category: 555-Non-st #1 #3 #4
Occupancy Group: R-1
Construction Type: Type V-N
Occupancy Load
Floor Area(Sq.Ft.):
Census Category 555 Non-structural roofing p Mechanical No
Plumbing No Will Certificate of Occupancy be Issued?............No
Zoning Designation RM 2400
CONDITIONS:
1.Subject to field inspection.
2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES November 3,2004.
Permit issued on May 7,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: S /q/0 y
Framing:
Date
Roof sheathing:
Date
FINAL inspection: f Z'r/-OJ"
Date
FederalWay - -� �/ / /—
Y RECEIVED PERMIT s 0O ME EL PL DE EN FP
COMMUNrIY DEVELOPMENT SERVICES
33530 FIRST WAYWAY,W SOUTH• BOX 9718 P P LI C AT I O N
FEDERAL WAY,WA 98066 3-9718 i I v �7 A TD /
2536614115•FAX 253661-/129PM-1 I ® I 20 i/I /
uww.aI gotrederaluwg.Corn
The ollowin• is est, .iQQ •'^-.1... .WAYrt inc. •fete a••lication will not be acce•ted. Please •rint le•ibi (in ink)or ••.
.:. :. _ PROPERTY ye--
G�
SITE ADDRESS (OD $1J Ve--
' - SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy/ego/desotption)
PROJECT INFORMATION
TYPE OF PERMIT BUILDING o PLUMBING ❑ MECHANICAL
1 ❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
MI
PROJECT DESCRIPTION(Provide detailed description of
tic,)
workincluded
ncluded on this
permit onlnl� y0(17"y0(17" icuntl
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Silt
PROJECT NAME(Name of Business or Owner Last Name) . +oil e- cote,1 L. .,1.4 a.14s //✓
- „ - . .PEOPLE INFORMATION - .
PROPERTY NAME p I D / / / R1MAARxP�HeNE l / j1
i
OWNER IU)i .ffarI�U/- I Di< Keen. L I �0 l,�l��'✓"1'-GI ,�'(i/'!l F�-e,�`„'1"
MqI �DDRES,�( / A - CITY.$'[ATE,ZIP ^s�23 int
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f1 "" ���E��72r� (a1.{�' /IC�j�,ll� /�(/ `rj/L/
CONTRACTOR COMPANY NAME /� r 1 APPLICANT NAME OFFICE PHONE
( ' CLO C(1 11OA./.3 .V�vi� l�akier y/ (A5-3 1 8�9/ -/6,32
MAILING ADDRESS . '`%� TY,STATE,ZIP / CELL PHONE
/t 0309 F FEDERAL II3{-rS USE NUMBER QTY,
yA.11L4p EXPIRATION N9 377 ( 5-39M) 350 -oa83
CITBER
/ / (-53 ) '/ya - Raw-
- B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
/►1 _o t) 6 R A -t 0. 7 3 0 4/ // / 7 /,toot'
APPLICANT CO NAMEAPPLICANT NAME• OFFICE PHONE
1V (YlAdieM , i'i�) ) ( ) -
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
'CONTACT NAMP R PHONE E-MAIL ADDRESS
ire gsitienii„,_
LENDER Per RCW 19.27.095: Lender information is NA
required if project value exceeds$5,000 ARRnwno/ p�JQi Tu
Jt
MAILING ADDRESS • c�,- 01�. tCITY,
/S�TAT�Ei�fZlP��
DETAILED BUILDING INFORMATION -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WO $ l3/ .( G
__.
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ci PRIVATE(SEPTIC)
BASEMEN LA •+ 'A y �
FIRST TARED � ; iflEp3Y • • .
SECOND •+: T CONT S P C I 1 Y'_
THIRD ;; ,::
.. t
� ,s
0 , / 07 / 2, 04 x.
FOURTH VY CCDBE MO ERR: 07 .
ADDITIONAL 9 4 / ,
DECK(COVE
EFFECTIVE - DATE
•
GARAGE/CA MOWERY MOWERY P.00FIN
**NEW HOMES .;0 3 0 8 JOV I TA. BLVD E
PJYALLUP: WA 9 8 3 7 2 .
Indicate 1 • • •
SS •
<.1
U of
----7----
MECHANICAL
�� tj 17. ,Lu .,. .� !-'.,-, - :7.--..,,,.r1 r._ n -'-* T . H 77 , )'r, _tee.,
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AIR H, ., -= ` v
BBQS a
vv..,t VV GJ
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BAT UBS or Tub/Shower Combo) SHOWERS WATER CLOSETS
MISC(Describe)
DI WASHERS SINKS DRINKING FOUNTAINS
S PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE B1BBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
_ - DISCLAIMER/SIGNATURE BLOCK -. •
I certify under penalty of perjury that thi information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
•
NAME/TITLE ) F1c^�i.•/ 11oc•-•k0 ()C✓:vim'% DATE 613/G V
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent X Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Reviscd\Pcrmit Application