01-103584 • •
City of Federal Way Budding - Multi FamilyPermit #:01 - 103584 - 00 - MF
Cornmunit�.Development Services b
•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: CAMPUS GREEN II
Project Address: 508 S 323RD PL BIdg14 Parcel Number: 132151 0010
Project Description: RES REPAIR-Reroof existing clubhouse building(asphalt shingle to asphalt shingle).
Owner Applicant Contractor Lender
CAMPUS GREEN II HOMEOWNER CAMPUS GREEN II HOMEOWNER B D ROOFING A SUB/BD CONST IP NONE
5622 CALIFORNIA AVE S 5622 CALIFORNIA AVE S BDROOASOI IQW 11/16/01
SEATTLE WA 98136 SEATTLE WA 98136 6509 LAKEWOOD DR W
TACOMA WA 98467 NONE
Includes:
Census category: 555 -Non-st #1 #2 #3 #4
Occupancy Group:
Construction Type:
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 1800
PERMIT EXPIRES March 13,2002,IF NO WORK IS STARTED.
Permit issued on September 14,2001
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. p
Owner or agent: _i�✓lJ"� Date: q /1(1 ki)
Pi"THIS CARD ON THE FRONT OF BUIL T G
arlir DING DIVISION
iSCIEITZRL_
PlY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 01-103584-00-MF
OWNER'S NAME: CAMPUS GREEN II HOMEOWNERS ASSOCIATION
SITE ADDRESS: 508 S 323RD Bldg14
) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
WINXIIP DO NOT POUR SLAB UNTIL'-.
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
L THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
ABOVE MUST BE APPROYED PRIOR TO APPLYING SHEETROCIC
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
A t R?
It
C.al IY 0r TRAE-IVED CONSTRUC N PERMIT APPLICATION
VV FAY - APPLICATION NUMBER: Q l - /031- Tv- do-,
SEP 12 2001 APPLICATION NUMBER: — —
APPLICATION NUMBER: — —
d,ai Y OF FEDEHAL WAY
\tA **The follakM491149Agiati information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
s A �SITE ADDRESS: Sa - t.e
z113 L-iL - D v ( 0
(.
LEGAL DESCR TION OF SUBJECT PR\PE ATTACH SEPARATE DESCRIPTION IF LENGTHY): f �( i`,
, = .■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL
. ❑ ENGINEERING❑ FIRE PREVENTION
NTION SYSTEM
PROJECT DESCRIPPTION rovideeetailed description): Z1Oc . aiYiCt tr)T
/l4 -(Qll/,A-1'reO• 9 1 Q .
I . 1
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: �� DAYTIME PHOAE:
&)14e1A5 GRIL vat" 0- inftotmtior
MAILING ADDRES STR ET DDRESS;CITY,ST TE,ZIP): n ��_ /y 1
5e Z2 toit(brniA . C , • S a- � 'vv c , 1 3 Cr
CONTRACTOR: NAME: DAYTIME PHONE:
lD. .LOPj17.C'1 (<773) 'Li3Z -34S
MAILING ADD SS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
1.05( t'_w LL Ve fest . a WA BLit 4 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE
MColT NUMBER:' FAX NUMBER;,
- - (53) `t3Z - 35801
CONTRACTOR'S REGISTRATION NUMBER: 8 D 12 �� � A S`J I I pi� � EXPIRATION DATE:
' (copy of card required) LJ.. / /
APPLICANT: NAME: , DAYTIME PHODIF:
CL MQI�S IQQL*' L A 1,1 lf J I TS, c (2c(1, ) S
MAILING ADD ESS fSTREET ADDRESS;CITY,STATE, 5E,ZIP):: �] EVENING PHONE:
ZZ ',/ja.t, 'crn i 4th? .7W ti f 'P, ti JJ 7 q 13 (J, ( )
RELATIONSHIP TO PROJECT: / ff FAX NUMBER: �[�
CI ARCHITECT ❑ TENANT CXOTHER(DESCRIBE): M1 C\€i.." (2-0-0q3:5_ - T'i5 a-1
XCONTRACTOR- E-MAIL ADDRESS
�� R CIiCONTACT PERSON FOR THIS PROJECT: PROPERTY APPLICANT (Dpili'9. t `401 $CO m
is DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ L2 i:2-00'
SPRINKLERED BUILDING? Cl YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0 NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN Cl HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
. y
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE: $
• _ • PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. )FdFAL
BASEMENT
FIRST
SECOND
THIRD _
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
r ,
TOTAL:
• ■:FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. (
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
j' DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. (
INTERCEPTOR(S) SUMP(S)
-■ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the 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.m ( �y
Ik
NAME/TITLE: W ' c�"ri'1 ^\ i l' +�34't`�V-1 7 DATE: ,� 19 __ \
❑ PROPERTY OWNER IIQ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO _
PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? 0 YES ❑ NO