01-103579 City of Federal Building - Multi Family Permit #:01 - 103579 - 00 - MF
Commwri�f Development Services
. 33530 1st t/Vay 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: 533 S 323RD PL Bldgl l Parcel Number: 132151 0010
Project Description: RES REPAIR-Reroof existing condominium building(asphalt shingle to asphalt shingle).
Owner Applicant Contractor Lender
Nancy Lyn Sauter CAMPUS GREEN ll HOMEOWNER: B D ROOFING A SUB/BD CONST IP NONE
533 S 323RD PL#9A 5622 CALIFORNIA AVE S BDROOASO1 IQW 11/16/01
FEDERAL WAY WA SEATTLE WA 98136 6509 LAKEWOOD DR W
98003-5835 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 Issued9 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. / ( I / /
q
lY /C)
Owner or agent: Date:
V
d
PO HIS CARD ON THE FRONT OF BUILD "
G BUI�ING DIVISION
uV AYINSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835=3050
PERMIT #: 01-103579-00-MF
OWNER'S NAME: Nancy Lyn Sauter
SITE ADDRESS: 533 S 323RD Bldgll
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
�d x DOy TOT POUR COI CRETE UNTIL'THE ABOVE IS, I'PROVEb. " "i ..
( ) DRAINAGE: Line ( ) Connection
.. ,' = . _.„ 10 NOT-LPOUR S u• :UNTIL ' ,.:.O IS AP ROVED _ ¢„ '
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL • Gas piping
() SHEATHING Roof / J0/ o/ Aloor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
—THt.::00 E MITST=BE` PPROVED RTO„ ING INSPkEGTION
( ) FRAMING/FIRESTOPPING
ST- E APP* D RIOR 0V:$iJLATIl�iG
( ) INSULATION: Floors Walls Attic
. . .n c1OVE MUST B.xrr :PRO D RIU°,. ..0 '.'PL r �w,.:$.:0(RO:C- ...
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
:' •AKOWEWST B P, O XIOVSO 4`O OR t . ING OETL i'G Tit
() ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THEiABOVEIMUSTBEFAPXROVED;PRIOffRTO. ILDIN0DEPARTMENTTINAL ;r}
( ) BUILDING FINAL / 0 ' l c
OmCCUAYTI IS��B DING.. . x®a I D u, G=FIN ` ISAPPROVED 3
R UTY•OP • CONSTRU ON PERMIT APPLICATION
vv may - C''-'? t V E D APPLICATION NUMBER: Q J- __M 529 - ao ,lP
APPLICATION NUMBER: - -
S 1 2 ?PHI APPLICATION NUMBER: - -
**Thtfpirf IQ 'rsokrer iformation-Please print(in ink)or type**
?I \\
I' BUfL01N DEPT
Please note: Electrical,Fire Prevention ysEems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION -
SITE ADDRESS: .% rJ--i t „,/ .45 p
i.4� ASSESSOR'S TAX/PARCEL #: f /r' - O U ( d
LEGAL DESCRIPTION OF SUBJECT P Eq� (ATTACH SEPARATE DESCRIPTION IF LENGTHY): `, C ,_1 T .. ,_ ,
■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
El ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (P ovide detail d description): u..i+..IC te-t. 1'1;g . : -04-k -o•
k"---4,1(\a_S) t � iUtvt- _e_ 'fJvvy�--
PROJECT NAME:
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHO E:
MAILINGADORES$,.(S R ET DDRESS;CITY,ST TE,I.) 1 cl ; 11.\ i 3 ,
5()2.2 C441t rn, _ . . }, -C -
CONTRACTOR: NAME: DAYTIME PHONE:
F3D e PfC (C53) 432 -
MAILING ADD$SS(STREET ADDRESS;CITY,STATE,ZIP): ,, EVENING PHONE:
JCL-1 Lt, v�.1G C.-�Ii'!L°L' east T r{,:.�..i,�'11 t, JLI ' ( ) —
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: ' t FAX NUMBER;
- - (2'53) ' t-Z - X580
CONTRACTOR'S REGISTRATION NUMBER: jam' EXPIRATION DATE:
(copy of card required) =L) i2, C' C' , C-d I / 6 / /
APPLICANT: NAME: ' DAYTIME PHOM:
#uP115 1 A to (21c fr cl ec' 15, �y�{-.� (2� I ) LO) - 1-15* 1
MAILING ADDRESS�STRE ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
,,,-:j‘,,2,Z, .cal YV1s:c 4v' ' Sy-vi (a ti I-r, t,IJI (iF;I 3 ( , ( ) -
RELATIONSHIP TO PROJECT: t FAX NUMBER: ^�
❑ ARCHITECT TENANT C OTHER(DESCRIBE): r.tv[,1r�r-Ce.
� ( (i)q3 - J�S-i
� ,�f E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: PROPERTY F ❑ APPLICANT CONTRACTOR f*nt4t5 0i01 Cor n
IN DETAILED BUILDING INFORMATION_
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE El PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
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.(
COMPRESSORS) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
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.
\ •
NAME/TITLE: J..J ate' incae`Q.4,�,/7nP DATE: t9 ' 0
❑ PROPERTY OWNER pQ APPLICANT ❑ CONTRACTOR V
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 El NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? 0 YES 0 NO