02-101357 • 1111
City u}Federal Way
Dwelopment Services Building - Multi Family Permit #:02 - 101 357- 00 - MF
Cc.�ntiti,niq•
33510 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: OCEAN RIDGE APARTMENT
Project Address: 28208 19TH PLS Parcel Number: 332204 9039
Project Description: RES REP-Tear off comp,repl e with new co 4,.No resheeting.
Owner Applicant ..'1"71111 'contractor Lender
COMMUNITY HOUSING ASSISTA PACIFIC STAR ROOFING INC PACIFIC STAR ROOFING INC NONE
28120 18TH AVE S 12902 HIGHWAY 99 S PACLESR179JA(10/31/02)
FEDERAL WAY WA EVERETT WA 12902 HIGHWAY 99 S
EL-3265 EVERETT WA NONE
Includes:
Census category: 555-Non-st #1 #2 #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
Permit for Foundation Only No Plumbing No
Will Certificate of Occupancy be Issued'? No Zoning Designation RM 1800
PERMIT EXPIRES September 30,2002,IF NO WORK IS STARTED.
Permit issued on April 3,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ' 1 be in :•cordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wily.
Owner or agent: 6`/ •f•• Date: O
F: (4
M1/9
///t7
; =%�t, -zka7O' ' 1fr(A. PI .
�.� ECEIVED CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: die -LO 1,1/2.1 —tip
APR 0 1 2002 APPLICATION NUMBER: - -
CITY
RIO� FCFEDERAL WAY APPLICATION NUMBER: - -
**The followingtsIkuliired Information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
? • ■ PROPERTY INFORMATION
X SITE ADDRESS: 282-r4--41?- 5c^--)61 ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
OC, rI R\tcv7& M
■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): y.BUILDING o PLUMBING o MECHANICAL o DEMOLITION
o ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):—_ ,7y�,' (' �` v'\l" \(r'� \e1r�[il k �P _E ).
C��'LN\� i .\\- \ ‘,A-ens.) vi -e_-_4s. . t�fzMoki� �,(I D "Iasi t�.J eopF( I
L ,i4 )
(N7f t- Irk ( MPo51 T co, (Vy M -K'iy N L(e4+cA /-A-GPe=, . N e hf-4n T/k1( ,
Ott. It # PILO roc. l-1Y, 7D 1-11t4., J) )
PROJECT NAME: (-)0_,-..>-,,--\\)--- -0.6.- !, r *
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Mme ) VcQ' A t Pt A , (—�'Y) (Z% -iLj0
MAILING ADDRESS( EET ADDRESS;Uri,STATE,ZIP):
374 ' -- CAs( A4 CieoNo7- eA . 1 ZRe q 5 Yc'
CONTRACTOR: NAME:
(� DAYTIME PHONE:I-
T"C c;C�� ,,- \)ThCX)k v-\(J� \Vl(_, • ) W� (GL)S2(o
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)" J ( EVENING PHONE:
CITY LON-
OF F0 ERAL W•Y BUST LICENSE R:\ `� ��/ , (AX NUMBER:
- - ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) ( Lg-,1.1_ cl� 41. ID /J\ / 02—
APPLICANT:
2—
APPLICANT: NAME: DAYTIME PHONE: i
M Aif ? ( 'I 3. - S/S‘,
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
174o z )4Ic1 NVNft- ' ,� vin, '4??O s/ ( ) -4W
RELATIONSHIP TO PROJECT: / FAX NUMBER:
0 ARCHITECT ❑TENANT o OTHER(DESCRIBE):60A '1151 kZP ( 0( ) 20 - i 7S7
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNERPPLICANT CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ `,
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ �14;11� �J�2. GO
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES 0 NO1 iyl
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) 15 S 1��(JJ.SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) \ t**NEW RESIDENTIAL CONSTRUCTION ONLY** i?\14
•
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 EVAPORATIVE GAS LOG(S) REFRIG.SYSTEM(S)
UNIT(S) COOLER(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: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEGAS DISHWASHER(S) RAIN WATER VACUUM BREAKER(S) o ELECTRIC ❑ AS
SYS. \
DRINKING SHOWER(S) WASH MACHINE
FOUNTAINS) 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 informati•n s •plij to the city as a part of this application.
NAME/TITLE: v 1.0. � f gael(/ 'I,/ dy /v DATE:
�� -
❑ PROPERTY OWNER o APPLICANT ,efCONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ ADDITION o 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 o NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑ YES ❑ NO