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09-102598 • 'funding - Multi Fa ii1J City of Federal Way Community Development Services Permit #: 09-102598-00-MF P.O.Box 9718 Federal Way,WA 98063-9718 Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: FOREST LAKE CONDOMINIUMS Project Address: 1003 S 308TH ST Parcel Number: 259590 0000 Project Description: ADD - Construct(4)320 sqft carport stalls Owner Applicant Contractor Lender HELEN KUBIK,TREASURER SMS CONSTRUCTION COMPANY SMS CONSTRUCTION COMPANY FOREST LAKE HOME OWNERS 317 SEATTLE BLVD SMSCOC*980PU(7/9/11) ASSOCIATION ALGONA WA 98001 317 SEATTLE BLVD 1003 S 308TH CT UNIT 33 ALGONA WA 98001 FEDERAL WAY WA 98003 Census Category: 437 - Commercial alt/ add/conversion includes: #1 #2 #3 #4 Occupancy Class: U Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 640 0 0 0 Additional Permit Information New/Additional Sq. Feet- 1st Floor 640 Mechanical to be Included9 No Number of Stories 1 Permit for Building Shell Only9 No Plumbing to be Included? No New/Additional Sq.Feet-Total 640 Occupancy#1 -Use Carport Zoning Designation RM 2400 No Fixtures Associated With This Permit � CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 5)and must comply with FWRC Chapter 19.185 and fill out a Hazardous Materials Inventory Statement,if applicable. This is the "Parent" parcel record. PERMIT EXPIRES Sunday, March 28, 2010 Permit Issued on Tuesday, September 29, 2009 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 ity of Federal Way. Owner or agent: _ -4_ t-- - Date: 5"-2 eci—e q iiqhu4 1v •17Y55, 17(9 • THIS CARD IS TO MAIN ON-SITE " CITY OF , '"=a Construction In ection Record Federal�Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 09-102598-00-MF Address: 1003 S 308TH ST Owner: HELEN KUBIK, TREASURER FEDERAL WAY, WA 98003-4752 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. ❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control (4365) 0 Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concret 'By Date I By Date By 6277.,,,....--- �/0 Date/) .Z/1 / ❑ Foundation Wall(4115) 0 Drainage/Downspout (4040) 0 Re-steel(4215) Approved to place concrete Approved to backfill Approved to place concrete or grout By Date By Date By Date 0 Slab/Concrete Floor(4255) Ei Underfloor Framing(4285) El Floor Sheathing(4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date o Shear Walls (4245) El Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) Approved to install siding Approved to install rooting Approved By Date By Date By Date ❑ Interim Erosion Control (4370) P" ®in � Framing(4120) Prior to scheduling a Framing inspection; Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Fire/Draft Stop inspections must be signed off and By Date g approved. IBC 109.3 4 J BY Date O Insulation (4150) 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By Date By Date 0 Final-Fire Department(4060) ❑ Final-Planning(4070) 0 Final Erosion Control (4375) Approved Approved Approved By Date By Date By Date O Final-Building(4050) Approved By Date (' \v.JQ ) 2 cnt t ❑ Rough ElectricalEl Final Electrical ri Right of Way Approved Approved \ppmv i d By Date By Date By Date z _ U 0 A \p W � a � �o CT`OF FedePERMIT OFFF CO ME EL PL DE EN FP Federal Way •e,--FTVED COMMUMTY DEVELOPMENT SERVICES APPLICATION I / / 0 7I 253-835-2607•FAX 253-835-2609 I— A 9 20l www.atuoffederalwau.com L SITE ADDRESS SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# " !Nnk46 Y,`3�. 'f v -ttf 4 31�.:L 4+' ,g" `� s 3 ', �.a 3 s (TenantNAME OF • PROJECT 7?..—;— - ��I141 0 n4 I , ,—_,s for / 1.4k,..—_- . d.BUII.DING 0 PLUMBING 0 MECHANICAL TYPE OF PERMIT 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION -S N i /z 1 ' �O r-1---' S 4/t/J PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER fO( dlake GyC.AD . ass©c (2cj ) 50 -/24f 2. MAILING ADDRESS,CITY,STATE,ZIP E-MAIL *t aS -5 irk OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT NAME PRIMARY PHONE S/TVS Car ( - . ) - j . 1L., CONTRACTOR --I -MAILING ADDRESS,CITY,STATE, FAX 317 56744i1vO /t�€a►-O t -' ( ) - WA STATE CONTRACTOR'S LICENSE 0 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# -` Yl'l-S CO -*el 8C"€)Lk 7 / `; / I i NAME PRIMARY PHONE APPLICANT �� c-....S ( ) - MAILING ADDRESS,CITY,STATE,ZIP FAX ( ) PROJECT CONTACT NAME PRIMARY PHONE ,.�1� � / - - - t (The individual to receive and ( ) respond to all correspondence MAILING ADDRESS,CITY,STA ,ZIP FAX concerning this application) ( ) - ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL ( ) PROJECT FINANCING �V( NAME 0'/ en- El OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,find attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATUF E: ,,15-02t DATE 7 1 - 09 PRINT NAMI'• 'S./ e—774'S it y Bulletin#100—4/17/2009 /1 Page 1 of 4 k:\l-landouts\Permit Application 1 III MECHANICAL FIXTURIIII Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(Gae) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES ING FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINICNG FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ /y'r LkK L— /(-- W ✓ $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑ Yes ❑ No RESIDENTIAL AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT — _.—_— FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT Jai C t_( w4 OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square FeetType Stories TOTAL BUILDING TENANT AREA ONLY V Bulletin#100—4/17/2009 Page 2 of 4 k:\ 1andout:. unit Application I