10-101563City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ANDERSON
Building - Multi Family
Permit #: 10 -101563 -00 -MF
Inspection Request Line: (253) 835-3050
Project Address: 33025 18TH PL S C 201 Parcel Number: 298690 0490
3362-!.
Project Description: Post demolition for fire damage inspection. NO CONSTRUCTION WORK ON THIS
PERMIT
Owner
ALBERT ANDERSON
33025 18TH PL S UNIT C-201
FEDERAL WAY WA 98003
Anplicant
BELFOR USA GROUP INC
3826 WOODLAND PARK AVE N
SEATTLE WA 98103
Contractor
BELFOR USA GROUP INC
BELFOUG99OBJ (12/14/10)
3826 WOODLAND PARK AVE N
SEATTLE WA 98103
Lender
J
Census Category: 434 - Residential alt/add - no change in number of units
Includes: #1
#2 #3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0
0 0
0
Additional Permit Information
Mechanical to be Included? .................. ...... No Number of Stories.............. .3
Permit for Building Shell Only?...........................No Plumbing to be Included? ....................................... No
No Fixtures Associated With This Permit !t
PERMIT EXPIRES Saturday, October 16, 2010
Permit Issued on Monday, April 19, 2010
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 a in ac rd nce with the laws, rules and regulations of the State of Washington
a d the City of Federal Way.
Owner or agent: Date: � � l � —16
4- 41?9>114>
THIS CARD IS TO F JAIN ON-SITE
CITY OF Construction Inspection Record
Federal 'Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -101563 -00 -MF Address: 33025 18TH PL S C 201
Owner: ALBERT ANDERSON FEDERAL WAY, WA 98003
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
�11ssp etolrif�yauareunsus a ab aUt artyai tlac lnsp tions arthc inspeetiarrscquence-On goinginspect'torrsamioggccd-on-thcback-ofthis -card.
SWM Precon Site Mtg (44 00)
❑
Initial Erosion Control ( 365)
E]
Footings/Setback (4110)
Date
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
Drainage/Downspout (4040)
0
Re -steel (4215)
Date
Approved to place concrete
By
1pprovcd to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Underfloor Framing (4285)
Slab/Concrete Floor (4255)
Approved to place concrete
Approved to sheath floor
Approved to install Flooring
By
Date
By
Date
By
Date
Fire/Draft Stops (4095)
Roof Sheathing (4220)
Shear Walls (4245)
Approved to install siding
Approved to install rooting
Approved
By
Date
By
Date
By
Date
Framing (4120)
Prior to scheduling a Framing inspection;
EJ
Interim Erosion Control 43701l
( 1
Approved
Electrical,
Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
By
Date
approved. IBC 109.3.4
E]
Suspended Ceiling Grid (4265)
❑ Gypsum Wallboard Nailing (4130)
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved to drop the
By
Date
By
Date
By
Date
E]
Final - Building (4050)
Final Erosion Control (4375)
Final - Fire Department (4060)
Approved
Approved
Approved
By
Date
By
Date
By(-
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal CEJ HERMIT Sl iF CO ME EL PL DE EN FP
::• :::::::::::::::::::::...
COMaMTYDfiVELOANENT SERVICES
253-835.2607•FAR2511112111 APR 1 g 'PLICATION
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1) RZAS
SUITE/UNIT M ZONING ASSESSOR'S TAX/PARC3L
- - -
�� �!?�? :-iii•<'
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... ::::::::::::::::::::::».::::::::::::::: ,";:"•Viii. »: ,".. ,". »»Yiii�i 6#:'�iiiiiiii ic:"" " F";.< < `:"✓.,...i:��r�i"3f':';:•Y:•.
NAME OF PROJECT
(Tenant or Homeowner Name)'}r�
W15UILDING ❑ PLUMBING ❑ MECHANICAL.
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
R#;
w
2:sm #? ` 'x``-" " i} F { i.'•r , F#iRZ+"
NAME
PRIMARY PHONE
PROPERTY OWNER
I -IC-O /V
-
M.MLINO ADDRESS, CCTV, ATa, ZIP
� 16 PL. S . . tJftY
EMAIL
CONTRACTOR ❑ APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAILL �6 �
PItIefARY PHONE
W - OFZo
ILINO ADDRESS, CITY, STATE, ZCP
?MLp v 7 / d
8163
FAX /�
�Z 9
CONTRACTOR
. �_ A).s
Jt -
STATE R'S LICENSE t
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
NAME
PRIMARY PHONE[
(7 - , -1 ( 7
APPLICANTzAfZ
MAILING ADDRESS, CITY, STATE, ZIP
2AL6 kbl)(AA)D P . A), CFA
FAX
637-- S- I
PROJECT CONTACT
NASc _ ( �(�
& A -J 1 �" "
PRIMARY PHONE
(The individual to receive and
v� '"
( -
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
( _
ALTERNATE CONTACT NAME:
PRIMARY PHONE
EMAIL
PROJECT FINANCING
NAS
OWNER -FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5, 000 or more
(RCW 19.27.0915)
( `
I cert{Jy under penalty of perjury that I am the property owner or authorized agent of the properly owner. IJcertVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certgy 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, and attorneys' fees incurred
in the, investigation and defense such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim sea out oft all of the city, including its officers and employees, upon the accuracy of the
information auppli the city apart
SIGNATURE: ✓ I r ' L/
DATE
PRINT NAME:
Bulletin #100 -January 1, 2010 Page 1 of 4 kAHandoutsTermit Application
K
Value of Mechanical Work,* (A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each tye 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 (G-)
COMPRESSOQS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL MFOR M A:TION
PLUMBING
FIXTU.R
SEWER PURVEYOR
Indicate number of each type of f%ture to be installed or relocated as part of this project. Do not include exis '
g fixtures to remain.
BATHTUBS (o lab/Shower combo)
LAVS (Hand Sink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
O MERICIAL - REMODELIU(NANT IMPR0 TMENTS
DRINKING FOUNTAINS
SINKS (Kitchen/ut&W
WATER HEATERS (fie
Construction
T5'P a
HOSE BIBBS
SUMPS
WASHING MACH
'I+tYI'AL FIXTURES
GENERAL MFOR M A:TION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$
I3ASEVI EN
z
$
EXISTING/PREVIOUS USE
LOT SIZE (In Sgwm Fnat)
EXISTING FIRE SPRDI SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
q� ........ ... ..... ......
SB MD FLOW? :. :
❑ Yes ❑ o
❑ Yes ❑ No
r
rte_<;_: _,.--
_.>
AREA DESCRIPTION (in square feet)
EXISTING,
PROPOSED
TOTAL
FOR OFFICE USE
I3ASEVI EN
FIRST FLOOR (or Mobile Home)
ADDITION
q� ........ ... ..... ......
SB MD FLOW? :. :
O MERICIAL - REMODELIU(NANT IMPR0 TMENTS
------ - - -
AREA DESCRIPTION :
COVERED ENTRY
_ __��
Occupancy Group(s)
Construction
T5'P a
#, of
Sto}les
_
Additional Information
TENANT AREA ONLY
GARAGE ❑ CARPORT ❑
P-.A,!:A ONLY
OTHER (describe)
f ..
Areae. Totals
L7QSIRO
PROPOSED.
TOTAL
txii�w xo ozv��-*
ESTIMATED SELLING PRICE $ _
# OF BEDROOMS
rte_<;_: _,.--
_.>
O�IMERCUL - NERVI
AREA DESCRIPTION
ea
in 83z are Feet
Occupancy Group(s)
Constr ,-tion # of
Typb, Stories
Additional Information
ADDITION
O MERICIAL - REMODELIU(NANT IMPR0 TMENTS
------ - - -
AREA DESCRIPTION :
Area
ins Square Feet
q
_ __��
Occupancy Group(s)
Construction
T5'P a
#, of
Sto}les
_
Additional Information
TENANT AREA ONLY
P-.A,!:A ONLY
Bulletin #100 —January 1, 2010 Page 2 of 4 kAHandoutsTermitApplication