22-104312City of Federal Way
Community Development Dept.
33325 8th Ave s
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FEDERAL WAY MEDICAL/DENTAL BUILDING
Project Address: 1014 S 320TH ST
Building - Commercial
Permit #:22-104312-00-CO
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9234
Project Description: Re -roofing commercial building, Overlay TPO and New Coping Metal
Owner
Applicant
Contractor
Lender
FW MEDICAL -DENTAL GRP LLC
RAINBLOCK ROOFING LLC
RAINBLOCK ROOFING LLC
FW MEDICAL -DENTAL GRP LLC
PO BOX 23314
26402 MANCHESTER AVE
26402 MANCHESTER AVE
PO BOX 23314
FEDERAL WAY, WA 98093-0314
KENT WA 98032
KENT WA 98032
FEDERAL WAY, WA 98093-0314
Census Category: 555 - Non-structural roofing permits
Includes:
# 1
#2
#3
#4
Occupancy Class:
Construction T e:
Occupancy Load:
Floor Area (sq. ft.)
0.00
0.00
0.00
0.00
Additional Permit Information
Mechanical to be Included? ..................................... No Number of Stories................................................... I
Is this an Online or O.T.C. application? .................. Yes Permit for Building Shell Only?.............................. No
Plumbing to be Included? ........................................ No
Total Valuation: 84,420.00
No Fixtures Associated With This Permit It
PERMIT EXPIRES Monday, 20 March, 2023
Permit Issued on Wednesday, September 21, 2022
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. S�
Owner or agent: Date:��—
CITY OF
Federal Way
PERMIT #: 22 104312 00
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 1014 S 320TH ST
Project: FW MEDICAL -DENTAL GRP LLC FEDERAL WAY WA 98003-5344
Scheduled inspections may be failed if this card is not on -site. DO NOT LASE 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.
0 Roof Sheathing (4220) ® Final - Building (4050)
Approved to install roofing Approved
By Date I By Date
El
Final Electrical
Right of Way
Approved
Rough Electrical
Approved
Approved
By
Date
By
Date
By
Date
1 RECEIVED
CITY OF
Federal Way sEP 2 2022
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenteracityoffederalway.com
CITY OF FEDGOME WAY
MLINITY DEVELOP
PERMIT NUMBER C-) & - —L v q � _ C
SITE ADDRESS
PROJECT VALUATION
!Z210
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
PROJECT FINANCING
When value is $5,000 or more
(RCW 19.27.095)
ZONING
ASSESSOR'S TAX/PARCEL #
TARGET DATE
SUITE/UNIT #
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAMP PRIMARY PHONE
A7AILSHG ADD ES � ^� E-MAIL
CITY STATE ZIP p
zv
NAME PHONE Y
MAIM ADDRESS // E-MAIL
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI # P!Kle- q ?/ /
NAME / iJ I.�]/J PRIMARY PHONE
MAILING ADDRESS E-MAIL
CITY' STATE ZIP FAX
NAME PRIMARYPHONE
.mil!
AEU1,1NG ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME
OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP PHONE
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, 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,
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 as a part of this application.
SIGNATURE: ���i!-�7{'�
DATE�—
PRINT NAME:
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application