12-100364 ` y wilding - Muttj?gmily
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City of Federal Way
Community&Econ.Dev.Services Permit #: 12-100364-00-M F
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P 4 ( )
Project Name: ST CROIX APARTMENTS BUILDING 3 (Phase 2)
Project Address: 32110 18TH AVE SW Bldg 03 Parcel Number: 132103 9102
Project Description: REP-Remove existing shingle roof and replace with shingles.Install 301b felt,ice and
water shield.All,metal flashing,30 yr certainteed shingle.
Owner Applicant Contractor Lender
LEEWARD STRATEGIC CENTIMARK CENTIMARK LEEWARD STRATEGIC
PROPERTIES 3416"B"ST NW SUITED CENTIC*009NZ(6/16/13) PROPERTIES INC
4 EMBARCADERO CENTER SUITE AUBURN WA 98001 3416"B"ST NW SUITED 4 EMBARCADERO CENTER SUITE 1
SAN FRANCISCO CA 94111 AUBURN WA 98001 SAN FRANCISO CA 94111
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
F 9 @ , #
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Number of Stories 2
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Zoning Designation RM 2400
PERMIT EXPIRES Tuesday, July 24, 2012
Permit Issued on Thursday, January 26, 2012
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.
Owner or agent: See Application Date:
JAN 2 6 2012
SIN 3'4zWI?i
THIS CARD IS TO MAIN ON-SITE 1
CITY OF ,. 0 Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-100364-00-MF Address: 32110 18TH AVE SW Bldg 03
Project: LEEWARD STRATEGIC PROPERTI FEDERAL WAY, WA 98023
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.
0 Roof Sheathing(4220) 0 Final-Building(4050) -
Approved to install roofing Approved
By Date By Date 3 ZZ r7
EJ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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t * ERMIT SF CO ME PL DE EN FP ',,-h
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Federal W�j �� y�P� Al)
COMMUNITY DEVELOPMENT SERVICE, VO �P LI CATION
253-835-2607.FAX 253-835-2609
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SITE ADDRESS SUITE/UNIT I
%Zt 10 /' Tk itue 544, FA 3 ?( e- 2
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
TYPE OF PERMIT `BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) C, t
/0, ,,- /4povilme-e i
PROJECT DESCRIPTION Py�tbv y G L)P/I'f iR0 s�TT Ll 30/6, �/
Detailed description of work to {n O-1 g? ��jh.-� , 4 i/ ✓`jP_ � r/lss4 ( / Gssy'iM/r
be included on this permit only / >�- /K ���f/L
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NAME
PRIMARY Y PHONE
PROPERTY OWNER �46 i' - auc 444 4 j' ADDRESS E-MAIL/B s W` 9 y - €t
CITY
STATE ZIP
t 1 - .' /
NAM - - ----- PHONEf53'21 6 J
—3l � l
t f Li
MAILING ADDRESS P
E-MAIL
CONTRACTOR 3 ii& e 6�A J —
CI STATE 21 $ FAX
1O1
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
- e5 T51--- oo3 A/Z _ / / 7 -
NAME )/ / / PHAIYE _;
le_APPLICANT MAILING/DRESS E-MAIL
31116 g 5-FAA'✓ 5.41c- 1>
CITY STAT ZIP FAX
9 1
PROJECT CONTACT PHONE
(The(T7e individual to receive and 44 44 1.55-'
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respond to all correspondence MAILING LI/ DRESS _f� '\ E-MAIL
concerning this application) l`( S l /+" v
Cl L STATE�/'/� ZIP 4 ejo/ FAX
f� 7 bt✓✓._ , /J / !/vim
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5.000 or more jA+/'
(RCW 19.27.0951 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 certsjy 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 harml• the ' of -deral Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of.0 - • aim) ich may be made by any person,including the undersigned.and filed against the city.
but only where such cl•im • •ut o he reliance of the city, including its officers and employees. upon the accuracy of the
information supplied to h •• .. a •-- of this application.
SIGNATURE: .. DATE __1_74:12....______
PRINT NAME: . '4 f
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application