12-100135City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S ,
Federal Way, WA 98003��
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ST CROIX APARTMENTS BUILDING 20
Project Address: 32118 18TH AVE SW
wilding - Multi Family
Perm #:12 -100135 -00 -MF
Inspection Request Line: (253) 835-3050
a g q00
Parcel Number: 132103 9101
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.
caner
Applicant
Contractor
Lender
LEEWARD STRATEGIC
CENTIMARK
CENTIMARK
LEEWARD STRATEGIC
. PROPERTIES INC
3416 "B" ST NW SUITE D
CENTIC*009NZ (6/16/13)
PROPERTIES INC
4 EMBARCADERO CENTER SUITE
AUBURN WA 98001
3416 'B" ST NW SUITE D
4 EMBARCADERO CENTER SUITE l
SAN FRANCISO 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 Areas . ft. 0 1 0 0 0
New/ Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?....................................No
Permit for Building Shell Only? .............................No
New / Additional Sq. Feet - Total .......................... 0
New / Additional Sq. Feet - Basement...................0
Number of Stories..................................................2
Plumbing to be Included?.......................................No
PERMIT EXPIRES Sunday, July 8, 2012
Permit Issued on Tuesday, January 10, 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: Date: i is l t 2�
PHAU*> L/14112
CITY OF 'A
Federal Way
THIS CARD IST MAIN ON-SITE
Construction Ipection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -100135 -00 -MF Address: 32118 18TH AVE SW Bldg 20
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.
❑
SWM Precon Site Mtg (4400)
E]
Initial Erosion Control (4365)
E]
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
❑
Foundation Wall (4115)
E]
Drainage/Downspout (4040)
E]
Re -steel (4215)
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
E]
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
E:]
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
E]
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
B
C S Date t_ l 3
By
Date
Interim Erosion Control (4370)
❑
Framing (4120)
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspectionamust be signed -off and
By
Date
approved. IBC 109.3.4
Insulation (4150)
❑ 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
❑
Final - Fire Department (4060)
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
147GF Date Z -/yam %Z
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
RECEIVfI®
Federal Way 'PERMIT
Fe��N � � ?���
COhIMUNttY DEVELOPA .� 1 E� F, CATION
253-835-260i• FAX 3-
tv.?Iv t o fledera v n CDS
O(DCO ME PL DE EN FP
5�L-
SITE ADDRESS
32.11 <S' J9 �Px L -4..E_
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
TYPE OF PERMIT
`OUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
!Tenant Name/Homeowner Last Name/
/
t I 14,r-wleve-e r
PROJECT DESCRIPTION
Detailed description of work to
bebe included on this permit only
Rgb
ln/ i 11Walt
PROPERTY OWNER
NAME
i6IllC hf_ i t,4111 -4&A,
PRIMARY PHONE
MAILING ADDRESS #01
YYA@!; 9 G�-
E-MAIL
CITY
r�'A e,
STATE
Gd
ZIP /
lLeNAM
M'-
PHONE AC'L � •f � b ^.3
ii''✓✓.77 �i 66
MAILING ADDRESS
c r�
E-MAIL
CONTRACTOR
CI STATE,./
ZI n
FAX
DE CAyrt ,T
U
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PH
, � -p3
MAILING DRESS C 1
_�_Wtiv / />
E-MAIL
APPLICANT
CITY �- Y`
STAT
ZIP
FAX
PROJECT CONTACT
1T11e individual to receive and
NAME , / /1 / /
�( ` '/'�#�//
PHONE
MAILING DRESS
3217CMAIb S t AXAr 1- � V
E -L
respond to all correspondence
concerning this application)
C
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perfury 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.
Ifurther agree to hold harmle the Kojr deral Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of u aim) ich may be made by any person, including the undersigned, and flied against the city,
but only where such cl m 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
/,,
PRINT NAME: 4 F �'!
Bulletin #100 -January 1, 2011 Page I of 3 01-landoutsTermit Application