14-103914 r I. , S d
• iuilding - Multi Family
City t of Federal way Permit #: 14-103914-00-MF
Community&Econ.Dev.Services Fl �
33325 8th Ave S E
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p 4 � )835-3050
Project Name: BLUE RIDGE APARTMENTS SOUTH BUILDING
Project Address: 28606 PACIFIC HWY Sj Parcel Number: 332204 9157
Project Description: REP-Reroof flat section of building FUNALE V
,
Owner Applicant Contractor Lender
JACQUELINE LAURA DOMAN TEK-LINE CONSTRUCTION INC TEK-LINE CONSTRUCTION INC OWNER IS LENDER
27013 PACIFIC HWY S 1314 S 96TH ST TEKLICI962NF(6/3/16)
DES MOINES WA SEATTLE WA 98108 1314 S 96TH ST
98198 SEATTLE WA 98108
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
Additional Permit Information
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
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, February 1, 2015
Permit Issued on Tuesday,August 5, 2014
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: ' '"-'5
` `THIS CARD IS TO I ON-SITE
CITY OF
• Construction In . •ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-103914-00-MF Address: 28606 PACIFIC HWY S
Project: JACQUELINE LAURA DOMAN FEDERAL WAY, WA 98003-3286
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 SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
• . •
0 Foundation Wall(4115) 0 Drainage/Downspout(4040) El 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) '0 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 roofing Approved
By Date `�
" . Date�'-e-- / By Date
`
0 Interim Erosion Control(4370) 1 Framing(4120)
Approved Prior to scheduling a Framing inspection; Approved to ulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
'U Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
El Final-Fire Department(4060) 0 Final Erosion Control(4375) • Final-Building(4050)
Approved Approved Approved
By Date By Date By Dates-25_f y
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
• I
ar,rer PERMIT AF'PLICARIAQIIT
Federal Way
I ?7lit(
AUG 4 5 2014
PERMIT NUMBERL .
- (Q FEDERAL WAY
— — ------ _.,T. — � ---- 'FARt}ET DATE � CDS
SITE ADDRESS'
SUITE/UNIT#
2.26oC Va.k.1i 'kc.. 4w c .e ircd vVo-y 9.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 43(0o -
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
1
NAME OF PROJECT tkei ,--�-c CI J I t i`r t
PROJECT DESCRIPTION (" # _
Detailed description of uwrk to F rOC 'i' 1 se ±t(}t'1 io &t k I; s
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 2124,0(p 0,,(..:t:(' ({a, i c LL c
E-MAIL 9-
MADdN8(0
0 ADDRESS
154I 1 4+11 A ,, S ii-1 Sty 10a. .5' ,,Tea(4.S- eQ �, �'
CITY STATE ZIP
NAME rrPHONE
MAILING ADDRESS E-MAIL� i F
CONTRACTOR �3 i j iti, C.� th l`„"E k(t'hE 1-Cbc ,LC xvt
CITYZIP
1
f` AX
ec kt W cts,i H2O - 2-46--4262
WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE. FEDERAL WAY'BUSINESS'LICENSE 9
Tf ' / t o.
xA ,,.56%4'. P3 ' 'lt C, PRIMARY PHONE
W.4ZZ- ("ray
MAILING ADDRESS
APPLICANTE-MAD.
CITYSTATE ZIP
(�' ck e'1C ; FAX
— Z4(,,-*
FAME PRIMARY PHONE.
PROJECT CONTACT 5'ct* Mori-k'.o r
(The individual to receive and MAILING ADD E-MAIL
respond to all correspondence CA A t\e `CZ ),0 v 42
concerning this application) CITY STATE ZIP FAX
PROJECT'FINANCING NAME
OWNER=FINANCED
Required value of$5,000 or more MAILING.ADDRESS,CITY,;STATE, ,ZIP'.
(RC:W 19•
27.095) 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 haws regulating
construction or environmental laws.
I further agree tohold 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 city as a part of this application.
{ (
SIGNATURE: � jLil-C It Cw' L ► DATE ' "l t 4e3
PRINT NAME: �Jco0` r C c
Bulletin#100—January 1,2013 Page 1 of 3 k;\l-landouts\Permit Application