17-103530 r 1
t
Building - Multi Family
"n of yDevelralway Permit #:17-103530-00-MF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: AVERY AT THE RESERVE APARTMENTS BLDG 25
Project Address: 125 SW CAMPUS DR Parcel Number: 192104 9017
Project Description: REP-Tear off both layers of shingles and replace any bad roof decking as needed.Install new
151b felt and 2"X 2" drip edge metal on rakes& eaves.Install new 30 year laminate shingles.
Owner Applicant
Contractor Lender
CA RESERVICE OWNER LLC DAVE LALONDEGORMAN GORMAN ROOFING SERVICES OWNER IS LENDER
3990 RUFFIN RD SUITE 100 ROOFING SERVICES INC INC
SAN DIEGO CA 92123 2229 E UNIVERSITY DR 2229 E UNIVERSITY DR
PHOENIX AZ 85034 PHOENIX AZ 85034
Census Category: 555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included No Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only9 No
Plumbing to be Included9 No
Total Valuation:22,000.00
&
PERMIT EXPIRES Saturday,20 January,2018
Permit Issued on Monday,July 24,2017
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: I E Date:
F
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103530 00 Address: 125 SW CAMPUS DR Bldg 25
Project: CA RESERVICE OWNER LLC 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.
Roof Sheathing(4220) ® Final-Building(4050)
Approved to install roofmg Approved
By Date By Date --15--I 1
••
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF -- � PERMIT APPLICATION
Federal 'Al J U L 2 4 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Way 253-835-2607+FAX 253-835-2609 +permitcentel@cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT .
PERIInT NUMBER / _ 1
✓✓✓ _/ 3 TARGET DATE Lib ,
E
SITE ADDRESS S TE/ IT#
i 1S- Si• (ni' Cair,p(AS' ter j•
PROJECT VALUATION ZONING
ASSESSOR'S TAX/PARCEL 9 J
a)0010A (fie, 19 1 ) 0 41 - 9 O , / 7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Atierk ( 7L Je ae,�eryPROJECT DESCRIPTION jP.a`- e />c /� /�/Gl e j' (i .10't:‘-hr-r- Cine) r, Pr/ (');'P C3
/� ha
f /�J / fie?
Pof Rep �Ce Cry/ /.?ac, `� T t '((f ,i 4 beer/pc,, i
Detailed description work to //
be included on this permit only1` h/j n e P� 'S r 1 L 1
41 It T i i1 f
Y 1.,,A - tor, Ado,A rwfc,/ CY1 t4 Ice??Pater
/MAU Iiet�! 26 `1r-LmiJtit, __SX;n9k.r
NAME PRIMARY PHONE
PROPERTY OWNER c01 Al / "Lnet e,t FS c_C/!Y!-73 ,
73 ,P
MAu"3q9 o N A ki n J`
lc k1'l'e 100
e' bal�csccncn,• Co'm
CITY., �ea ca ZIP 1 3
NAME cu
PHONE
Grrn�t, RGCf n5 erv,'(es' 25.E-S(f9I -013S
ING ADDRESS MAIL 'C 1'
CONTRACTOR GO�rr S. \/i(G„- Way ,�L„i-• ((; S- �Ja 010gornch rccF,,,�er�i
CITY i�w ` GJ 1lZIP i U ` 9 QzF-3- J 1-Q 1?C
WA STATE CONTRACCC)
CCTOfR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it
GQAJI RS%ML . '_!j QIP 091oo19( _
NAMEof lav` ) h��� PRIMARY PHONE
APPLICANT. Lj� / jS3` 712- 7G�I
MAILING ADDRESS
SSarna s Ccr\j ttA.C,'o 1-
CITY STATE ZIP FAX
NAME -- r
I-)
9 j PRIMARY PHONE
PROJECT CONTACT CU La LOA aS-3` 72 -KC J
(The individual to receive and MAILING ADDRESS EMAIL ✓ /
respond to all correspondence Glh.z as Cor -f irte Gl^
concerning this application) CITY STATE ZIP FAX
NAME .... _ .. ...
PROJECT FINANCING
0 OWNER-FINANCED
•
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 29.27.095)
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 Catty 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 ty as a part of this application.
SIGNATURE: G�� C DATE / c/ ,+
PRINT NAME: nett-JR t 1CI,(k,,
:i
Bulletin#1004.January 29,2016 Page 1 of 2 k:\Handouts\Permit Application