17-102462 t
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Building - Multi Family
C ,,;ity Federal WayDevelopment Dept
Permit #:17-102462-00-MF
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 4
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 Included9 No Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included? No
Total Valuation:22,000.00
PERMIT EXPIRES Sunday, 19 November,2017
Permit Issued on Tuesday,May 23,2017
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
W o and ity of Federal Way.
Owner or agent: Date:
4._ ti
THIS CARD IS TO REMAIN ON-SITE
Federal . Construction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 102462 00 Address: 125 SW CAMPUS DR Bldg 04
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.
El Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofing Approved
By Date By 0....Nhaysj Date k "g-t'.) .
0 Rough Electrical ❑ Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
g1 1C( --) s -Zzw13
CITY OF —� PERM IT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-632S
253-835-2607+FAX 253-835-2609 +permitcentel®cityoffederalway.com
PERMIT NUMBER 11 1 0 Z- 9 K/ 1 - �� TARGET DATE b
SITE ADDRESS SUITE/UNIT#
S S. tAL C air\p&a. !)' 1c # 9
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL# v
B o a i g 2 1 G 9- - q o . i 7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT A er . Gi J J 1 e ae �e el P `
PROJECT1 Pen-- C'1/ / ( [iA //ei1 e fr cf T be' , € ine) tt pPi e);' .r GF
DESCRIPTION /n� )� ( y 2l ); ' 2
Detailed description of work to Rer t+Ce c n-j I ctc, ` c J (�,/ c s' co- jl eeue0
be included on this permit only � �L U� / 1 �� [ 1 l� i� 1 ,
I n 1 TT )c l A ,. aT p PC)5 P rl efc,/ ch t-�ice;-?Paver
TN4 11 n(1,, 2G Nil- Z�ImiIY SX tlf)<AJ- I
N' ✓ PRIMARY PHONE
Co, Ain / ncr rten� F5(-Pi/-.73P
PROPERTY OWNER MAILING ADDRESS \ E-MAIL
:? G R q-t- n IC .1110 100 e b<n rks 2 ccl,c,/I,• CC ril
STATE ZIP
CITY h /1 f e G CA J 111.3
NAME
R -d' S .\ '(e ri-S-F -0235
��i'i"h�Crh GC �Y, Pl'V�
ING ADDRESS • Cc lr
G Ga .s c cc LA) S' S- E-MAIL
CONTRACTOR ' y `� 1.- r1aaC)lgGr,r�:h rcc 5C,
CITYFAX
L �owccj STATE ZIP 1 d-yc1it G1.S3`if9-0130
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
G4 191-) , S9 3LL m7 L.I. /I P 091o0
NAME 0‘, NE
PRIMARY
hthl�. 53- zKC 1
APPLICANT- MAILING ADDRESS E-M,
Sarnz. cis GcnfF'& J c 1-
CITY STATE ZIP FAX
NAME
VJ .. . , .pc d� 22 �A6 /
PROJiCT CONTACT CLUR,
(The individual to receive and MAILING ADDRESS E RyL
respond to all correspondence S�'me as a 11f1 C <4.--
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
(RCW 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 bf 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 ty as a part of this application.
SIGNATURE: AK_ /41 DATE / 611'27
' I
PRINT NAME: LJCJ2 Laien�Q.
1
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Bulletin#100 4 lanuary 29,2016 Page 1 of 2 lc\Handouts\Permit Application