17-101592 •
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Building - Commercial
City of Federal way Permit #:17-101592-00-CQ
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-GARAGE 26
Project Address: 125 SW CAMPUS DR Parcel Number: 192104 9017
Project Description: REP-Tear off(2)layers of shingle roofing; repair/replace sheathing as needed; install new 30-
year laminate shingle roofing system.
Owner Applicant Contractor Lender
CA RESERVICE OWNER LLC GORMAN ROOFING SERVICES GORMAN ROOFING SERVICES
3990 RUFFIN RD SUITE 100 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 Is this an Online or O.T.C.application Yes
Permit for Building Shell Only'? No Plumbing to be Included? No
Total Valuation: 1,778.00
PERMIT EXPIRES Wednesday,4 October,2017
Permit Issued on Friday,April 7,2017
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
Washi he t 'y`:
P • - ~
THIS CARD IS TO REMAIN ON-SITE
""�` Construction Inspection Record
deral Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101592 00 Address: 125 SW CAMPUS DR Bldg 26
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) El Final-Building(4050)
Approved to install roofmg Approved I
By Date By 40 Date �J�9/j 7
•
Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEWED PERMIT APPLICATION
CITY OF ,
APR 0 7 2017 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY /� '7
PERMIT NUMBER i 7 _ ?� PFJ' - l� 0 J 0 i /
p TARGET DATE L / v i i
SITE ADDRESS
SUITE/UNIT#
J �-S \ L Carnp&.s 01- A .3`'k ( A (,;(1,,,,,-#ac
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ �I 7 8', °— 19 11 G ct - 9 0 17
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑nMECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
Alier\L
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r L ) \ll 1 /
PROJECT DESCRIPTION Rep
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Detailed description of work to RepIciCe cal.] IJGi(' `r f o,/c cf r'ry co-i c
be included on this permit only 1 j / S i� i- (� l
11 k `i G( I -( on 1. (Dr.,0 edo p riff,"on I-4'ce,.?eater
TAA it Aetrl 2G `hr Larnim .5-6(n9Lesr i_
NAME NE
CO,1 A tr\ /1/1Q/la /v�en� PRIMARY 'PP
PROPERTY OWNER MAILING ADDRESS \
E-MAIL
3.90 RU 1;A ke j'-A1' 2 100 e6(dos 2 cc„c,,,r, . CCaN
CITY c-- G C A ZIP
d. «l
� ,p .� PHONE
NAME G/rh'Ic Y\C,r, )-\ Se rv''C es- _ _ 1 I Ycf --G13 S
M/�I/LING ADDRESS (�, . CC M
/01�aC,; /0,con.,,^ ��` ‘...---i.:\:_&
C. ._& L-S E-MAILf
CONTRACTOR n//- STATE
c1a✓.'v 05crrich Kc:r�c,5'0,6
CITY Z"1 i\ 1A)c� VV 11 ZIP 1 6 J ,V1 as3`SE1-0i?C .JJ
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GOfZMtIZ9CL ? iz /a 09ioo19 -6..
NAME
HONE
ave L hQ,k PRIMARY
5 a 2- 7�'C7
APPLICANT- MAILING ADDRESS E- L
Src ck S Ccrvfk-&c+c r
CITY STATE ZIP FAX
NAMEj PRIMARY PHONE /'
PROJECT CONTACT i av ,. L L .Lthc �. a5?- 22), 7011
(The individual to receive and MAILING ADDRESS -4E-MAIL
respond to all correspondence Slime �� „G nftc �
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 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 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: C2� 2/4/ /1
DATE Li/ c/1 7
PRINT NAME: ,J�1 Lc LchG'2 , •
Bulletin#100--January 29,2016 Page 1 of 2 k:\Handouts\Permit Application