17-101570 Building - Commercial
Community Development pm Permit #:17-101570-00-CO
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 5
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
Washington and the City of Federal Way.
Owner or agent: F LE
Date:
- _ ,,
THIS CARD IS TO REMAIN ON-SITE
ernA Construction Inspection Record
Ce
rIraI VVay INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 101570 00 Address: 125 SW CAMPUS DR Bldg 05
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.
,.
0 Roof Sheathing(4220) I Final-Building(4050)
Approved to install roofmg Approved
By Date By ,, Date 4 yt
0 Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVE
►TYOF �.. ,. c ERMIT APPLICATION
Federal Way APR p 7PIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
"U53-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
CITY OF FEDERAL WAY
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PERMIT NUMBER1 - v TARGET DATE / '" 1 / 7
SITE ADDRESS SUITE/UNIT#
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PROJECT VALUATION ZONING ASSESSOR'S_TAX/PARCEL#
45
$ �� �� CL / 9 z 1 0 - °f 0 . 1 7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION `
NAME OF PROJECT er`
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PROJECT DESCRIPTION i Pte' G h0-IA 1G�er1• of S A:re r, 4110) rci t i/ )JI j
Detailed description of work to Rer GSC@ cal%) h4c) 'fir -r (�kC�dry.) co-iNegi„, '�
be included on this permit only •
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NAME ._. . _. ._ _ ...
PRIMARY-CP/
PROPERTY OWNER ,..--
PRIMARY
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MAn.INC'�ADDRESS R c p / (�/' J Lt l { /�Q E-MAIL
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CITY �� STATE ZIP/� .0 3
CA
NAME p-, ,/� �' ^ PHONE -- - ..
V-319
LING ADDRESS
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CONTRACTOR Al
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CITYg , STATE ZIP (�
FAX,„l%Vccc., 4AIA /pr-/T-1 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GORP11-11Z k .?LL 7 / ii QIP 0910019 C
NAMETD _. PRIMARY PHONE
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APPLICANT MAILING ADDRESS
E-MAIL
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CITY STATE ZIP FAX
.. NAME . .a 1 1 ... PRIMARY PHONE
PROJECT CONTACT £LU'e L L X5-3_ 22 _7 7
(The individual to receive and MAILING ADDRESSr E-MAIL
respond to all correspondence Sr ,e as a t1b e G�-
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME
❑ 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 ity as a part of this application.
SIGNATURE: CyK. /4.4 DATE L// 6 7/
7
PRINT NAME: nettN 40./CI\cik
Bulletin#100=January 29,2016 Page 1 of 2 k:\Handouts\Permit Application