17-103682 a i
11111
Building - Multi Family
G t
City nityDe eral Development
-- -- Permit #:17-103682-00-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 28
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.
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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
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Census Category:555-Non-structuralroofing 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 Only? No
Plumbing to be Included? No
Total Valuation:22,000.00
PERMIT EXPIRES Monday,29 January,2018
Permit Issued on Wednesday,August 2,2017
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 I es and regulations of the State of
Washington and the City of F y.
Owner or agent: 7 Date:
RECEIVED
: JUL 52017
CI OF PERMIT APPLICATION
Federal INaCITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325'
YCOMMUNITY DEVELOPMENT 253-835-2607+FAX 253-835-2609 +permitcenter cityoffederalway.com
PERRTx.NUMBER I 1 __ 1 O (p gL►- - A. /2- Lig/— — TARGET DATE. /1 7
SITE ADDRESS SUITE/ IT S
) ).-S
S, iW' Carr,puts 1ls / 2 (I-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S ,J
$ a)0ex3dc . 19 z l 0 - 9 0 , / 7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT AUerk � 1 J e aeA--ek-UL /}/1 1 jPROJECT DESCRIPTIONl Pur- V' i)O iA / yCf`t' CT .�'Ji�'6Y�/�S` Ci'c) �}ci�Jf,,Iy �')r'P �Q G��
nn ) J� / 1
Detailed description of work to lte� cce cal,' rc c Neck,,,-,r'ry G_J' jiep�)pf-) / 3
be included on this permit only i A oil/ new I c I1 fe rT cox, I.,�,,,, :. Jr; �') _' I /-�
�P rte ' f �e,�3 Pa+er
9.
NAMEPRIMARY PHONE
Cork .i)>1 / neneral- Fq-6141-73�C
PROPERTY OWNER
MAILING ADDRESS \ E-MAiL
?190 ii fp
RC Ike /00 e�,4s 2 cenam • C rrti
STATE ZIP
CITY c"-- ID�e�G GA 51i 1 3
NAME
PHOxE
"`&rk'�GI-� 0 iY�C PY"v, 3
tR f S ce,r I S7-s-d9 --013 S
ING ADDRESS, ) _
CONTRACTOR G G� S /a COn- Way J ;1 b-3 E-MAIL C�
CITYL61kQIN c�1 r7AB 1P 999 - as3-5tl-01?S
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
l... . G4Rit`1 -�R_s_` 3LC 7 / a� ,� 6)9100,3_9e_
.._...__ .... _... .. aPRIMARY PHONET )
NAME, ` j 9\ -[ d-Cii1 C'k. 253- 7X1- 7/'O/'/
APPLICANT- MAILINGADDRESS EMAIL
Sc�c�\ (NS CCiNf taCtO r
CITY STATE ZIP FAX
N 5(5PRIMARY PHONE
PROJkT CONTACT if, 61,w,.. LGL L-Cihd(2,, aS'3_ 74,_7067
MAILING ADDRESS
(The individual to receive and E-MAIL
respond to all correspondence SG1'c.Q as (J yA- r'�ne <1--
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 19.27.095)
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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 Clity 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.
ft
SIGNATURE: ‘"1-4-<-. 2/4/ - DATE 41/ C.
PRINT NAME: IJaue Lalcq}q,,, ,
Bulletin#100 4 January 29,2016 Page 1 of 2 k•\Handouts\Permit Application