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11-101282City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 FILE Building - Multi Family Permit #: 11 -101282 -00 -MF Inspection Request Line: (253) 835-3050 Project Name: LAURELWOOD GARDEN APARTMENTS Project Address: 29505 21ST AVE S Bldg I Parcel Number: 422291 0020 Project Description: REP - Remove existing roofing -1 layer torch down and replace with single TPO roof system Ownr Applicant Contracto Lender HOUSING AUTHORITY OF KC BATE'S ROOFING LLC BATE'S ROOFING LLC HOUSING AUTHORITY OF KC 15455 65TH AVE S PO BOX 9416 BATESRL945JO (4/20/12) 15455 65TH AVE S TUKWILA WA 98188 TACOMA WA 98409 PO BOX 9416 TUKWILA WA 98188 TACOMA WA 98409 Census Category: 555 - Non-structural roofing permits Includes: # 1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Areas . ft. 0 0 0 0 Mechanical to be Included?...................................No Permit for Building Shell Only? ....... ..................No wwws Number of Stories ................................................. 2 Plumbing to be Included? ............... ..................No PERMIT EXPIRES Sunday, October 2, 2011 Permit Issued on Tuesday, April 5, 2011 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: Date: �/ ;&' CITY OF 0 Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 11 -101282 -00 -MF Address: 29505 21ST AVE S Bldg I HOUSING AUTHORITY OF KC FEDERAL WAY, WA 98003 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. ED SWM Precon Site Mtg (4400) E] Initial Erosion Control (4365) E] Footings/Setback (4110) Approved to install wallboard Approved By To be done prior to breaking ground By Approved to place concrete By Date By Date By Date Foundation Wall (4115) Approved to place concrete By Date Slab/Concrete Floor (4255) Approved to place concrete By Date Shear Walls (4245) Approved to install siding By Date E Interim Erosion Control (4370) Approved By Date ❑ Drainage/Downspout (4040) Approved to backfill By Date E] Underfloor Framing (4285) Approved to sheath floor By Date Roof Sheathing (4220) pproved to install roofing Y Date E to scheduling a Framing inspection; , Plumbing & Mechanical Rough -in and Stop inspections must be signed -off and approved. IBC 109.3.4 Re -steel (4215) Approved to place concrete or grout By Date Suspended Ceiling Grid (4265) Approved to install wallboard Floor Sheathing (4105) Approved to install flooring By Date By Date By Date Fire/Draft Stops (4095) Approved By Date Framing (4120) Approved to insulate By Date Insulation (4150) E] Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape By Approved to drop tile By Date By Date By Date Date Final - Fire Department (4060) Final Erosion Control (4375) Final - Building (4050) Approved Approved Approved By Date By Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date t CIT/ OF Federal Way COMMUNITY DEVELOPMENT SERVICES 253-835-2607• FAX 253-835-2609 HERMIT APPLICATION A4CEPFP VED APR, 0 5 ?041 IAIA%/ SITE ADDRESS CITy OF, J;EUfth0AL WAY C� 45d CDS PROJECT VALUATION $'7,ss6' ZONING ASSESSOR'S AX/PARCEL # -+22-2 0020 TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT ('Tenant Name/Homeowner Last Name) / �G6L�3.L JJ �c / 41•v(r PROJECT DESCRIPTION C Wl o�Jt O f tl 4v t> F.,qr� /� ( G.L lorc lt= )O DcJ c.7 Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAME i4ilcS �v�.ti ,cLG PHONE y, MAILING MAILING ADDRES% G E-MAIL CONTRACTOR !% "�Ok' / l /oAt PAY �LSIf'� flC.Ca CITjL—'- 14 c(/ S�T�A/TE ZIP FAX WA STATE CONTRACTOR'S LICENSE If a�-rrsR��ys�'o EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M i 3a i�� NAME S'" e - PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT NAM7- I -- _ (The (The individual to receive and respond to all correspondence MAILU'^-nnJnRESS E-MAIL concerning this application) /dux ,f/l+of CIT - ZI? FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME ch�T — A Zf �j(� �k /(� U E] OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 79.27095) ©o 1fW0 ove2 PAUL - o -O6 -3,5-7 - Z teyZ I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 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 th city as a part of this application. SIGNATURE: "Of DATE PRINT NAME: �G1a /t I'f S �} f} f Bulletin #100 — January 1, 2011 Page I of 3 k:\Iiandouts\Permit Application ,'W' I 0 0 VALUE OF MECRAMCAL, WORK $ BATHTUBS (orTttb/Sh—rcombo) (a copy of bid or estimate must be provided) Indicate how many of each type of frxture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (c.m rew) _ BOILERS FURNACES HOT WATER TANKS JGas( COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS (orTttb/Sh—rcombo) LAVS (Hand Sinks( TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS IKiteben/Utibty) WATER HEATERS (F-i—trx) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES , w AM `p rt, r CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/ PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No -Yes 7 No RESIDE ALS«, ,NEW OR n 3I i ION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT � Y FIRST FLOOR (or Mobile Home) SECON_ D' 1 W' COVERED ENTRY GARAGE ❑ CARPORT ❑ rrt......... OTHER (describe) Area Totals EXISTING PROPOSED TOTAL --- - "NEW HOMES ONLY" ESTIMATED SELLING PRICE $ # OF BEDROOMS C OTNIMi'�.RC1AL—. N t / DLI.IIO AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet T e Stories NEW BUILDING ADDITION I i CONI i1F7_ZC ,L,, ;-..REMo,i) .t /TEN, .NTTAWItOVEMENTS AREA DESCRIPTION Area Occupancy Groups) Construction # of Additional Information in S uare Feet a Stories TOTAL BiFI�ifINCk n TENANT AREA ONLY Bulletin #100- January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application