12-100361 uilding - Multi Family
City of Federal Way • Per t #: 12-100361 -00-M F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ST CROIX APARTMENTS BUILDING 22 (Phase 1)
Project Address: 1810 SW 321ST LN Bldg 22 Parcel Number: 132103 9101
Project Description: REP-Remove existing shingle roof and replace with shingles. Install 301b felt,ice and
water shield.All metal flashing,30 yr certainteed shingle.
Owner Applicant Contractor Lender
LEEWARD.STRATEGIC CENTIMARK CENTIMARK LEEWARD STRATEGIC
PROPERTIES 3416"B"ST NW SUITED CENTIC*009NZ(6/16/13) PROPERTIES INC
4 EMBARCADERO CENTER SUITE AUBURN WA 98001 3416"B"ST NW SUITED 4 EMBARCADERO CENTER SUITE 1
SAN FRANCISCO CA 94111 AUBURN WA 98001 SAN FRANCISO CA 94111
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
tb,40;, ae., , .,T 2.. e. .�w�.',��;3 , '..*, x r:iSei �. ;,�x .�ar�... � .....�" c ,...�,;; y >>y ...X4!' gee'.
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Number of Stories 2
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Zoning Designation RM 1800
ro No FIXt es'is i *Vero s
.'T Ae � ..}. f rit 6 �ivn 4 Y�rl //r
PERMIT EXPIRES Tuesday, July 24, 2012
Permit Issued on Thursday, January 26, 2012
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
See
the City of Federal Way.
Owner or agent: App •
liCation Date:
JAN 2 6 2012
FINAUD> ;/zv/iv
THIS CARD IS TO REMAIN ON-SITE
CITY":4F Construction I ection Record
Federal Way INSPECTION REQUETS: (253)835-3050
PERMIT#: 12-100361-00-MF Address: 1810 SW 321ST LN Bldg 22
Project: LEEWARD STRATEGIC PROPERTI 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) ❑ Final-Building(4050)
Approved to install roofing Approved
By Date S,_i41 —72_, By /�� Date 37./Z
CI Rough Electrical El Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
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III
Fed
eral Wa `1o��• ,ERMIT SF M CO ME PL DE EN FP
COMMUNITY DEVELOPMENT S VICES ��
,� P L I C AT I Oi,
253-835-2607•FAX 253-835-2609 i
wulncituonederalw .rw.coat
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SITE ADDRESS
O. SUITE/UNIT#
IStO Ski 3z / SI" Lk, oFfV_R- an›cl,
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ 3/ e -- -
TYPE OF PERMIT BUILDING ClPLUMBING ElMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) S 10 I J
PROJECT DESCRIPTION
Rev - Gx,nlily -Rant , Dk r��►-tl /b'r=El/ 7-46-Z
Detailed description of work to L✓O-77C.47 Lijh , 4l/ hit( F//tsi "-( 1D r L4"h.4lr�
be included on this permit only / '!/
5 4�� s1vri� 4a,
NAME � � I A PRIMARY PHONE
PROPERTY OWNER P[S //f1 G T/LYS 6 ,14)14444`4 /4 rii V34‘
MAILING ADDRESS E-MAIL
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CITY STATE ZIP
NAM PHONE !'f Gl-u b-?'7
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MAILING ADDRESS E-MAI r
CONTRACTOR Sit ef 7AA/ k'{— 17
c STATE ZI,..• FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
A i. NA ♦ / / '\
NAME/47
/ P��NE -4355--O7-
APPLICANT MAILING/DRESS E-MAIL
L
31i/L B 5-HNw Srafe- I>
STAT ZIP
CITYwMM { (..40.1._ / FAX
PROJECT CONTACT NAME / /� ii/ / PHONE
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(The individual to receive and 1{�( ` fr" "(//7O').5.5"--d
respond to all correspondence MAILING-ADDREX S . E-MAIL
concerning this application) 3 l i/I/O
cilli, i STATE A ZIPit FAX
u 60144._ j,I/ii ,goo
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5.000 or more
El
(RCW 19.27.0951 MAILING ADDRESS.CITY.STATE.ZIP 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 harm!- the of •deral Way as to any claim(including costs.expenses. and attorneys'fees incurred in
the investigation and defense of• • • aim) .. ich may be made by any person. including the undersigned,and filed against the city,
but only where such ci''m ut o he reliance of the city, including its officers and employees. upon the accuracy of the
information supplied to h • c a p- of this application.
SIGNATURE: ,y - /. / DATE /`6'- /?
PRINT NAME: OIC r 4
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Perrnit Application