12-100373 • uilding - Multi Family
City of Federal Way
Community&Econ.Dev.Services Per t #: 12-100373-00-MF
33325 8th Ave S n
Federal Way,WA 98003 P
Ph:(253)835-2607 Fax:(253)835-2609 - Inspection Request Line: (253)835-3050
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Project Name: ST CROIX APARTMENTS BUILDING 21 (Phase 1)
Project Address: 1811 SW 321ST LN Bldg 21 Parcel Number: 132103 9101
Project Description: REP-Remove existing shingle roof and replace with shingles.Install 30113 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 SUITE D CENTIC*009NZ(6/16/13) PROPERTIES INC
4 EMBARCADERO CENTER SUITE AUBURN WA 98001 3416"B"ST NW SUITE D 4 EMBARCADERO CENTER SUITE l
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
„� s.,��,,;.`�„ „lea ., ,i!., ,. si!, ; n. �s.' 1 �:5:: 3i
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
;. NCS Fix d1 1thT ' (4l�lYtlt11y
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
SeepAp nn� V.,tiditderal Way.
Owner or agent: VV Date:
JAN 26 2012
rnu. 3of ,Z
THIS CARD IS TO REMAIN ON-SITE
CITY OF '_ - • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 12-100373-00-MF Address: 1811 SW 321ST LN Bldg 21
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.
0 Roof Sheathing(4220) ❑ Final-Building(4050)
Approved to install roofing Approved
By cif Date 2 - 02 . By RI Date 3 •- 72 jZ
0 Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I 0 3
OF
Federal g„C " ' PERMIT SF(MFJ CO ME PL DE EN FP
APPLICATION
COMMUNITY DEVELOPMENT SERVICES
253-835-2607•FAX 253-835-2609
tcuxu.cituollederalwau.corn H P't
�E®E L
SITE ADDRESS Cm CDS SUITE/UNIT k
ibcl S(k 32, ! Sit �; G 1'�t�(.0 2(
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ 3 SOD — -
TYPE OF PERMIT `BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) /pi 4p0.-Ime-t
PROJECT DESCRIPTION
I�ewwve- Gkn�,�y R14 . .� Gl 3v/' re//, 2
Detailed description of work to Gatti-C-11 L.4, l , I/ '1it
5F/1d [ ( �D r LLr" �^fr
be included on Utrs permit only 5 / ` /e— s / M1- n
NAME � / PRIMARY PHONE
PROPERTY OWNER Pts //(4C 11L� &A/id/1444'4 4,1j "_
MAILING ADDRESS ` E-MAIL
CITY STATE ZIP .,
GI/ g
/751 let$ �� GO 6 C 7 3
NAMF,�� PHONE/ �,.�/ C2 24 b_?7
MAILING ADDRESS E-MAIL
CjG��'/�—!J'`- ✓•7 6 J J
CONTRACTOR 31166 6 6/- ( ` 17
C STATE ZI ��� FAX
WA STATE CONTRACTOR'S LICENSE fl EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
GEA/TtL eY?c14/7_
NAME L PHq.NE
'l6
"lJ / (,„/� X55 0,12_
APPLICANT MAILING/DRESS E-MAIL
31116. g sfivw 5(4-4e- I>
CIT/)f" STAT ZIP / FAX
PROJECT CONTACT NAMEg/ �j/ PHONE
(The individual to receive and �y e- an-`
respond to all correspondence MAAILINGDREpSS �,I _f, E-MAIL
concerning this application) 3Yh� b c l ✓`i
CISTATE ZIP FAX
bcy,
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5.000 or more /V/4-
El
(RCW 19.27.095) 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 harml- the '` of -deral Way as to any claim(including costs. expenses.and attorneys'fees incurred in
the investigation and defense of.u aim) ich may be made by any person.including the undersigned.and filed against the city.
but only where such cl•im 'ut o he reliance of the city, including its officers and employees. upon the accuracy of the
information supplied to h- i • a •'. of this application.
SIGNATURE: ,Ar DATE /'"
PRINT NAME: Ol�WAIlli /,, /Ili 1
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Pernut Application