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13-100106r � City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: FOREST LANE 01 Building - Multi Family Permit #: 13 -100106 -00 -MF PIZ, [` Inspection Request Line: (253) 835-3050 Project Address: 2100 S 336TH ST Unit C5 C-5 Project Description: REP - Repair roof damage from fallen tree. Parcel Number: 259620 0150 Owner Applican Contractor Lende SHAWN M DAVIS BELFOR USA GROUP INC BELFOR USA GROUP INC FOREST LANE CONDO 4320 S 131ST PL SUITE 100 BELFOUG99OBJ (12/20/14) ASSOCIATION SEATTLE WA 98168 4320 S 131ST PL SUITE 100 2100 S 336TH ST SEATTLE WA 98168 — - FEDERAL WAY WA 98003 Census Category: 434 - Residential alt/add - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load Floor Areas . ft. 0 1 0 1 0 1 0 I hereby certify that above information is correct and that the construction on the above described property and the occupancy an th 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:VA�A�Date: 1 1 0 c8fzo 1.3 z�t�3 CITY OF Federal Way PERMIT #: Project: THIS CARD IS TOMAIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 13 -100106 -00 -MF Address: 2100 S 336TH ST Unit C5 SHAWN M DAVIS FEDERAL WAY, WA 98003-8963 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. Interim Erosion Control (4370) Approved By Date Insulation (4150) Approved to install wallboard By Date Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Framing (4120) Approved to insulate By ' Date Suspended Ceiling Grid (4265) Approved to drop tile By Date SWM Precon Site Mtg (4400) Initial Erosion Control (4365) Drainage/Downspout (4040) Footings/Setback (4110) Final - Building (4050) Approved Approved To be done prior to breaking ground Approved Approved to place concrete By Date By Date By Date Interim Erosion Control (4370) Approved By Date Insulation (4150) Approved to install wallboard By Date Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Framing (4120) Approved to insulate By ' Date Suspended Ceiling Grid (4265) Approved to drop tile By Date Foundation Wall (4115) Final Erosion Control (4375) Drainage/Downspout (4040) Final - Building (4050) Re -steel (4215) Approved Approved to place concrete Approved By Approved to backfill Approved By Approved to place concrete or grout By Date By Date By Date E] 0 Floor Sheathing (4105) Underfloor Framing (4285) Slab/Concrete Floor (4255) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date ❑ Fire/Draft Stops (4095) Roof Sheathing (4220) Shear Walls (4245) Approved to install siding Approved to install roofing Approved By Date By Date ,gam By Date Interim Erosion Control (4370) Approved By Date Insulation (4150) Approved to install wallboard By Date Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Framing (4120) Approved to insulate By ' Date Suspended Ceiling Grid (4265) Approved to drop tile By Date Final - Fire Department (4060) Final Erosion Control (4375) Final Electrical Approved Final - Building (4050) Right of Way Approved Approved Date Approved By Date Approved By Date By Date By Date 17 - Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date CITY OF • PERMIT Federal Way COMMUNITYDEVEfAPMENTjtCF-1�1� APPLICATION 253 www.cituo/'federalwau.cmn 6- /__Q�� MF O ME PL DE EN FP SITE ADDRESSq ®E FEDE�L SUITE/UNIT # PROJECT VALUATION ZOININd ASSESSOR' TAX/PARCEL # W 2- � _2� J TYPE OF PERMIT KBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (TenantName/HOmeownerLast Name) ©�l i j ( QA - PROJECT DESCRIPTION Detailed description of work to ��� c9� Ocr� `�l`� �l) l'4 (r2- I ' �•� FeeooF be included on this permit only PROPERTY OWNER NAME- F p� �r �4w* i-kQfo, A_14*wu L'Uyts, PRIMARY PHONE MAD.ING ADDRESS E-MAIL �TY L -y STATE LA) ZIP 0i 3 NAME 3CLfvA7- u5vt Gazkp,C PHONE ZC(D- 63 7--08eC_> MAILING ADDRESS It Zo - :5a E-MAIL CONTRACTOR CITY iSTATE cnZ�I,PP FAX !fey WA STATE CONTRACTOR'S LICENSE # 3EL, a Lx&t qQ vi?> S EXPIRATION DATE Z i 20 lZDA FEDERAL WAY BUSINESS LICENSE # Z O- --o i<o r PHONE 2.0 L, - 3 ae)- l MAILING ADDRESS YF 2-0- 50, 13 1 PWd 1.5L,_Ot kQ E-MAIL rZ e i1wNems e LX5� APPLICANT TY ,e�rr STATE ZIP r FAX 7-z)(p- PROJECT CONTACT (The individual to receive and NAME 'RO— "A PHONE MAILING ADDRESS 2-0' ( L Le 51"L,i i L (OZ) E-MAIL Rtlirii ra- Ana -5 � 17 L respond to all correspondence concerning this application) CITY ST TE ZIP of UE7 FAX Z6(. J14 I-0° 90D .15 ALTERNATE CONTACT NAME: Z:�*M PHONE 3 Z- ® V300 E-MAIL PROJECT FINANCING Required value of $5,000 or mre (RCW 19.27.095) NAME C _ -- / S P&A i 31.014 �..�..al-vt._ �G Wi Lp 11 OWNER -FINANCED MAILING ADDRESS, CITY, STATE, ZIP UZI Z % - 30 5r 14E SLt.trt zvz 50wu-- ars 96 1 Zi PHONE 7-0L CtZ- S4 Z I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert{fy 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 an a nse of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where suc clam arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppl1 to city as a part of is application. i ASIGNATURE: DATE I l PRINT NAME:aer Bulletin #100 -January 1, 2011 Page 1 of 3 k:\JIandouts\Pernut Application M ,VLo Ltn4^