15-100111r
uilding - Multi Family
City of Federal Way Permit #: 15 100111 -00 -MF
Community 8 Econ. Dev. services
33325 8th Ave S
Federal Way, WA 98003 �253 835-3050 Inspection Request Line:
Ph: (253) 835-2607 Fax: (253) 835-2609 P 4
Project Name: THE LANDING AT DASHPOINT APARTMENTS FKA FOREST COVE APARTMENTS
Project Address: 30916 17TH AVE SW
Project Description: REP - Remove and replace existing roofing
Parcel Number: 122103 9006
Owner
Applicant
Contractor
Lender
ROC II FOREST COVE LLC
NORTHWEST ROOF SERVICE INC
NORTHWEST ROOF SERVICE INC
OWNER IS LENDER
5295 S COMMERCE DR SUITE 100
801 CENTRAL AVE N
NORTHRS088DW (10/15/15)
MURRAY UT 84107
KENT WA 98032
801 CENTRAL AVE N
KENT WA 98032
Census Category: 555 - Non-structural roofmg permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft 0 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
Permit for Building Shell Only .............................No
New / Additional Sq. Feet - Basement...................0
Number of Stories.................................................2
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Wednesday, July 8, 2015
Permit Issued on Friday, January 9, 2015
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
F and the City of Federal Way. Gi► /
Owner or agent rH 7` Date: _ t
THIS CARD IS TO ON-SITE
CUT OFO;;%� � Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -100111 -00 -MF Address: 30916 17TH AVE SW
Project: ROC II FOREST COVE LLC 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.
Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Tp -Approved
By PA.- Date 116 AS IlBy Pte— Date I- I f-,,
Rough Electrical
Approved
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
40T
JAN Qq 2015
� OF FEDERALWAY
Federal Way CDS
•
PERMIT APPLICATION
19 1 00 1 d — KF I(l�
prxa<<_.
T NvmaR TARQE'T DATE
o ul�
WTI& ADDRESS I � g �
-3 c ev - tJ
-7
BLZTE/UxIT f
PROJECT VALUATION
Z03,00
ESSOR'S TAY/PARCEL
a
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECRA,1CCAL ❑ DEMOLYNON El FNGINEERINO ❑ FIRE PREVENTION
NAME OF PROJECT
4
PROJECT DESCRIPTION
Derailed description of work to
be intruded on this permit only
OWNER
}'
�� I _ C� 1 V� G1:6d ' Das r{ P 1 B
PRIYAW PHOXZ
PROPERTY
YAUMIO ADDRESS.( -
E-MAIL
1 V `'ek !./�/
/�
/ �i i i
Z'P""
MANX
PHONE
WAIIdNO ADDRESS
` CIE, L��i
t
5
CONTRACTOR
CITY k
FAX
FEDERAL WAY 80SM-" "E"" /
WA STATE COXTRACTOR'S 11CENBE !
EXPIRATION DAT?
NAME
PRIMARY PHONZ
MAILINo ADDRd88
R -MAIL
APPLICANT
CITY
STATE
ZIP
FAX
KAMM R I i SQ � e �r ��c� �� �
PRII,LARY I'H014E
PROJECT CONTACT
l7iie individual Ip receive and
MAIIJKO ADDRESS �
m' `� 5 C, c vi ( " \f
EMAIL
respond to aA correspondence
Conxming" application)
CITY
STATE
I zip
FAX
PROJECT FINANCINGoWartR•Fz1rAaC,ED
xA=
'
Required uatue of 55, 000 or more
MAILING ADDRESS, C71Y, STATE, ZIP
MONS
IRCW 19.77095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner, I cert(ry that to the best
of my knowledge, the information submitted in support of this permit application is trite and correct. 1 certify that 1 will comply with
all applicabie City of ToderaI Way mgulatiorts pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remom the owner's responsibility for compliance with local, state, or federal taros regulating
construction or envirvamantal Tawe6
i further agree to hold harmless the City of laderal Way as to any claim Kneluding costs, expenses, and attorneys' fact incurred in
the tnDestigadton and defense of such chilli), which may be made by any person, intruding the understgned, and filed against the city,
but only where such claim arises out of the reliance of the city, intruding its offlcers and cmploytes, upon the accuracy of the
information supplied to heCity at a part of this application,
DATE
SIGNATURE;
PRINT NAME:
Bulleun #100 - January 1, 2013 Page l of 3 k:\HandoutslPermit Application
0