12-100324City 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: ST CROIX APAR
Project Address: 32145 20TH LN SW Bldg 11
4juilding - Multi `F$mily
Permit #: 12 -100324 -00 -MF
_W Inspection Request Line: (253) 835-3050
11 (Phase 1)
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 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 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
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical. to be Included?....................................No
Permit for Building Shell Only? .............................No
New /.Additional Sq. Feet - Total..........................1 0
New / Additional Sq. Feet - Basement...................0
Number of Stories..................................................2
Plumbing to be Included?...................:...................No
Zoning Designation................................................RM 1800
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
and the City of Federal Way.
Owner or agent: C^r% a nnilinatl(1n Date:
JAN 19 2012
Fns 21f0112o
At
R��,.�
CY OF 4"" : '
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -100324 -00 -MF Address: 32145 20TH LN SW Bldg 11
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.
F] Roof Sheathing (4220) Final - Building (4050)
Approved to install roofing Approved
By Zgj�4- Date:?_,;2By fG14�-_ Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
al
Fe 5 G o�� PERMIT
Federal Wa�`L
COb1MUNr1Y DEVELOPMENT SERVICES''•,'= ` �� LI CAT I O N
253-835-2607• FAX 253-835-2609
wu�ur.ciWol/ederalu�nu.cum _r � G
ly
SF F 0 ME PL DE EN FP
SITE ADDRESS
3 2 t KS 20 s
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$31emD
I — — — --------
TYPE OF PERMIT
'�(BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Namellionteowner Last Numel
I'Per
PROJECT DESCRIPTION
Detailed description of work to
Re e,
(n/ t^
be included on this permit only
PROPERTY OWNER#S
NAME
j/r✓jG 7/LYi�/f,�G /(�� IZj
PRIMARY PHONE
MAILING ADDRESS
" S 14,119 Gt
E-MAIL
CITY
N'I1,4 S f e#,
STATE
GU
ZIP
NAME.
PHONE
gotX53-u$-3
MAILING ADDRESS
kZ e,
E-MAIL
CONTRACTOR
CIT1 f STATE
ZI�
FAX
00,
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME /
PH-��'04��
j
MAILING DRESS 1 ^
E-MAIL
APPLICANT
STAT
ZIP �
FAX
PROJECT CONTACT
r1he individual to receive and
respond to all correspondence
concerning this application)
NAME/✓ / /
A `e— '/'I# I/
PHONE
MAILING DRESS _ '\
Jv S t AAL -11 v
E-MAIL
STATE ,
l!/{
ZIP � „ _ /
/vl
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5.000 or more
(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.
1 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 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
h1formation supplied to h a p of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin
Bulletin #100 —January 1, 2011 Page I of 3 kAHandouts\Permit Application
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