12-100325it
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
AVuilding - Multi Fancily
Per it #: 12 -100325 -00 -MF
pp9 Inspection Request Line: (253) 835-3050
fir 6 I .
Project Name: ST CROIX APARTMENTS BUILDING 12 (Phase 1)
Project Address: 32139 20TH LN SW Bldg 12
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
Contracto
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 Areas . 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 .......................... 0
New / Additional Sq. Feet - Basement...................0
Number of Stories ................................................. 2
Plumbing to be Included?.......................................No
Zoning Designation................................................RM 2400
FAM
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
c d the of Federal Way.
Owner or agent. See Appiicafibn Date:
JAN 2 6 2012
FtMhttbb a/sa(rt
THIS CARD IS T OJLEMAIN ON-SITE '
CITY OF V:&1 Construction I_ ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -100325 -00 -MF Address: 32139 20TH LN SW Bldg 12
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.
E] Roof Sheathing (4220) ❑ Final - Building (4050)
Approved to install roofing Approved
By O��y Date 5— 7-17- By � F Date 3- 22 —17-,
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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SF
CITY MF CO ME PL DE EN FPFederal Way �,'ERMIT
COMMUNrY DEVELOPMENT SERICES ®
253,8 X 00V
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SITE ADDRESS
SUITE/UNIT #
�LISi Zo ik LW S�
lull
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ // �bo-ic>
- - - - - - -
TYPE OF PERMIT
'$(BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
rTenant Name/Homeowner Last Name!
/
PROJECT DESCRIPTION
Detailed description of Mork to
'b
(n/ tit C
be included on this permit only
PROPERTY OWNER
NAME
"i5 h't, 7/LY-- ✓��/lt.(( /G� �i
PRIMARY PHONE
MAILING ADDP
-7ESS
E-MAIL
CITY STATE
w1 in Stell Go
ZIP
�
NAM
PHONE
MAILING ADDRESS y
-
E-MAIL
CONTRACTOR
C STAT
ZI�
FAX
� '
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME/
W f-
PH
MAILMG DRESS
E-MAIL
APPLICANT
CINa;''- r`
STAT
ZIP
FAX
PROJECT CONTACT
!The individual to receive and
NAME
���
PHONE
MAILING DRESS _fes
3CM b S t /Mi r+
E-MAIL
respond to all correspondence
concerning this application)
XC L
�7 �ri�l_
STATE
K/
ZIP
FAR
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
4 4d
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.
[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 ut o he reliance of the city. including its officers and employees, upon the accuracy of the
information supplied to h a of this application.
SIGNATURE: DATE
" � ,�
PRINT NAME: 4
Bulletin #100 - January 1, 2011 Page I of 3 k:\Handouts\Permit Application
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