12-100367uilding - Multi -Family
City of Federal Way
Community & Econ. Dev. Services Per it ft.{{.� . 1 �j
2-100367-00-M F
33325 8th Ave S -
Federal Way, WA 98003 pfa� , _ Ins ection Request Line: (253) 835-3050 (253) 835-2607 Fax: (253) 835-2609
Project Name: ST CROIX APARTMENTS BUILDING 6 (Phase 1)
Project Address: 32115 20TH LN SW Bldg 06 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.
Owne
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 Areas . ft. 0 0 1 0 0
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
See and the City of Fe0eral Way.
Owner or agent: Application Date:
JAN 16 2012
t;(Mq1fY)' a/V�fz-
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction 11%, ection Record
Federal Way INSPECTION REQS: (253) 835-3050
PERMIT #: 12 -100367 -00 -MF Address: 32115 20TH LN SW Bldg 06
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 r -40C Date Z" 0,,? –/Z By Date 1-7-12—
Rough
-7-12 -
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —^
Approved
By
Date
By
Date
By
Date
My of
Federal
•
PERMIT
COMM. DEVELOPMENT SERO `� " PLICATION
253-835-2607.1,1X253-835-26
m wtn. cituol tedemlunu..orn
C,ON of F fps
I ?I
-A
S(EF)CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT #
*22..1 115 b T�� w
�-oe ��
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL 1
$3laeo
---------
TYPE OF PERMIT
N(BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
/
t f
�' alove 'z
PROJECT DESCRIPTION
Detailed description of work to
(n/ iAlltil
be included on dlis permit only
PROPERTY OWNER
NAME
lt5 %/t I/('� ✓L��/LtG /GSL �i
PRIMARY PHONE
MAILING ADDRESS � � �
E-MAIL
CITY
STATE
ZIP /
NAM
PHONE �f Cl —u per?
MAILING ADDRESS61—Vit/ �\
7
E-MAIL
CONTRACTOR
C STAT
ZI$�
FAX
- 'r
(�M rL I
y � �
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME /
PH 5T -
MAILING DRESS L 1,
E-MAIL
APPLICANT
CI ,;"V-` STAT
ZIP
FAX
PROJECT CONTACT
Cute individual to receive and
NAME/.,I
' " e- 4,41
PHONE
MAILING DRESS ./� ''\\
3VC b S t AALo- " V
E-MAIL
respond to all correspondence
concerning this application)
C r
CT
STfATE/
W
ZIP 4
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
E] OWNER -FINANCED
Required value of $5.000 or more
(RCW 19-27.095)
zXA
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 ct 'm ut o he reliance of the city, including its officers and employees, upon the accuracy of the
irtformation supplied to h t a of this application.
SIGNATURE: DATE
PRINT NAME: / _F o4t4 t
Bulletin #100 —January 1, 2011 Page t of 3 k:U-landoutsTerinit Application
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