12-100347r 1
City of Federal Way •
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
*wilding - Multi Family
Permit #: 12 -100347 -00 -MF
k ,
. v., Inspection Request Line: (253) 835-3050
Project Name: ST CROIX APARTMENTS BUILDING 5 (Phase 1)
Project Address: 32105 20TH LN SW loom 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
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 I
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 1 0 1 0 1 0
F1NA'G'qP'-'JJW_ A#/trov
THIS CARD IS TO REMAIN ON-SITE `
crry0 Construction I1ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -100347 -00 -MF Address: 32105 20TH LN SW Bldg 05
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.
Roof Sheathing (4220) 1 1E] Final - Building (4050)
Approved to install roofing Approved
By r Date Z —/C)4r2I I By � Date Jr, /—
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
I i-
WeC�i��D SF r 0-� D Q 3 +_'
PERMIT MF CO ME PL DE EN FP
Federal Wavy_ �p1'L Q
"
COMMUNITY DEVELOPMENT SERVIC
ES'-
253-835-260i•X35-2609
LICATION
ivuru'.dUmRw.om FEDAIRF
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SITE ADDRESS
SUITE/UNIT N
3� os a 0714 LV S`v
�%L b6 *1 s Yk4ve_
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
TYPE OF PERMIT
IOUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
/
t f
PROJECT DESCRIPTION
Detailed description of work to
Re G G it Ll �b
til Z!
be included on this permit only
PROPERTY OWNER
NAME'
P/115 7/SIG 7/L�J�jLCG /Zj i'�"
PRIMARY PHONE
MAILING � KESS 97
E -MAIL
CITY /
STATE
N
PHONE �Ct 2419 b ��
MAILING ADDRESS,—W ; \
E-MAIL
CONTRACTOR3q/1,7y
crrX f STATE
ZI�
FAX
_�
WA STATE CONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PHGNE
-ass _o
MAILING DRESS 1,
E-MAIL
APPLICANT
CI
STAT
ZIP
FAX
PROJECT CONTACT
rI a individual to receive and
NAME/
e- a4(
PHONE
SS 1 ''\\
MAILING DRE45-t
v S 7 /Xr V
E-MAIL
respond to all correspondence
concerning this application/
C
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
A al
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 lawsWua
I further agree to deral Way as to any claim (including costs. expenses. and attorneys' fees incurred in
the investigation andich may be made by any person. including the undersigned.andfiled against the city.
but only where suchreliance of the city, including its officers and employees. upon the accuracy of the
information suppliedis application.//SIGNATURE:/.
DATE �` C0 l
PRINT NAME:7 4
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\l-landouts\Pernut Application
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