12-100079City of Federal Way 01
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ST CROIX APARTMENTS
Project Address: 32112 19TH LN SW
building - Single Fags ly
Permit #: 12 -100079 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 132103 9102
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 INC
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 FRANCISO CA 94111
11
AUBURN WA 98001
1
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.) 1 0 0 0 0
New / Additional. Sq. Feet - 3rd Floor....................0
Mechanical to be, Included? ....................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
PERMIT EXPIRES Wednesday, July 4, 2012
Permit Issued on 'day, January 6, 2012
1 hereby certify that the above ' or ion is co t and that the construction on the above described property and
the occupancy and the use ill n a ord a with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: Date:
F1NkU.6D L/14/1Z
CITY of
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction I>!E' ection Record
INSPECTION REQS:(253)835-3050
12 -100079 -00 -SF Address: 32112 19TH LN SW Bldg 19
LEEWARD STRATEGIC PROPERTI FEDERAL WAY, WA
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
SWM Precon Site Mtg (4400)Initial
Erosion Control (4365)
0
Underfloor Framing (4285)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved to install siding
Approved to sheath floor
By
Date
By
Date
By
Date
Final Erosion Control (4375) E] Final - Building (4050)
Approved Approved
By Date By /v� Date
Floor Sheathing (4105)
0
Shear Walls (4245)
Roof Sheathing (4220)
1:1Approved
Approved to install flooring
By
Date
Approved to install siding
Approved to install roofing
By
Date
By
By
Date
By Date
0
Fire/Draft Stops (4095)
Interim Erosion Control (4370)EFireffiraft
scheduling a Framing inspection;
Approved
Approved
lumbing & Mechanical Rough -in and
By
Date
By
Date
top inspections must be signed -off and
approved. IBC 109.3.4
Framing (4120)
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Final Erosion Control (4375) E] Final - Building (4050)
Approved Approved
By Date By /v� Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CUT or PERMIT SF MF pp,, TT
Federal Way tZ RK EIV ED
COMMUNITY DEVELOPMENT SERVICES AP P LI C AT I O N
253-835.2607• PAX 253-835-2609/1 8
www. ".j)ederalu�au.wm J A N� 0 6 2012 0
P`T-rV f IC rTCmr"'r1 A 1 IAIA\/
SITE ADDRESS -�� ^T , L—K S, _ /7
S C D S
PROJECT VALUATION
ZONING
ASSESSOR'S /PAR�i 1 0,--3- � O
TYPE OF PERMIT
IOUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name/
I T
PROJECT DESCRIPTION
Detailed description of Mork to
cA
be included on this permit only
PROPERTY OWNER
NAME
�e'j Ad- hLYi � titG �(,� � I?� 1'� "
PRIMARY PHONE
MAILING ADDRESS 9 � �
E-MAIL
CITY
rhi
STATE
Z
ZIP
NAM
PHONE
sig 3
MADdNG ADD 88.�\
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_ cl>
E -MAD•
CONTRACTOR
C STAT//JES-
7 n 0, 1
ZI$.� PIEXPI(RAJTIION
FAX
WA STATE CONTRACTOR'S LICENSE M DATE
FEDERAL WAY BUSINESS LICENSE #
NAME/
PH -ass
MAILING DRE 88 ^^
L /.>
E-MAIL
APPLICANT
STAT
ZIP/
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
/
NAmE , , / 4.41
�( `� (2(
PHONE
I �'
MAILDQG DRESS '\
J %t/ S /�/�
E-MAIL
IF
FAR
ALTERNATE CONTACT NAME: PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE. ZIP
PHONE
1 cert(ly under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(Jy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert{Jy 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 aim) ich may be made by any person, including the undersigned, and filed against the city,
but only where such el m ut o he reliance of the city, including its officers and employees. upon the accuracy of the
information supplied to a 4f -this application.
a
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 -January 1, 2011 Page 1 of 3 k:ulandouts\Permit Application