12-102903V
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Ouilding -Multi Family
Permit #: 12 -102903 -00 -MF
mnsl
1 Inspection Request Line: (253) 835-3050
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Project Name: TRELLIS APARTMENTS BLDG 13
Project Address: 35328 25TH AVE SW
Parcel Number: 176150 0130
Project Description: ALT - Removing composition roofing and installing new composition roofing.
Owner
Applicant
Contractor
Lender
MOSAIC USA FEDERAL WAY LP
3-D ROOF SYSTEMS LLC
3-D ROOF SYSTEMS LLC
2505 3RD AVE SUITE 326
PO BOX 330
3DROOSL982CJ (2/11/14)
SEATTLE WA 98121
LYNNWOOD WA 98046-0330
PO BOX 330
LYNNWOOD WA 98046-0330
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
Additional Permit Information
Mechanical to be Included?...................................No Number of Stories ................................................. 2
Permit for Building Shell Only9 .............................No Plumbing to be Included? ....................................... No
New / Additional Sq. Feet - Total .......................... 0
No Fixtures Associated With This Permit 11
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Saturday, December 22, 2012
Permit Issued on Monday, June 25, 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: _ �� Date:
171MA"th 41/m/2
`' THIS CARD IS TOrection
IN ON-SITE ,
CITY OF
Construction In Record
Federal Way INSPECTION REQUE(253) 835-3050
PERMIT #: 12 -102903 -00 -MF Address: 35328 25TH AVE SW
Project: MOSAIC USA FEDERAL WAY LP FEDERAL WAY, WA 98023-3302
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
Re -steel (4215)
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
Shear Walls (4245)
Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By-�
Date
By
Date
❑
Interim Erosion Control (4370)
Framing 4120
g ( )
Prior to scheduling a Framing iuspectioo;
Approved
Electrical, Plumbing & Mechanical Rough-ia and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
By
Date
approved. IBC 109.3.4
Insulation (4150)
Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
Final - Fire Department (4060)Final
Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
fir Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ECEIVED *ERMIT
Federal Wap-
COMMUNITY DE l'ELOPMENT SERrICF,S� �,1 �l 5 20f p p L I C A T I O N
253-835-2607• FAX 253-835-260 UN (�
CIT( OF FEDERAL WAY
rnS
L 0— e2sl D-3
S MF O ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT M
+�' e cv kc 4
"-
�' l.�-
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
TYPE OF PERMIT
W BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
I
PROJECT DESCRIPTION
Detailed description of work to
)
h �o lI C7 . Cxfi S�If N
be included on this permit only
PROPERTY OWNER
NAME
10 `yJ� + (� re /6
PRIMARY PHONE
2
MAILING ADDRESS fl�
71 tr T� t
E-MAIL
.
CITY�i
c�/L
STATE
ZIP
NAME
PHONE
MAILING ADDRESS
%Z94 .2-1c)fA SW
E-MAIL
CONTRACTOR
CITY
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STATE
v r4-
ZIP
G
FAX
WA STAT O�NgTRACTOR'S LLICENSE X
V G
EXPIRATION DATE
OL 11 �.
FEDERAL WAY BUSINESS LICENSE 0
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NAME,
< r-- G�
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME_PHONE
', G" �' �� '
MAILING ADDRESS f�
/ I C.- er (,
6 —
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a of this application.
/
SIGNATURE:/ DATE
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