12-104613t I's
• 4 ftuilding - Multi Fai6i1y
City of Federal Way Permit #: 12 -104613 -00 -MF
Community &Econ. Dev. Services __
33325 8th Ave S
Federal Way, WA 98003 w
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: TRELLIS APARTMENTS BLDG 15
Project Address: 35315 25TH AVE SW Parcel Number: 176150 0150
Project Description: REP - Remove existing composition shingles and replace with 30 year shingles over felt
Owner
ARI2111can
Contractor
Lender
MOSAIC USA FEDERAL WAY LP
3-D ROOF SYSTEMS LLC
3-D ROOF SYSTEMS LLC
OWNER IS LENDER
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 1 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
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, April 7, 2013
Permit Issued on Tuesday, October 9, 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: /,9' A-il Z
A --"-'n 11/41/le
a TS CARD IS TO IN ON-SITE
CITY OF HI
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -104613 -00 -MF Address: 35315 25TH AVE SW
Project: MOSAIC USA FEDERAL WAY LP FEDERAL WAY, WA 98023-3198
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.
❑
Foundation Wall (4115)
Drainage/Downspout (4040)
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
0
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)
duling a Framing inspection;
Framing4120
( )
Approved
ing & Mechanical Rough -in and
EFireL/Draft
Approved to insulate
Date
spections must be signed -off andBy
By
Date
roved. IBC 1093.4
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
E]
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
Date
❑
Rough Electrical
Approved
E]Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
.!_ w" 40PERMIT10!6F)CO-
Federal W%RECEIVED
COMMUNITY DEVELOP2-35
253-835-2607 FLt 253-85-2609 #PPLICATION
OCT
O9
rITy OF FEDERAL WAY
n 4- � /3
ME PL DE EN FP
SITE ADDRESS CDS
SUITE/UNIT i
0— L t'ei "-) I rc d 6-1)C4
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PROJECT VALUATION
$)/ ?)a°
ZONING
ASSESSOR'S TAX/PARC L ti
I —L�7 1 50- 0('5
TYPE OF PERMIT
9 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
`. 1, y✓� / Bad
PROJECT DESCRIPTION
Detailed description of work to
-
H 'moo
be included on this permit only
PROPERTY OWNER
NAME
A4 v au
PRIMARY PHONE
2-6 d h
MAILING ADDRESS
E-MAIL
CITY �i
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STATE
r
ZIP
NAME
D %r moi' vrr LCL
PHONE
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2 J' --MAILING
MAILINGADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
f✓ A-
ZIP
G
FAX
W STAT ONTRACTOR'S LICENSE M
i co
EXPIRATION DATE
/zem,4
FEDERAL WAY BUSINESS LICENSE M
NAME, ^ /
v
PHONE
MAILING ADDRESS
EMAIL .
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive andG"
respond to all correspondence
concerning this application)G+
NAME,
PHONE j
Z 7
MAILING ADDRESS
�.
E'10M a/
6
CITY
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)
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. 1 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.
T 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 thisapplication.
SIGNATURE:/ DATE
PRINT NAME: /� L
Bulletin #100 - lanua , 1, 2011 Page 1 of 3 k:\Handouts\Permit Application