12-102902wilding - Multi Family
City of Federal Way Permit #: 12 -102902 -00 -MF
Community &Econ. Dev. Services
,.,
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 - Inspection Request Line: (253) 835-3050
Project Name: TRELLIS APARTMENTS BLDG 9
Project Address: 35220 25TH AVE SW Parcel Number: 176150 0090
Project Description: ALT - Removing composition roofing and installing new composition roofing.
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 1 0 1 0 0
Additional Permit Information
Mechanical to be Included?....................................No Number of Stories ................................................. 2
Permit for Building Shell Only? .............................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: '/' /2J //7
� / RNAUZ> bIt6/2
Ownr
A a�
Contracto
Lender
MOSAIC USA FEDERAL WAY LP
3-13 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 1 0 1 0 0
Additional Permit Information
Mechanical to be Included?....................................No Number of Stories ................................................. 2
Permit for Building Shell Only? .............................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: '/' /2J //7
� / RNAUZ> bIt6/2
CITY OF V"Np
Federal Way
PERMIT #:
12 -102902 -00 -MF
THIS CARD IS TO MAIN ON-SITE
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 35220 25TH AVE SW
Project: MOSAIC USA FEDERAL WAY LP FEDERAL WAY, WA 98023-3193
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 tp 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)
1:1Approved
Approved
By
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
1:1Approved
Re -steel (4215)
By
Date
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
Date
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
Date - `2
By
Date
Interim Erosion Control (4370)
0
Framin 4120
g ( )
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
By
Date
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Insulation (4150)
❑
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
0
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
k RECEIVED
�rT-cr ��:� *ERMIT
Federal Way, UN 2 5 2012
COMMUNITY3-835-2 07,- F-4X253-1
OPM1fE-1 SEHI7CES AA P L I C AT I O N
253-835-2607• ALC 253-8� OF FEDERAL AW
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S MF O ME PL DE N FP
SITE ADDRESS
SUITE/UNIT M
.�9-20 4 Ave-,L,J eJnaL i4-14-
l
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL M
[R BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
I
PROJECT DESCRIPTION
_ )
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
A4ck ' rtr
MAILING ADDRESS
E-MAIL
CITY s�
STATE
ZIP
NAME
—D L C L
PHONE
V 2- = 7 =G 2
MAILING ADDRESS
41A
E-MAIL
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CONTRACTOR
CITY
;EJ
STATE
ZIP
FAX
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W STATE ONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE S
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O' / 1/ /
A
NAME jj
PHONE
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APPLICANT
APPLICANT
MAILING ADDRESS
E-MAIL
CITY STATE
ZIP
FAX
PROJECT CONTACT
NAME._•
PHONE/N
(The individual to receive and
%
MAILING ADDRESS
a- Do, f.-
respond to all correspondence
concerning this application)
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-
6 24EK --19 5Z
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 r 9.27.095)
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 taws.
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
PRINT NAME:
Bulletin #100- Januar�l, 2011 Page I of 3 k:\Handouts\Permit Application