12-104648City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 FILE
Project Name: TRELLIS APARTMENTS BLDG 21
Project Address: 35201 25TH AVE SW
Ouilding - Multi Family
Permit #: 12 -104648 -00 -MF
Inspection Request Line: (253) 835-3050
Parcel Number: 176150 0200
Project Description: REP - Remove existing composition shingles and replace with 30 year shingles over felt
Owner
AURlicant
Contractor
Lender
WHISPERING HILLS OF BIRD
3-D ROOF SYSTEMS LLC
3-D ROOF SYSTEMS LLC
OWNER IS LENDER
MOSAIC USA FEDERAL WAY LP
PO BOX 330
3DROOSL982CJ (2/11/14)
2505 3RD AVE SUITE 326
LYNNWOOD WA 98046-0330
PO BOX 330
SEATTLE WA 98121
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 1 0
Additional Permit Information
Mechanical to be Included?...................................No Number of Stories ................................................. 2
Permit for Building Shell Only?............................No Plumbing to be Included? ...................................... No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, April 8, 2013
Permit Issued on Wednesday, October 10, 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 w' a in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. f
Owner or agent: �Itl Date: A) / // 112,
lqll U
crrY OF
Federal Way
PERMIT #:
Project:
THIy CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -104648 -00 -MF Address: 35201 25TH AVE SW
FEDERAL WAY, WA 98023-3189
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.
E]
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
By
Date
By
Date
By
Date
o Foundation Wall (4115)
Approved to place concrete
By Date
Drainage/Downspout (4040)
Approved to backfill
By Date
E] Re -steel (4215)
Approved to place concrete or grout
By Date
E]
Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
Final Electrical
Approved
Floor Sheathing (4105)
1:1Approved
Approved to place concrete
By
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
Shear Walls (4245)
Roof Sheathing (4220)
E]
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
0
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
Framing (4120)
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 1093.4
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
0
Final -Fire Department (4060)
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
Date ` 1
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECE-IVI*ERMIT
Federal Way
COMAfONITY DEVELOPAfENT SENl7(-ES OCT 4 s P L I C A T I O N
253-835-2607 FAR 253-835-2609
CITY OF FEDERAL WAY
CDS
(2- 104E 4E-
MF)CO ME PL DE EN FP
SITE ADDRESS SUITE/UNIT #
PROJECT VALUA ION ZONING ASSESSOR'S TAX/PARCEL #
$?,a0 A�� 0-
TYPE OF PERMIT
"UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
i
PROJECT DESCRIPTION
Detailed description of work to
,.r7 t7-y✓� Ile- e017=- d
be included on this permit only
PROPERTY OWNER
NAME
114
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME{� _ 1Jii L C
PHONE ^ G
MAILING ADDRESS
%Z 46Li ScJ
E-MAIL
CONTRACTOR
CITY
STATEZIP
� ,¢
G
FAX
WA STATE ONTRACTOR'S LICENSE #
!c,
EXPIRATION DATE
02-
FEDERAL WAY BUSINESS LICENSE #
NAME,r� �
�
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
dG % It
MAILING ADDRESS
/GA L
R-TeAFb 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 7 9.27.095)
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. 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 _
PRINT NAME:
Bulletin #100 — January 1, 2011 Page I of 3 k:\Handouts\Permit Application