12-102904City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: TRELLIS APARTMENTS BLDG17
Project Address: 35221 25TH AVE SW
quilding - Multi Family
Permit #: 12 -102904 -00 -MF
Inspection Request Line: (253) 835-3050
Parcel Number: 176150 0170
Project Description: ALT - Removing composition roofing and installing new composition roofing.
Ownr
ARI211can
Contractor
Londer
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:
Occup cy Load
Floor Areas . f. 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 willA�in ance with the laws, rules and regulations of the State of Washington
nd t /City of Federal Way. % j
Owner or agent: l / Date: 1(1,4j /2—
lo14117ov
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record `
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 12 -102904 -00 -MF Address: 35221 25TH AVE SW
Project: MOSAIC USA FEDERAL WAY LP FEDERAL WAY, WA 98023-3194
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)
E]
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
E]
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Foundation Wall (4115)
E]
Drainage/Downspout (4040)
Final Electrical
Approved
E]
Re -steel (4215)
By
Approved to place concrete
Approved to backfill
Date
Approved to place concrete or grout
By
Date
By
Date
By
Date
0
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)
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
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop the
By
Date
By
Date
By
Date
Final - Fire Department (4060)
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
Date U—
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
�IT.oF RECEIVED *ERMIT
Federal Way
COMMUNITY DEVELOPMENT SERI'I E U N 211
APPLICATION
253-835-2607• FAX 253-835-2609
................. ,:,ir...... _r„CITY OF FEDERAL WAY
CDS
--Z_vz�n((
S MF CO ME PL DE EN FP
SITE ADDRESS
#
r;SUE/UNIT
17
PROJECT
ZONING
ASSESSOR'S TAX/PARCEL M
UVALUATION
7
/ KGs
-
TYPE OF PERMIT
-�/�
Cf�'BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
.NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
1
PROJECT DESCRIPTION
Detailed description of work to
T
Ac ov-
._.--rc. � 11 _
en i C? . cid h k I
be included on this permit only
PROPERTY OWNER
NAME
/0 U.t 'C, /
L
PRIMARY PHONE
d — 2
MAILING ADDRESS
E-MAIL
CITY
e. -154-e—
STATE ZIP
r
NAME
-D
PHONE
V 2-r- i' G 2
MAILING ADDRESS
% A 56c)
E-MAIL
CONTRACTOR
CITY
J mo w
STATEZIP
v 4-
a
FAX
WAS ONTRACTOR'S LICENSE M
I C9 ( G
EXPIRATION DATE
DZL / i ! /
FEDERAL WAY BUSINESS LICENSE A
,¢
NAME
�G�
PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
2IP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
NAME,
'' e-ron-e �� ..
PHONE
DC �! It
MAILING ADDRESS
L�Mhils Do.�Zr
concerning this application)
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
IRCW 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 o%f his application.
/ q
SIGNATURE: ' I DATE (y /!- --6121
PRINT NAME:
Bulletin tt 100 — Januar�I, 2011 Page) of 3 k:\Handouts\Permit Application