12-103937City 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: FEDERAL WAY MOTEL
Project Address: 29815 PACIFIC HWY S
s r,r
S03uilding - Commercial
Permit #: 12 -103937 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9259
Project Description: REP - Tear out existing hot mop roofing material and replace with torch down roofing
Owner
ARolicant
Contractor
Lender
MP FEDERAL WAY MOTEL LLC
VALLEJO ROOFING
VALLEJO ROOFING
OWNER IS LENDER
29815 PACIFIC HWY S
134-3 COWLITZ LOOP
VALLER*886C9 (2/28/14)
FEDERAL WAY WA
TOLEDO WA 98591
134-3 COWLITZ LOOP
98003-4233
TOLEDO WA 98591
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
Permit for Building Shell Only?............................No
Number of Stories.................................................2
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit1l:
PERMIT EXPIRES Wednesday, February 20, 2013
Permit Issued on Friday, August 24, 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.
r
Owner or agent: Date: Si%aN sora
F I t4 AV -Q> 9/te/12
CITY OF
Federal Way
PERMIT #:
• THIS CARD IS TO IN ON-SITE
Construction In ction Record
INSPECTION REQ TS: (253) 835-3050
12 -103937 -00 -CO
Address: 29815 PACIFIC HWY S
Project: MP FEDERAL WAY MOTEL LLC FEDERAL WAY, WA 98003-4233
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)
1:1
Footings/Setback (4110)
rB,y
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)
1:1
Re -steel (4215)
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Underfloor Framing (4285)
Slab/Concrete Floor (4255)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
❑
Fire/Draft Stops (4095)
Roof Sheathing (4220)
Shear Walls (4245)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
Framing (4120)
Interim Erosion Control 4370
( )
pection;
Prior to scheduling a Framin:besigned-off
Approved
Electrical, Plumbing & Mechaniugh-in and
Approved to insulate
Date
Fire/Draft Stop inspections must andBy
IBC 109
By
Date
approved.
[]
Suspended Ceiling Grid (4265)
Gypsum Wallboard Nailing (4130)
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
0
Final - Building (4050)
Final Erosion Control (4375)
Final - Fire Department (4060)
Approved
Approved
Approved
By
Date
By
Date
By
Date G -
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY Of
OPERMIT
Federal vftCEIVED
COMMUN17Y DEVELOPMENT SERVICES APPLICATION
253-835-2607• FAX 253-83
uy_�in rnffedercfv_nu._,___ 2 Z 2012
CITY OF FEDFRAI WAV
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*M CO)ME PL DE EN FP
SITE ADDRESS CDS
SUITE/UNIT S
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)c, . S ate%' Fzaero( tq 4
PROJECT VALUATION
$N1000
ZONINGif
ASSESSOR'S TAX/PARCEL i
0-4 z L o 4.
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TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
WAV M `' a,
H 04 S �—Mc/ \-�-'COVK- wt` k^
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONI,E,
PROPERTY OWNER
253 I-
MAIILING ADDRESS
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E-MAIL
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CITY
STATE
ZIP
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NAME
Sa- r4 ll
C- tWydwa-3y3y
MAILING ADDRESS UE
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Cr� I I '
-MAIL
CONTRACTOR
CITYzi
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FAX
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WA STATE CONTP4CTOR'S LICENSE M
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EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
VA LL E13 M Cl
NAME
1/ !l
PHONE
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MAILING ADDRESS IFE-MAIL
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APPLICANT
CITY
TO
STAT
ZIP
����
FAX
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PROJECT CONTACT
NAME
J
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
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
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MAILING ADDRESS, CITY, STATE, ZIP {t-�3
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PHONE
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(RCW 19.27.095)
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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 thatl' 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.
1 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 apart of this application.
SIGNATURE:
DATE
. �laLl la(-) 19,
PRINT NAME: S ct,v. 4-1 ' n
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application