12-103030 • Suilding - Multi+Fa'mily
City of FederaloWay EPermit #: 12-103030-00-MF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 25
Ph:(253)835-2607 Fax:(253)835-2609 " ' a P q ( 3)835-3050
Project Name: TRELLIS APARTMENTS BLDG 23
Project Address: 2420 SW 352ND ST Parcel Number: 176150 0210
Project Description: REP-Removing composition roofing and installing new composition roofing.
Owner Applicant Contractor Lender
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:
Occupancy Load:
Floor Area(sq.ft.) 0 0 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 29, 2012
Permit Issued on Monday, July 2, 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' •'- i. ccordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: - 2 - I
io/tz
OF 4iii& • THIS CARD IS TO MAIN ON-SITE
CITY Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-103030-00-MF Address: 2420 SW 352ND ST
Project: MOSAIC USA FEDERAL WAY LP FEDERAL WAY, WA 98023-3186
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.
0 SWM Precon Site Mtg(4400) Ei Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) ❑ Drainage/Downspout(4040) ❑ Re-steel(4215)
Approved to place concrete 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
Shear Walls(4245) ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date Byc S Date '7 ('7...._ By Date
,
'El Interim Erosion Control(4370) Prior to scheduling a Framing inspection; , 0
Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By Date
❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
'Ei Final-Fire Department(4060) 0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date By pi, Date
7'Zo-l2
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
87-82-2012 06:48AIV-_--- - 1 O ' P2�0
tufo, , tAb, RECEIVED •
PERMIT JJ
Federal Way sF ® � M PI• DE E F
,ommorwypevt,,„ht,E„,7 1502 2012 APPLICATION
253 835 2607•FAX 253 835 2609 g
u''' ",if iPue OF FEDERAL WAY 11 Y
1.1�1 a
CDS
SITE ADDRESS S W 3 F 1 lel c, L c ..
Z SUITE/UNIT If
11 leis 2_3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL f
$ q ,os-ct .0-3 1... 7-•
Co l D _ OZ t 0
TYPE OF PERMIT IiTBUILDING D PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) I- LI.S
Co ririd f 1'1''✓�- 1 t C OCT% e, l CiF.r',C.Cr
PROJECT DESCRIPTION /
Detailed de5cripiian of work to N )f C („l" t a i
be included on this permit only
NAMEwPRIMARY PHONE
/V
PROPERTY OWNER 1 p-q 1‘C, IAf4- ie cIr L (-✓ p /P fr���e -,Ff�r 2.e.:)
MAILING ADDRESS !- t� 5.-ISAIL
71-7) S� j la ivy Ave_ J'(&tf cL_�
CITY STATE ZIP
------ sly u2s�- ---.11,7 / _
PHONE -y
D A 4:7-.Pr rrG i �c y ar z?r-G 2-z
MAULING ADDRESS EMAIL
CONTRACTOR -72. 210'46 _hi -5 4)
CITY STATE ZIP TAX
,�1 t).A.4, b/4- a 6 -
WA STAT ONTRACTOR'S LICENSE V EXPIRATION DATE FEDERAL WAY JUSINESS LICENSE t
.377 fte co s —it . ' oZ / /I /2.0/t4 "*.41°j
NAS PRONE
PHONE
�4..,ni1 . 1 . G 'Y'd`o i i
APPLICANT MAILING ADDRESS E-MAIL
CITY .. I ZIP FAX r
J.-RTATE
PROJECT CONTACT NAME /HONE
(The Individual to receive and f ' v'f cro
/ C& '/ jam
O) ' ,, t�6 7�l
respond to all correspondence MAILING ADDRESS WOWS% d/'�
concerning this application) - ,rG-"riSO C ______,,6 -7A -37$
CITY STATE ZIP FAX
ALTERNATE CONTACT' NAME! PHONE E-MAIL
PROJECT FINANCING N'MX -- — - - OWNER-FINANCED
Required value of 55.000 or more _
(RCW 19 27.095) MAILING ADDRESS,CITY,STATE,ZIP PItortE
1 certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the test
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 lows regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including casts, 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: ._,_.... . • /1 DATE y/6-� /,r2�•--
PRINT NAME:
Bulletin 71100-Janua I,2011 Page 1 of 3 k;\Hundouts\Pctmit Application