19-104086 'i
Building - Multi Family
City of Federal Way Permit #:19-104086-00-MF
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MIRO AT DASH POINT APARTMENTS BLDG 1702
Project Address: 1702 SW 3.091 H ST Parcel Number: 122103 9142
Project Description: Complete tear off and reroof of this building.
Owner Applicant Contractor Lender
FOREST COVE-388 LLC BLUE PINE CONSTRUCTION BLUE PINE CONSTRUCTION
12000 NE 8TH ST SUITE 200 CORP CORP
BELLEVUE WA 4857 W 147TH ST SUITED 4857 W 147TH ST SUITE D
98005 HAWTHORNE CA 90250 HAWTHORNE CA 90250
Census Category:555-Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00 0.00 0.00
Additional Permit Information
Mechanical to be Included9 No Number of Stories 2
Is this an Online or O.T.C.application' Yes Permit for Building Shell Only? No
Plumbing to be Included9 No
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PERMIT EXPIRES Wednesday, 19 February,2020
Permit Issued on Friday,August 23,2019
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, nil-: and regulations of the State of
Washington and the City of Federal ` -y. Q
Owner or agent: A Date: D 2 2 J `q
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THIS CARD IS TO REMAIN ON-SITE
"'� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 104086 00 Address: 1702 SW 309TH ST
Project: FOREST COVE-388 LLC FEDERAL WAY WA 98023
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 Roof Sheathing(4220) El Final-Building(4050)
Approved to install roofin. Approved
By (,() Date 2 By GODate 3
0 Rough Electrical 0 Final Electrical [J Right of Way
Approved Approved Approved
By Date By Date By Date
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411~'/=..1 "PERMIT APPLICATION
CITY OF
Federal Way AUG 21M-WENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
35-2607 + FAX 253-835-2609 +permitcenterrcityoffederalway.com
CITY OF FEDERAL WAY
- ( / CX.?MMt1fT)(DEVEf��MEpFI~- 0
PERMIT NUMBER l� V �1 (J `(/��, /
TARGET DATE
SITE ADDRESS SUITE/UNIT*
( 2 L'L- 5 t..! ?, L' i ` \c.Q-:+--- Fake((A (it•.. 1194Cc e•Mo Z-3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$ 3, t-,r `
2-- L ., _ c_1 , L l 2
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT `'`.1(U C.,,-\- t c-.3'A 1-�•;,t*-
PROJECT DESCRIPTION Cc- (A-2\-`2-X--6? \ c,4. CAR �:tiv�cl ('� ' 4-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER kW& i ten Uw,1er'/ X33 2x c)s—�
MAILING ADDRESS E-MAIL
CITY STATE ZIP
(zcij WW1 k)4 9t 0 Z-3 `'`:.
NAME ' PHONE
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MAILING ADDRESS �L _ E-MAIL
CONTRACTOR
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CITY ` STATE ZIP FAX
CCt.•— Y‘,Ct-M._: L A--- 90 L>C:"
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
N E `\ PRIMARY PHONE
li% C tic '%.-3 "- o„ 131 i►e�t ;hr�.0- ./(A. 2-cu `rz�5�, 71.1.1 s
APPLICANT MAILING DRESS E-MAIL
it`}C``j N F_' \ett p\ 111c4Nv.._ ,Vu,Ce_,QC':h
CITY STATE ZIP FAX
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IIVE W PRIMARY PHONE
PROJECT CONTACT Y — ctc ,Sc%rt •Z019ls.2 q T-7
(The individual to receive and MAILING ADDRESS q r. EMAIL •
respond to all correspondence (CI N P- 1 cll" Po Ct-.C.C;"
concerning this application) CITY STATE ZIP FAX
Uc,A-\-uz\\ % P- Ste,0 i
NAME
PROJECT FINANCING F-M:a VA-tie) t•-) Al 'ijr_.^ ' Li-c— OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
IRCW]9.27.095/ � �:�z. W
31�'E'l \� �t�C{L�u .e.," �2f4 1 w A- c1fiL 2_3 2-53 2---614 l) e.,(.1
I certify under penalty of perjury that I am the property owner or authorised 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 arty 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 arses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli 1 t citT as a part of'his application.
•
SIGNATURE: t�t-1-k----1-
DATE f' Z ��2—' ‘-' I c"f
PRINT NAME: i\G' 'ty t,. //
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Bulletin#100-January 29.2016 Page 1 of 2 k:U-Iandouts\Permit Application