19-104763 At is
Building - Multi Family
City of Federal Way Permit #:19-104763-00-MF
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3056
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MIRO AT DASH POINT APARTMENTS BLDG 30928
Project Address: 30928 17TH AVE SW Parcel Number: 122103 9006
Project Description: REP-Rebuild deck on Unit D.
Owner Applicant Contractor Lender
RHB MIRO OWNER LLC BLUE PINE CONSTRUCTION BLUE PINE CONSTRUCTION
31004 19TH PL SW CORP CORP
FEDERAL WAY WA 98023 4857 W 147TH ST SUITE D 4857 W 147TH ST SUITE D
HAWTHORNE CA 90250 HAWTHORNE CA 90250
Census Category:434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Number of Stories 2
Is this an Online or O.T.C.application9 No Permit for Building Shell Only? No
Plumbing to be Included9 No
Total Valuation:2,000.00
filo : ..
PERMIT EXPIRES Tuesday,31 March,2020
Permit Issued on Thursday,October 3,2019
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, rules and regulations of the State of
Was ' o and the Ci of Federal Way.
Owner or agent: Date:
4144.
- I s
THIS CARD IS TO REMAIN ON-SITE
CITY Or Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 104763 00 Address: 30928 17TH AVE SW
Project: RHB MIRO OWNER 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.
® Footings/Setback(4110) Prior to scheduling a Framing inspection; ® Framing(4120)
Approved to place concrete Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stopinspectionsmust be ed Approved to insulate
By Date off and approved IBC 109 3.4 By�_ _ f$ Date ' ///g
® Final-Building(4050) G(/ /
Approved /
By /()f Date /` / (9
•
•
Rough Electrical ❑ Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
„,...,... _A. PERMIT APPLICATION
CITY of PERMIT CENTER+ 33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +perm itcenterlcityoffederalway.cam
PERMIT NUMBER / _ __I. 0_ lye 3 m___F TARGET DATE r".."44**4446.4%."....i
yc
SUITE/UNIT M
SITE ADDRESS At: a
PROJECT VALUATION ZONING ASSESSOR'S TAC/PARCEII#
ci$ --, 1 2_ - ! G ' _ c1 C- t (,r
/ L(r,v -- - - - — — — ____
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT j'4\• t) c It •t I yt\-
t r 4>
IL 17, : .. lr/ 'Dec._ __
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PRIMARY PHONE
NAME_ _
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PROPERTY OWNER MAILING ADDRESS ` E AIAII.`- '
CITY STATE ZIP WV' N1
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NAME
yy PHONE
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MAILING ADDRESS E-MAIL
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CONTRACTOR �� ' t L. t t� i--
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CITY STATE ZIP
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WA STATE CONTRAC S LICENSE N EXPI(1...E.,-.1..A; i. \ .zo t( i Oi-%t?,tri c,.., —3 i_
NPRIMARY PHONE
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MAILING ADDRESS E- `
APPLICANT F `1 tt`k N 'Ii'-. t S't-S t I . Act c• Y'I v.;); L .c„c,„
CITY STATE ZIP FAX —
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PRIMARY PHONE
PROJECT CONTACT V Ct r i 1.-<-.('s.'%-- 2C '-lt% _1'il S'
MAILING ADDRESS E-MAIL
(The individual to receive and t c, tL:' k-. c 01/44 ti �l v:-� E_L.C:.,G'U”
respond to all correspondence 4. t C \ \ :k'-'1 �_
concerning this application) CITY STATE ZIP FAX
~6c"L e\\ k.'"- �;� gist; t\
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I ant 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 succlaim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplie tet the i as a part this application.
11
SIGNATURE: ('4L ‘Ake)
DATE 9 (t- r 3 1 'i
PRINT NAME: A cc,4\- t‘-‘-:,,,,,,i S,
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application