19-104750 3
Building - Multi Family
City of Federal Way Permit #:19-104750-00-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 30916
Project Address: 30916 16TH PL SW Parcel Number: 122103 9006
Project Description: REP-Rebuild decks on Unit C.
Owner Applicant Contractor Lender
FOREST COVE-388 LLC BLUE PINE CONSTRUCTION BLUE PINE CONSTRUCTION
1703 SW 309TH ST CORP CORP
FEDERAL WAY WA 4857 W 147TH ST SUITED 4857 W 147TH ST SUITE D
98023-4389 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 Included? No
Total Valuation:4,000.00
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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
Washington and the City of Federal Way.
Owner or agent: i. .._ ��//i� �' ', Date: /4"."-d--f-'19
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THIS CARD IS TO REMAIN ON-SITE
Federal Way"OA' Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 104750 00 Address: 30916 16TH PL 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.
1❑ Footings/Setback(4110) Prior to scheduling a Framing inspection; El Framing(4120)
Approved to place concrete Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
By Date off and approved. IBC 109.3.4 B,40} Date / y//y
•
0 Final-Building(4050) vvw������ /
Approved /
By/Gtj..) Date g! �f��y
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
....,,,,,,„ A.A. PERMITCITY OF APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
PERMIT NUMBER (if _ /04 7 �1 _ /� rT /!! LJ VV (�'� / GET DATE ( ...""r��"�
SITE ADDRESS SUITE/UNIT#
t
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEII* t'
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION l°tiY " ` ' 1 c\ �� C• V-<2.- : et A•=y f= ''c' f
Detailed description of work to
be included on this permit only
NAME PRIMARYPHONE
VAk.� NA , 0 ck-:A ? 1L:&--(__ --2--,3 ,2 3i,,os(;c:
PROPERTY OWNER MAILING ADDRESS S E-MAIL
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NAME ,_ PHONE
PHONE
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MAILING ADDRESS 1 E-MAIL
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CONTRACTOR Y� f ltf ( af r 0_ I y(c• JF_i>kit CC, tto.\
CITY STATE ZIP FAX
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lJ WA STATE CONTRA S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
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N ` _ ii PRIMARY PHONE
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APPLICANT MAILING ADDRESS E- t
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CITY STATE ZIP FAX
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NAA4E PRIMARY PHONE
PROJECT CONTACT VAC k 4 -(i i.<.c 2t)( t It 140 5'
(The individual to receive and MAILING ADDRESS `• ^� EMAIL
respond to all correspondence ( G et \c`1'"1 I W �}€a �J�v,,,_?-,1,0.31,cc"
concerning this application) CITY STATE ZIP FAX
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NAME
PROJECT FINANCING 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 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 supplie the as apart o this application.
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SIGNATURE •
1�jj DATE e I ( 3 rt
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PRINT NAME: 1 Ct+ 4Z--%.y(,/`j.Sc
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Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application