11-103173 of Federal Way �uilding - Commercial
Clj
Community Development Services Permit #: 11 -103173=00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: 11TH PLACE CENTER
Project Address: 34617 11TH PL S Parcel Number: 215470 0110
Project Description: REP-Over existing tar roof,install 1/2" EPS Fanfold insulation,and TPO roofing system.
Owner Applicant Contractor Lender
HAZELETT FAMILY LLC II CENTIMARK CENTIMARK
14258 SE 270TH PL 3325 S 116TH ST SUITE 101 CENTIC*099NZ(6/16/13)
KENT WA 98042-8001 TUKWILA WA 98168 3325 S 116TH ST SUITE 101
TUKWILA WA 98168
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
€ #` , mitt
foOk iY i°
Mechanical to be included?, .No Number of Stories......... 1
Permit for Building Shell Only? No Plumbing to be Included?. ... .... . .... No
New/Additional Sq.Feet-Total 0
sated With This r
tVr
PERMIT EXPIRES Saturday, February 4, 2012
Permit Issued on Monday, August 8, 2011
I hereby certify that the above infor ation is correct and that the construction on the above described property and
the occupancy and e ill •- a cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 8 A
THIS CARD IS TO MAIN ON-SITE
CITY OF
Construction I , ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103173-00-CO Address: 34617 11TH PL S
Project: HAZELETT FAMILY LLC II FEDERAL WAY, WA 98003-8706
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) 0 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
El Foundation Wall(4115) 0 Drainage/Downspout(4040) ElRe-steel (4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) ElFloor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
•
o Shear Walls(4245) 0 Roof Sheathing(4220) Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
• Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 0 Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date a
pproved. IBC 109.3.4 By Date
o Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile •
By Date By Date By Date
O Final-Fire Department(4060) 0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
�" � -
V,r� �/ „,,,,,,\. PERMIT SF MF CO ME PL DE EN FP
Fede �i
���((�� � t'lLICATION
COMMUNITY DEVELOPMENT SEI Iy
253www cituo FAX 253-835-2 ff �� � }
www.cituoffederalwau.rom l 2
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SITE ADDRE5 G SUITE/UNIT#
3146 I7 11 'l S Fek-A&
Lki , i,,JA 9Boo 3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 31 (oo� 15 ± o - 0 ( i a
TYPE OF PERMIT W BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT / ' I
(Tenant Name/Homeowner Last Name) 1 I i`, / „I_t - /% 5 � t
�.}���I n ( ��
PROJECT DESCRIPTION �i a�/t V f'-4I(Q t 1s +]ik eves &x;14-4.4 a✓ roof a`` 11
Detailed description of work to �Il�{► $..CA1(` V, a it eifJ 1 f 6 s l I G16 .
be included on this permit only t T
1 •
NAMEPRIMARY PHONE
PROPERTY OWNER 6Ze-lett &N,,,;(11 LLL S rto IVY. t12-5-t12-5- L(f5 /q$a
MAILING ADDRESS
a°(0 I S6'42- !A'v E_ 0 1 S * 150 E MAH
° e1Ge,,./ w4 ZIP
WV
NAME &Kiiw,a4j
PHONE
8?tf qLy 00
CON ,�i,, ,t MAILING 3325" S I( S4. 5 i I- to I E-MAIL
crr f t1hSt3ATE ZIPei 81 4,,8,, FAX
87'1E11123
WASTATEN L c_Ld l eI V Z_ V6 / /IDAT C, / 1 EO�v Os `�
NAME /+ / PHONE
4.1/4711
APPLICANT MAILINGIADDRESS I/C_ E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME /2 / PAS / / ft*
� d` Y3'I (lYY
(The individual to receive and '� �„�
respond to all correspondence MAILING ADDRESS rI �+ E-
/
concerning this application) 33 2.5 S Il Jar" • h 1 a t Ra 44.-664foul.GA,
C'T (Ml i Ire% W STATE HCl$1,(8 FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 ' es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th ity as a part of this application.
SIGNATURE: s„ / 1 _ ` DATE '. - l/
PRINT NAME: ,
•
Bulletin#100-January ,2011 Page I of 3 k:\Handouts\Permit Application