20-102366 Building - Multi Family
• City of Federal Way Permit #:20-102366-00-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: LA MADERA APARTMENTS-BUILDING I
Project Address: 28620 PACIFIC HWY S Parcel Number:332204 9042
Project Description: Replace shingle roof.
•
Owner Applicant Contractor Lender
INSITE LA MADERA LLC JEFF SWEAZEAINSITE BUILDERS INSITE BUILDERS
1316 CAMINO RIO VERDE 10532 35TH AVE SE 10532 35TH AVE NE
SANTA BARBARA CA 93111 SEATTLE WA 98125 SEATTLE WA 98125
Census Category: 555-Non-structural roofing permits
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
Is this an Online or O.T.C.applications Yes Permit for Building Shell Only No
Plumbing to be Included? No
Total Valuation:4,500.00
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PERMIT EXPIRES Sunday, 13 December,2020
Permit Issued on Tuesday,June 16,2020
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 the f Federal Way.
Owner or agent: Date:
1 <
THIS CARD IS TO REMAIN ON-SITE
""� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 102366 00 Address: 28620 PACIFIC HWY S Bldg I
Project: INSITE LA MADERA LLC FEDERAL WAY WA 98003-9231
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.
•E Roof Sheathing(4220) ® Final-Building(4050)
Approved to install roofing �� Approved
Pa By Date L 4jS Date )2...46'a„a
O Rough Electrical E Final Electrical ❑ Right of Way
Approved Approved Approved
By Date ` By Date .By Date
RECEIVED
,..
2020
PERMITPERMIT APPLICATION
CITY JUN 16
Federal
CENTER+ 33325 8rh Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentergcityoffederalway.com
COMMUNfTY DEVELOPMENT
PERMIT NUMBER _ Q. rr 111 4, _ AiF C---...„...,J)
TARGET DATE
SITE ADDRESS
SUITE/UNIT#
28620 Pacific HWY S. Federal Way,WA 98620 _ I Building
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# ;t1
$4,500 MF 332204-9042
TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
La Madera Apartment Repair - Roofing
NAME OF PROJECT
PROJECT DESCRIPTION Replace shingle roof
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Federal Way La Madera 808-397-1799
PROPERTY OWNER MAILING ADDRESS E-MAIL
28620 Pacific HWY S RUSSELL(a-DHGLLC.COM
CITY STATE ZIP
Federal Way WA 98620
NAME PHONE
Insite Builders LLC 512-596-7006
MAILING ADDRESS E-MAIL
10532 35th AVE NE JEFF@INSITEGRP.COM
CONTRACTOR CITY STATE ZIP FAX
Seattle WA 98125
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE UBI#
INSITBL955RG 03/ 06 2022 602 409 087
NAME PRIMARY PHONE
Jeff Sweazea 512-596-7006
APPLICANT MAILING ADDRESS E-MAIL
10532 35th AVE NE JEFFIIINSITEGRP.COM
CITY STATE ZIP FAX
Seattle WA 98125
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
Jeff Sweazea 512-596-7006
MAILING ADDRESS E-MAIL
10532 35th AVE NE JEFF(d�NSITEGRP.COM
concerning this application)
PROJECT FINANCING
CITY STATE ZIP FAX
Seattle WA 98125
NAME . .. ...
® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 1927095)
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 supplied to the city as a part of this application.
Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application