20-102359 Building - Multi Family
City ofFederal Way Permit #:20-102359-00-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 C
Project Address: 28620 PACIFIC HWY S Parcel Number:332204 9042
Project Description: Replace mansard roof shingles.
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.application" Yes Permit for Building Shell Only? No
Plumbing to be Included" No
Total Valuation:2,500.00
eta, ,
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
Washi the f Federal Way.
F
Owner ora agent g Date:
.4 '4THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 102359 00 Address: 28620 PACIFIC HWY S Bldg C
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.
• Roof Sheathing(4220) ® Final-Building(4050)
Approved to install roofing cw, h _` Approved
.By Date .1.By (.w�j Date 13,...is.a0
0 Rough Electrical = 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF 44%,,N JUN 16 2020 PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
GOMMUNfTY DEVELOPMENT 253-835-2607 + FAX 253-835-2609 + permitcenten4;cityoffederalway.com
PERMIT NUMBER
"' *.,r"' - f TARGET DATE
SITE ADDRESS SUITE/UNIT#
28620 Pacific HWY S. Federal Way,WA 98620 Li `7 4 ; C Building
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# " 4 ,
$2,500 MF 332204-9042
TYPE OF PERMIT X BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
La Madera Apartment Repair - Roofing
NAME OF PROJECT
Replace mansard roof shingles
PROJECT DESCRIPTION
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 RUSSELLSDHGLLC.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 JEFFWNSITEGRP.COM
CITY STATE ZIP FAX
Seattle WA 98125
NAME PRIMARY PHONE
PROJECT CONTACT Jeff Sweazea 512-596-7006
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 10532 35th AVE NE JEFF+INSITEGRP.COM
concerning this application) CITY STATE ZIP FAX
Seattle WA 98125
NAME
PROJECT FINANCING LI OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
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
6/16/2020
SIGNATURE: DATE
PRINT NAME: JEFF SWEAZEA
Bulletin#100—February 19,2020 Page 2 of 2 k:\Handouts\Permit Application