The URL can be used to link to this page

22-105676City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name:, AVANA STAR LAKE APARTMENTS BLDG 3 Project Address: 2211 S STAR LAKE RD Building - Multi Family Permit #:22-105676-00-MF Inspection Request Line: (253) 835-3050 Parcel Number: 720480 0095 Project Description: This is only for a Post Damage Inspection Permit, to inspect damagesdue to a vehicle strike at Building 3, located at the Avana Star Lake Apartments. Degenkolb is preparing structural plans and will apply for the building permit at a later date. Owner Applicant Contractor Lender GEP X STAR LAKE LLC LISETTE TERRYDEGENKOLB BELFOR USA GROUP INC 465 MEETING ST #500 ENGINEERS 4320 S 131ST PL SUITE 100 CHARLESTON SC 29403 600 UNIVERSITY ST SUITE 720 SEATTLE WA 98168 SEATTLE WA 98101 Census Category: 434 - Residential alt/add - no change in number of units Includes: # 1 #2 0 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft.) 0.00 0.00 1 0.00 0.00 Additional Permit Information Mechanical to be Included?....................................1 No Number of Stories................................................... 2 Is this an Online or O.T.C. application? .................. Yes Permit for Building Shell Only? .............................. No Plumbing to be Included? ........................................ No ® '"', 17 7 .. '1' _,ram PERMIT EXPIRES Saturday, 10 June, 2023 Permit Issued on Monday, December 12, 2022 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 Ahe- City of Federal Way. Owner or agent: P Date: i a � DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES 33325 81h Avenue South CITY OF PO Box 9718 Federal Way Federal Way WA 98063-9718 253-835-2607; Fax 253-835-2609 www.ci tvoffederal way.com INCIDENT DAMAGE CHECKLIST Case# V2-16�-6-f6 Owner's Name: (5 a y Phone: j Date of Incident: �� Date of Inspection: 1Zl 1Y/2, ' Wf Site Address: 22M �i . jam j � &D ?j_ Fe��&k W Nature of Incident/Scope of Damage: C04 �� ecu' 1A L-cyvk InQolAf t RA kA)W,t (20jtt& i'dA( _ (If the value of the damage is greater than 75percent of the assessed value of the structure, a site plan is required.) Building Posted: 0 NO OCCUPANCY U v l-� 03 - t ok 4 ®5 -102 ❑ DANGEROUS BUILDING ❑ OTHER Permits Required: BUILDING ❑ PLUMBING Plans Required: *Yes ❑ MECHANICAL �ELECTRICAL ❑ DEMOLITION ❑ No . Plans to Show: Engineering LRequired: # Yes �/❑� lN�eo Sp(e�cijfically: ��,( �� • `� D�(DO( l l l u ,�k 1�II1�All P ❑ NOT POSTED Demolition Complete: ❑ Yes P_No ❑ N/A 2"d Inspection Required: ❑ Yes �'No Permit Application Information Provided to Applicant: ❑ Demolition Permit Application ❑ Building Permit Application ❑ Submittal Checklist ❑ Electrical Permit Application ❑ Other �oen Dw&,- 253 835 21911L - Inspector Phone Number h6l" "APPLICANT: PLEASE BRING THIS FORM TO THE CITY WHEN APPLYING FOR PERMITS" RECEIVED CITY OF � 'S'i �-' DEC 0 8 2022 Federal Way CITY UNfTYDEVELOPMENT PERMIT APPLICATION PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com PERMIT NUMBER 2- 1 _ ) D 5 { {�� _ LA uuuiii TARGET DATE SITE ADDRESS SUITE/UNIT # 2211 S. Star Lake Rd, Federal Way, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 720480-0095 TYPE OF PERMIT XBUILD[NG ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT This is onlyfor a Post Damage Inspection Permit to inspect damages PROJECT DESCRIPTION Detailed description of work to due to a vehicle strike at Building 3, located at the Avana Star Lake Apartments . Degenkolb is preparing structural plans and will apply for be included on this permit only e building permit a a ater date. NAME Avana Star Lake Apartments PRIMARY PHONE 253.656.0114 PROPERTY OWNER MAILING ADDRESS 2211 S. Star Lake Road E-MAIL https://www avanastarlake.com/federal-way/a vana-star-lake/guest-card/contact-us/l / CITY Federal Way STATE WA ZIP 98003 NAME Andrew Thomas, BELFOR ONE PH2O6.419.7658 MAILING ADDRESS 4320 South 131 st Place, Suite 100 E-MAIL andrew.thomas@us.belfor.com CONTRACTOR CITY Seattle STATE WA ZIP 98168 FAX WA STATE CONTRACTOR'S LICENSE # BELFOUG99OBJ EXPIRATION DATE 12i 22 ./2022 UBI # 602 089 710 NAM egenkolb, Lisette Terry PRIMARY PHONE 206.790.7594 APPLICANT MAILING ADDRESS 600 University Street, Suite 1001 E-MAIL Iterry@degenkolb.com CITY Seattle STATE WA ZIP 98101 FAX PROJECT CONTACT NAME De enkolb, Lisette Terry PRIMARY PHONE 206.790.7594 MAILING ADDRESS 600 University Street, Suite 1001 E-MAIL Iterry@degenkolb.com (The individual to receive and respond to all correspondence CITY Seattle STATE WA ZIP 1 1 FAX concerning this application) PROJECT FINANCING NAME Insurance ❑ OWNER -FINANCED When value is $5,000 or more (RCW 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 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. SIGNATURE: iAbm- 6 Tr FATE 12/08/2022 PRINT NAME: Lisette TBr Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application