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City of Federal Way Building - Multi Family Permit #: 04 - 102622 - 00 - MF
CommunityDevelopment Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: WATERSTONE PLACE APARTMENTS
Project Address: 2211 S STAR LAKE RD Parcel Number:720480 0095
Project Description: ALT-Remodel gymnasium into leasing area(Recreation Building A). Add decorative exposed beam
ceiling. Remove and add walls,holdowns,posts,beams,etc.,to create offices,exercise area,interne
cafe and leasing area. Mechanical work to be performe
Owner Applicant Contractor Lender
BASCOM WATERSTONE FEDERA] LEITZKE ARCHITECTS*STEVE LE THIRD DAY DEVELOPMENT INCBASCOM WATERSTONE FEDERAL
BASCOM WATERSTONE FEDERAL LEITZKE ARCHITECTS THIRDDD997K1 6/7/05 BASCOM WATERSTONE FEDERAL
225 BUSH ST 1 t 32cc 116TH AVE NE 615 14TH STS225 RT TCT CT
SAN FRANCISCO CA 98104 KIRKL.4007 ''A 98034 OREGON CITY OR 97045 _10 0-N FRANCISCO CA 98104
Includes:
Census category: 434-Reside #1 #2 #3 #4
Occupancy Group: I B
Construction T pe. Type V-N
Occupancy Load: + 49
Floor Area(Sq.Ft. : 3450
1st Floor Proposed Sq.'Feet,...,:.,, 3450 =< Building Pre-eon.MeetingRequired .No
Census Category.,.... ., 434-Residential alt/add-no,` Fire SprinklersNo
Mechanical No Perna F'for ndationOnly.
Plumbing No Special Inspection Required Yes
Will Certificate of Occupancy be Issued? Yes Sensitive Areas? No
Zoning Designation RM 1800
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES August 16,2005.
Permit issued on February 17,2005
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 _
a� o.s
Owner or agent:�'L ��1../- -'� Date: � ?�
C "lb' 4111 r .
ity of Federal Way 0 -..,,, ,
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: WATERSTONE PLACE APARTMENTS •
Permit number: 04- 102622-00
Address: 2211 S STAR LAKE
#1 #2 #3 L #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load: 49
Floor Area(Sq.Ft.): 3450
Owner BASCOM WATERSTONE FEDERAL WAY LLC
Name: BASCOM WATERSTONE FEDERAL WAY I
Address: 225 BUSH ST
SAN FRANCISCO CA 98104
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO EiMAIN ON-SITE
...
CITY OF &ommunity Develop rnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102622-00-MF
Owner: BASCOM WATERSTONE FEDERAL WA
Address: 2211 S STAR LAKE RD
FEDERAL WAY, WA 98003-3406
This card is part of your required inspection documents. 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.
17.4 Footings/Setback(4110) ♦ ❑ Foundation Wall (4115) 0 Drainage/Downspout(4040)
siApproved to place concrete Approved to place concrete Approved to backfill
Bykiii) Date %� 4-1t-N46." • By Date By Date
• •
❑ Re-steel(4215) ♦ ❑ Plumbing Groundwork(4190) �qi Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
1'•
• By Date By Date B ��;� Date
By
0 Underfloor Framing(4285) 0 Floor Sheathing(4105) l Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding p�
. - 4h
By Date By Date By. _���I Date
•
❑ Roof Sheathing(4220) • .0 Fire/Draft Stops(4095) ♦ NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
(�\r/ ...c.
Rough-in and Fire/Draft Stop inspections must be
By Date ♦B�( Date .. , signed-off and approved. IBC 109.3.4/UBC 108.5.4
•
Framing (4120) • .04
Insulation (4150) •
tl Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
L\ Ai AIL
•
B `IV• _, Date 9 �� •♦By '4'6N Date L • ♦B Date \,\--L\
•
• •
.
❑
Suspended Ceiling Grid (4265) , 4F.,....❑ �
Final-Fire Department(4060) Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) V1 Final-Building(4050) ,
Approved Approved
By Date ♦By #4 Date`s( >1
. • e 9/l4 o y4ENEDCO53,,,znYDEVELOPh1ENTSERVICES
of 33FEDERAL WAY,W 80663 18 718
F eraI Way PERMIT A PLICATI®NN 7-"11 253-6661-411 ffFAX
253661-9129
ww.dt103-75(
For office use only '. ` yf_"°,/ j_litt'i gttj"`'
FW File Number: '�I1 — .. 1�.D,vcF rY,:v'�'� 't ''^ 40/
The ollowin• is re•uired in ormation-art inco •lete a••lication will not be acce'ted. Please •rint le•ibl in ink or •e.
L ■ PROPERTY INFORMATION
SITE ADDRESS: r' I t 1 �C . p crt R. L 6k� QoAY.) SUITE/APT#
ASSESSOR'S TAX/PARCEL#:/ f ` afV a�- D �S SQUARE FOOTAGE OF LOT: +13 one',
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnption)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): iBUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included onthis permit oniti):
mo ols(, '�{ s}.. i e_�1c�I'ICiiimaCt� iwr:.=.�-�i'Kr
14-91A R4 ,C C4:au MA% A , P . -, trOZ-4‘---
PROJECT NAME(Name of Business/Owner Last Name): btZ S 1 ON .6144 - —c1/411, .
■ PEOPLE INFORMATION
PROPERTY NANk PRIMARY P ON
OWNER: A'SGOM w or��15fioNL 'Fe-ots2oL J L� Pr
5) '• tj 8$ )-7
(, MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
225 13uSH aa1— SbN FebNa)se..o
CONTRACTOR: NAME COMPANY OFFICE PHONE:
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: -
4 ✓ ()1.--- ( )
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
/ / ( ) -
r-------- CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
opy of card required with each application) / /
LENDER: AME: DAYTIME PHONE:
(If Proposed Value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY - OFFICE PHONE:
Si"'aN/a• 1...E)Tzk Lc1TZk13 Lac4.111cTr (74,6) 920 - 1G64
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
13255 II4041-) Avg 4.ig, PO r 2 g i...bolo {Sol* ra -
REff TION FAX NUMBER:
DrArchitectSHIP TO ❑PROJECT:Tenant
0 Other(Describe): (1 25) 623 -+22
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor (Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
=STING USE: PROPOSED USE: ? a G �^g-�' L�) Meet id.
t
070
EXISTING ASSESSED/APPRAISED VALUE $ j) VALUE OF PROPOSED WORK: $ I - �I(:)./SPRINKLERED BUILDING? a YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES �(NO
WATER SERVICE PROVIDER: 1/LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: piLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
V
4 • ,,c-, ,,,
COMMUNITY DEVELOPMENT SERVICES
• 33530 FIRST WAY SOUTH•PO BOX 9718
AlifIV ED
crtr�„� FEDERAL WAY,WA 98063-9718
Federal Way PERMIT APPLICATI®N � 1" 253-6 1f.FAX:253-614129
www.ci40For o>�«Use Only: - 1 �? `�" 2.-CcHT ( ' Ecom
�'PT i ,s /0
FW File Number: 0U)LLS i}w ,
The ollowin• is re•uired in ormation-an inco •fete a••lication will not be acce•ted. Please •rint le•ibl in ink or •e.
• PROPERTYIINFORMATION
SITE ADDRESS: �7 C. c i-6 R. L isk G 12oA b SUITE/APT#
ASSESSOR'S TAX/PARCEL#: 22 ) i - SQUARE FOOTAGE OF LOT: +13 . C421re,
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): iBUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included onthis permit oniti):
qu iseN0 o&r . ON/ S.1" 'L G ?P(i 't *r \ec - 51)d e'e
PROJECT NAME(Name of Business/Owner Last Name): \r,/ b1 1,ZStbcJla A14. a•oz. goo, ALtsao CONd
• PEOPLE INFORMATION
PROPERTY NA �' PRIMP ON
OWNER: CGO M w 0 rai25fiorv[x Fe-►As2.0 L ) 4 E-,5ARY)1" ' - 881-7
• MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
225 RASH 5`t�2AEr StN F12oNa)s -o
CONTRACTOR: NAME COMPANY OFFICE PHONE:
4T,'''‘ t MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
( ) -
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
- - / / ( ) -
c-"-----~- --- CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
opy of card required with each application) ( / /
LENDER: AME: DAYTIME PHONE:
(If Proposed Value>$5,0001 1 _
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP 1 1
APPLICANT: NAME: COMPANY OFFICE PHONE:
ctailF. 1.. e,)72kM Lgi7a Is hinC01TfdT ' (Zob) 120 - 1664..
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
132 5 ige -) iivia -U Po ag t,.aygb . {Sol* ta, -
RETIONSHIP TO PROJECT: FAX NUMBER:
YArchitect 0 Tenant 0 Other(Describe): ("125) $23 -4-2.11
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner ❑ Contractor VApplicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
OXISTING USE: v terG 1:-.ACA L)t`1 PROPOSED USE: 42 )G d 04 L l r i
EXISTING ASSESSED/APPRAISED VALUE $ 360 I c 00 VALUE OF PROPOSED WORK: $ 140)OOO
SPRINKLERED BUILDING? ❑ YES NOKNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 140
WATER SERVICE PROVIDER: Jl/LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: priLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
i . -
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
• FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink VACUUM BREAKERS ELECTRIC WATER HEATERS
• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,
and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is
made. 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 of Federal Way, but only where such claim arises out of the reliance of the city, including its officers
and employees, upon the occur,cy of the information supplied to the city as a part of this application. ,
NAME/TITLE: / �.. DATE: �// /G�s
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Prope Owner 0 Applicant ❑ Contractor ❑ Architect 0
IlO>l2 O 'PiCE.USE ONLY:
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES n NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 13,2004 Page 2 of 4 k:\Handouts—Revised\Permit Application