04-103335 I
• •
City of Federal ay Building - Multi Family Permit #:04 - 103335 - 01 - MF
CommunityDevelopment Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WATERSTONE APARTMENTS,BUILDING 2
Project Address: 2211 STAR LAKE RD Bldg2 Parcel Number:720480 0095
Project Description: ALT-Overlaying existing single-layer of roofing with a new layer of matching composition roofing,
increasing the number of roof vents to meet current code.
I
Owner Applicant Contractor Lender
BASCOM WATERSTONE FEDERA] THIRD DAY DEVELOPMENT INC THIRD DAY DEVELOPMENT INC NONE
555 MONTGOMERY ST#1500 615 14TH ST S THIRDDD997K1 6/7/05
SAN FRANCISCO CA OREGON CITY OR 97045 615 14TH ST S
94111-2545 OREGON CITY OR 97045 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 j #4
Occupancy Group:
Construction Type: I
Occupancy Load. i
Floor Area(Sq.Ft.):
Census Category......-,. ..-,..._. 555-Non-structural roofing p` Mechanical...,..; No
Plumbing......i....... No Zoning Designation......... .._ ' . .RM 1800
1
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
I hereby certify that Bove information is correct and that the construction on the above described property and
the occupancy and the s will be i i accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W .
t/
Owner or agent: / A 1 - Date: q /O J'
1
THIS CARD IS TO MAIN ON-SITE
CITY OF tommunity Pm t Develo Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103335-01-MF
Owner:
Address: 2211 STAR LAKE RD Bldg 2
FEDERAL WAY, WA 98003
This card is part of our required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are liste. 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 i 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 b.ck of this card.
.❑ Footin;.s/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approve. to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
.❑ R:-steel(4215) �', ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to .lace concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
•❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls(4245)
Approv-d to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
•❑ Roof ',heathing(4220) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approv-a to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date ;signed-off and approved. IBC 109.3.4/UBC 108.5.4
.❑ Fri ming(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Appr.ved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•
•❑ Suspende s Ceiling Grid(4265) ,' ❑ Final-Fire Department(4060) 0 Final-Planning(4070)
Apprived to drop tile Approved Approved
By Date By Date By Date
.❑ Final-P blic Works(4080) 0 Final-Building(4050)
pproved Approved
By Date By G. C.j Date, •.e'—cv'
t
Federal Wa w r
Way .T : - ERMI
c0MMUMIYDEV ME E 1 ' t y S 0 ME EL PL DE EN FP
FIRST ^ pPLICATION
FEDERAL 15Y,W 9 6 18 " ,6 / /
253-6614115•FAX 253-661-4129
www.dtuofederutuwu.com
The oilowin• is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le•NA (in ink)or -.
- PROPERTY INFORMATION
SITE ADDRESS .--•. 51-04r L•OhKt kd• SUITE/UNIT#
ia14..
ASSESSOR'S TAX/PARCEL# - - _ _ LOT SIZE(fl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT- t BUILDING a PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniu).
/. . Over(0. . ex;s1-:Ka sI14.1•c is..act- o1 roo- 1 w.�t1 et...Y -' 0.41-.fir of Ina a.4.c•t •►i 44, c 6.•M p0 S ti$1c51,t 19'0 OT i toLv
c2 _Ta•.c.re*sc 'tt'%e hcae••i b•er C( robe Ue1t.1-5 Y-c, en •e•el Cm..,rre*L code.
PROJECT NAME(Name of Business or Owner Last Name) ,Gk l.e r 5i-c N Q.
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P:ysrl GLGt� (fitfCr5 'e N4C.-4 PS3 ) 839 - 65404/
1 MAILING ADDRESS CITY,STATE,ZIP
c (t So. S`(-a.r L Rd• F.eder..l tcej ".)4 ?S Oct
'CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7-11;rdb., beut le,prri•oit 1- Sn•etre`t 1,1r/lee 60-3) 457 -3999
MAILING ADDCITY,STATE,ZIP CELL PHONE
4(5• /y !"' Stree 4 ae>o.a C.t iox T7 04/5- (Sv/ ) . 4'0 %/7 ,4
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXIPIRATION DATE FAX NUMBER
_ _ / / (503 ) 457 - Vy/L
B L_
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
riIRtDb9 q 7 k1 x6 / 07 / Os
APPLICANTCOMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
54-e-veaA E. yri:t I'e r (5'(( )a10 - '/7'j
LENDER Per RCW 19.27.095: Lender information'i'd " NAME
required if project'value exceeds;$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
r
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ :.1( £ G O,
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? p YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
•I
•
I
PROJECT BLOOf4 AREAS ..
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
Indicate number of each type of fixture to installed or relocated as part of this project Doitol incliuie existing ftxtitresto-remain.
MECHANICAL' a
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE,COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(co... LA WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING -
BATHTUBS(?,Tub/Shower Combo) SHOWERS WATER CLOSETS tr.iky MISC(Describe)
DISHWASHERS
DRINKING?OpNTAIWS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LIV/2 mathftaa sit** _ < 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
.armtal thorised-by the owifer 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 empibyees,upon the accuracy of the informaion supplied to the city as a part of
this application.
NAME/TITLE , DATE DIA 8/Cs'tf/
(Signature) (Title)... ,............
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION Q ALTERATION , ; ;:o REPAIR f . a*TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? a YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\handouts—Revised\Perinit Application
arY o Vis.. - x�•f „. ( 0 r \ ce
Federal Way R- JE L PERMIT - -
COMMUta1YDEVELOPMENT SERVICES
S CO ME EL PL DE EN FP
33530DFIRST AWAY,WA • 6 BOX 9718 y 9�APpLI CATI O N
FEDERAL WAY,FAX
53-63-9718AU A, i➢ U -- / /
253-6614115•FAX 2536614129
www.dtuoffederalwau.com
The ollowin. is re.uire 1 cirghatiOLF fin inco •fete a.•lication will not be acce•ted. Please •rint le•ib/ (in ink)or -.
PROPERTY INFORMATION
SITE ADDRESS I/ Sriu S'''ea - Lj . kd.
SUITE/UNIT# g
GASSESSOR'S TAX/PARCEL#
_ 0 - (,) Cs' t 3 LOT SIZE(sf)%
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
- - PROJECT INFORMATION
TYPE OF PERMIT- )1i(BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu),
I. Over(0-'1 . exe:�,�;)49 I rt91-e is ver of rco-i 41x9 LA);%1111 a
Y .) -cr c� vat a.#c.('►•sti. , compost" tch r. 0-f•i ekv
c?. 1.,creA c 'tin a rt co.K her c5F' rob i I./4a st.-f-s v 0$1 'e a 't c .r.--e btD c ode.
PROJECT NAME(Name of Business or Owner Last Name) (.l)ot.' .r5i'OK`Q
- PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER P;hrt tc.i'-e. — fers fe r(ac-e C 1 v Qs 3 ) 83 9 - ISD ej
MAIUNG ADDRESS CITY,STATE,ZIP
622.1 1 so. ..WV 0. Ld.Le. ltd• Fedler.( cv i., tv,Q 95'oo
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
rAiru 414,4 ,Oevt`t jm..Mt 5-betreks Mi//e y (563) 4S7 -3799
MAILING ADDRE.Se. CITY,STATE,ZIP CELL PHONE
6,15.. /41 n, 5f, -/ Oreo t c:i- o 97oc's- (sq et) J9'c - V7s'
VI
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / (50 3 ) 657 Veil b
CONTRACTORS REGISTRATION NUMBER.(copy of card required with each application) - EXPIRATION DATE
T'' ZRD110997k1 ad / o7 / DS
APPLICANTCOMPANY NAME APPLICANT NAME OFFICE PHONE
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
S
E. ✓m:i I•er (Sc.(( )390 - 17 /4.
LENDER Per RCW 19.27.69k: Lender inlortirtat.on is` NAME
required if project value exceedi$5,000`">''
MAILING ADDRESS CITY,STATE,ZIP _
I
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE ..7�` 70.
6
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ C --110110 ---'..
i
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 01 YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
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 EiDSrnra TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to'be ins!alied.or relocated as part of this project: Do"ndt include existing fa-titres-to-remain.
MECHANICr]L
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE-COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commenei.a)
WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe),..
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
r
',PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS • WATER CLOS>;tS(rva.A MISC(Describe)
DISHWASHERS. SINKS- :: ,_ DRINKIIG;FOIJNTAINS,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
may.. . LA (asuaaoimsinki) - 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
anwer thorized by thh,,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 re(imice of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. „
NAME/TITLE ,DATE - 5S/I S/ q
(Signature) (Title).
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE"-"ONLY,,
o NEW o ADDITION o ALTERATION • ;' o REPAIR • _ . x o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC'PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\l-landouts—Revised\Permit Application