04-103334 • •
City of Federal ay
Community Development Services Building - Multi Family Permit #:04 - 103334 - 01 - MF
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 14
Project Address: 2211 STAR LAKE RI)Bldg14 +- 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.
Owner Applicant Contractor Lender
NONE THIRD DAY DEVELOPMENT INC THIRD DAY DEVELOPMENT INC NONE
615 14TH ST S THIRDDD997K1 6/7/05
OREGON CITY OR 97045 615 14TH ST S
NONE OREGON CITY OR 97045 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor
FloArea(Sq.Ft.):
Census Category.,,...... 555-Non-structural roofing p Mechanical...,..... No
Plumbing......_ .... .... ....... No honing Designation........, RM 1800
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
I hereby certify that above information is correct and that the construction on the above described property and
the occupancy and a se will be ' accordance with the laws,rules and regulations of the State of Washington and
the City of Federal a I
Owner or agent: Date: q179 I tk-f
111
THIS CARD IS TO#MAIN ON-SITEY DevelopmentInspection OF ACommunit Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#:
Owner:
Address:
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.
NOTE: Prior to scheduling a Framing(4120) ❑
inspection;Electrical,Plumbing&Mechanical
Rough in and Fire/Draft Stop inspections must be
signed off and approved. IBC 109.3.4/UBC 108.5.4
By / d,
G Date/0 .&,„ 7
410.
Federal way P E
x
COMMUNITY DEVELOPMENT SERVICES
sFeip 0 ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
53-66 WAY,WA 9806.3-9718 S•FAX 2536614129 A P P LI C AT I QST
u vw.dtuoffedemltuau.00m
The oiiowin• is re.uired in ormation-an inco •fete a.•lication will not be acce•ted. Ple r-• i• (in ink)or, •
.
PROPERTY INFORMATION
SITE ADDRESS I I S S*#-r- 1-.O�,K�, kd• SUITE/UNIT# /LAW- �
c
ASSESSOR'S TAX/PARCEL# - - _ _ — LOT SIZE(sf) "A q,
Lib
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepomte page for lengthy legal desoipfion)
PROJECT INFORMATION
TYPE OF PERMIT k BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION a ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)_
/• . werto�� . cx:s t:)4.9i vt5./.. la.1.er t-o �'i419 cA.; c
rt a tt...) o Aj-e..r c� int ot.'fC i Kq C o riv.rO S% 't�h roof i pt •
a. 1•O1 crem$c -tote n k••K b.e r dlc'•J roti tJe be*.5 Y- 041 'f C`a.rr eKrt" c tap.
PROJECT NAME(Name of Business or Owner Last Name) (000t.T'C r 5 0 IA•Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P v111 G<t_.t/.e. — Waders e Rac.-2 L?S 3 ) 839 - 4.50V
MAILING ADDRESS CITY,STATE,ZIP
tilt , . , r L-,t k.� ltd• Feder-al (.c a.a LOA ?S'00
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Third '64%y beuefaprrt.Qh1 51tcu'eh Mil 142 (503) 457 -3999
MAILING ADD CITY,STATE,ZIP CELL PHONE
6(5' 1aC4 !! Sfree Ore>o.+ G. ex 970415- (SS4// )NUMBER.'9'0 y7 yC
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER FJMRATION DATE FAX
- -B L (503 ) 0457 -' j/(
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
hF I b b b 9 7 k 1 0261 07 / D5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE LE-MAILADDRESS
S'1-wee, E. N'1:i ter.- (5.4( )390 - 4/7414. L
LENDER Per RCW,19.27.095: Lender inforinatianFis NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) '
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 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 EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"'NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offutture lobe installed or relocated as past-of this project. I)o'nol irtclitde existing fixtittes to-remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAFORAT1VE'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 Tub/Shower Combo) SHOWERS WATER CLOSETS rr.a..a MISC(Describe)
DISHWASHERS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L%VSisadiospsaata) VACUUM BREAKERS ,ELECTRIC WATER HEATERS •
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by inc is true and correct to the best of my knowledge, and further,that I
p A
znt
atithorized 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 mcw 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 retiaoce of the city,including its officers and employees,upon the accuracy of the informal-ion supplied to the city as a part of
this application.
0 2
NAME/TITLE E DATE t/i /4"
(Signature) -(ritic)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION ALTERATION • :a REPAIR a-TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES oNO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES 0 NO
PLATTED LOT? 0 YES a NO DEMO PERMIT REQUIRED? 0 YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\liandouts—Revised\Perntit Application
0 • • - /"? ---) ..-) t
Federal Way f9CEVED Iv
COMMUIVY DEVELOPMENT SERVICES
SFO0 ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063.9718 A P P LICATI O / /
253-6614115•FAX 2536614129
www.dttroffederalwau.oum C I TY r i F Ei i=.Rx L W<
f
The oilowin• is re•uired in ormation-an inco •fete a.•l egeltri Il#ikaTbe acce•ted. Please •rint le•ibl (in ink)or •-.
PROPERTY INFORMATION �'1 '-7
SITE ADDRESS c2•rnI ! SixdLJ^ 051-d—r ' 1-A.14. kci• SUITE/UNIT#C�/,9.
ASSESSOR'S TAX/PARCEL# -7 1 C>_ 42 90 11 LOT SIZE(s� l e%'*A_
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attaeh separate page for k,gthy legal description)
- PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) n
1. D e r( x c 't-:-Yl- i s 01 o co"r i&i- GJ 1%1111 cC.
i", .f ._. - +C. ;i..- a 0S1$tiCwt roof`K-
c2. 1He.rea$c 'fiqa 4ca.sa b.er eF r'ob we Lie."L'S .•rt ,e'el C r--eetD Cdale.
PROJECT NAME(Name of Business or Owner Last Name) t/)t l+e r 5 j-O N wz
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER Prvtri tc.l-e — GcJaT'
-terse P(LtC-r ( 5O14L' Qs3 ) 839 - lusoy
MAILING ADDRESS CITY,STATE,ZIP
obi 1 So. "far L1 Lt Rd• FFedea-o t 44-1.4., L,t)4 9S'OU
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
rii;rd b.%11 be.Ue lop rN-Qk 1.- SY•eu'eii Mtr/le v (503) 1057 -3999
MAILING ADDRESS'. 5Tl .el CITY,STATE,ZIP n 1704/5- CELL PHONE
� V 6)(5—F FE RAL WAY BUSINESS LICENSE NUMBER Orel Cit `/tATION TE (FyNUMBER
) ..?"0
• o - yy �
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application! EXPIRATION DATE
TM I R b D D 9 9 7 k 1 x6 / 07 / 05
APPLICANTCOMPANY NAME APPLICANT NAME OFFICE PHONE
5a-yet-C. as co•af.
MAILING 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
5 F. vv :!(er (s'(( )3.To - '17'1 4.
LENDER Per RCW 19.27.095: Lender in ormation is ti. NAME
required=if project value;exceeds;$5,000
MAILING ADDRESS CITY,STATE,ZIP .
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE S 9 0,
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AP AS
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 PROPOSE,
TOTAL EXISTING MID PROPOSED —
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FIXTURES
Indicate number of each type,of f Pure.to be installed or relocated as part of this project. Do"no't include existing fuefitres to remain;.
MEOIIAWICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS - HOODSWOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC IDescribej
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
ro a,
BATHTUBS(orr../show.Combo) SHOWERS WATER CLOSETS(r.e,q MISC(Describe)
DISHWASHERS SINKS., ., ,.. .' s _ : .DRINKING FOUNTAINS,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
I4VS iimirow,s > s 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
..,amtatrthorised 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 mqy 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 retiaoce of the city,including its officers and employees,upon the accuracy of the informs ion supplied to the city as a part of
this application.
NAME/TITLE DATE D t/i S/)'l7/
(Signature) (Title..
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USEONLY,
❑NEW o ADDITION -AI TERATIQN ,'~;.a REPAIR =ti .10 TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application