04-103330 City of Federal Way Building - Multi Family Permit #:04 - 103330 - 00 - MF
Community Development Services
33530 1st Way S
PWay,WA 9x3-6 6 Inspection request line: 253.835.3050
Ph:h:253.661.4000 Fax.2533 661.4129
Project Name: WATERSTONE APARTMENTS,BUILDING 25 Parcel Number:720480 0095
Project Address: 2211 S STAR LAKE RD Bldg25
Project Description: ALT-Overlaying number existing
roof vents et r of roofing mt n current code.th a new layer of matching composition roofing,
incasingof
Owner Applicant
Contractor Lender
BASCOM WATERSTONE FEDERAL 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
OREGON CITY OR 97045 NONE
94111-2545
Includes: II #4
Census category: 555-Non-st
#1 #2 #3
Occupancy Group:
Construction Type: I
.- 11111111111811111111Occupancy Load: — l
Floor Area(Sq.Ft.): _
Census Category.. 555-Non-structural roofing p Mechanical ....... ..... .... No
...... RM 1800
Plumbing ,;....... No
Zoning Designation
PERMIT EXPIRES February 16,2005.
Permit issued on August 20,2004
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 Way. E�z�
.rk �, �f t� Date: /a0 /0 e
Owner or agent: � ""'"-
w
THIS CARD IS TO•MAIN ON-SITE `
CITY OF tommunitYDevelopmentInspection Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103330-00-MF
Owner:
Address: 2211 S STAR LAKE RD Bldg 25
FEDERAL WAY, WA 98003
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.
❑ Footings/Setback(4110) ❑ Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place 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)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date ) By Date By Date
0 Roof Sheathing(4220) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved 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 108.5A
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date Bye-- Date .-- 01/7
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Federal w - �'
ODMMUNTIY DEVELOPAlENT SERVICES
1 L SF FCO ME EL PL DE EN FP
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3353E FIRST WAY SOC?N•PO 8 3
FEDERAL WAY,WA 98063 2 0 0>,..A p p L I C ION TD
253-6614115.FAX 253-661-4129 n
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The ollowin• is ' -iliWg in-.iiiStion-an inco •Tete a•.iication will not be acce•ted. Please •rint le•ibl (in ink j or
PROPERTY INFORMATIONr
SITE ADDRESS t I ! S Star L-cLik e• k.d• SUITE/UNIT# 5
ASSESSOR'S TAX/PARCEL# 7 �� V- . 0 - & - LOT SIZE ]
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attachseparate page for lengthy legd desaipion)
- PROJECT INFORMATION
TYPE OF PERMIT- (BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) n
/• 0 er(a xi: t:A- Ia01 60.41 Si- tt)irrl cc
nee..) 40674.r of vrt.t.'Fc.k 14, C aw,loOSti-it rt roof I Kv
c?. _Z'.•..rrensc fig n(4.4a der c55robs 1Je11.15 y-c. hi a•e-f C•.4.r.-.eat code.
PROJECT NAME(Name of Business or Owner Last Name) tA.)0.+e,Y S+O sA-Q
- PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Pat rfpl t 4 Ci-e — t ry c)6 e P(4 -4 l'.5)(‘1 ° Ps 3 ) 839 - 4504,
MAILING ADDRESS CITY,STATE,ZIP
caag I So. ..Vfewo e eke. (ed- Federot 44).4, 1.04 ?S'OC)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
T`1'rti be.ut hppm4141' SY•et-Poi M/le t. (503) 457 -3???
(�'\ - MAILING ADD• CITY,STATE,ZIP
�> CELL PHONE.:
/► (*IF ,q 1-/-1 Stree Ore o. C *j OR 97040- (SY/ ) J9'o `1,74a,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / (�3 ) (O57 - iE�//G
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Z"it r Robb 9 q 7 k 1 D6 / 07 / DS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Sa-rrt-t_ as coon.
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME' PRIMARY PHONE
E-MAIL ADDRESS
E. vYI:' ter (5c(( )3.10 - 4/7(/c
LENDER Per RCW 19.27.095: Lender injonnatron is' NAME
required�if project'value exceeds:R$5,000;"
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 1r r- 9 Q -
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ..7
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
PROJECT PLN •
AREA DESCRIPTION EXIST ‘.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
—THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
• DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL uCSTarc TOTAL PROPOSED Toru.EmsramoMD PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture lo=be installed or relocated as part of this project. Do`ndt&telltale existing fixtures-to remain.
MECIIAHICAL . . = v
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE-COOLERS . GAS LOGS REFRIG.SYSTEMS
BBQS FANS "� HOODSico>r....a>vI
WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
tPLUMBING .. ` '
BATHTUBS tor T,WshowerCom SHOWERS WATER CLOSETS tr ay MISC(Describe)
DISHWASHERS. SINKS,'.. >_ .` DRINKING FOUNTAINS.
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS,(Suhroetc sin _ 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
..amt 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 relia.ce 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 (7 S/1 f/°el
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0 Contractor ❑ Architect ❑ Other
FOR-OFFICE USEONLY
o NEW ❑ADDITION Q°ALTERATION , ; ::o REPAIR . =o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC'PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin!1100—March 30,2004 Page 2 of 4 k\I4andouts—Revised\Permit Application