04-103328 V • 1 I * ; ....
CommunityCityofFederal WayDevelopment Services
33530 1st Way S Building - Multi Family Permit #:04 - 103328 - 00 - MF
Federal WayWA 98003-6210
Inspection request line: 253.835.3050
Ph:253.661.4000, Fax:253.661.429 P
Project Name: WA ERSTONE APARTMENTS,BUILDING 23
Project Address: 2211 S STAR LAKE RD B1dg23 Parcel Number:720480 0095
Project Description: ALT-Overlaying existing• single-layer of roofing with a new layer of matching composition roofing,
incr:asing the number of roof vents of meetin current code.
Owner Applicant Contractor Lender
BASCOM WATERSTONE FE it ERAI THIRD DAY DEVELOPMENT INC THIRD DAY DEVELOPMENT INC NONE
555 MONTGOMERY ST#1501 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: 55 -Non-st F #1 #2 #3 r #4
L
41111 ----- _____H
Occupancy Group: j
Construction Type: I
Occupancy Load: J
Floor Area(Sq.Ft.): 1 ---. J
Census Category.........: ......... .......................555-Nonstructural roofing p Mechanical,,........ No
Plumbing.....:........ .' No Zoning Designation........, .RM 1800
PERMIT EXPIRES February16,2005.
Permit issued on August 20,2004
I hereby certify that the a iiove information is correct and that the construction on the above described property and
the occupancy and the us: will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owneror agent: - Date: 54_0705(
~ 410 THIS CARD IS TO -.MAIN ON-SITE
CITY OFCommunity Development Inspection R .rte
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103328-00-MF
Owner:
Address: 2211 S STAR LAKE RD Bldg 23
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.
0 Footings/Setback(4110) �❑ Foundation Wall(4115) ❑ 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 Framing4285 Floor Sheathing4105 Shear Walls 4245
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By 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
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
O Framing(4120) ❑ 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
O Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
O Final-Public Works(4080) ❑ Final-Building(4050)
Approved i� Approved
By Date By ��" Date 4/2'/r—O
41f)
anoF • _
Federal Way RECEIVED r
P E P M I T SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
SEDERAL WS FAX253 4129 { APPLICATION TD
www.divoffederalway.com
CITY OF EE ,r , .
The ollowin• is re•f,; i Ln. .� tSn inco •tete a•.lication will not be acce•ted. Please •rint le•ibl (in ink)or •-.
PROPERTY INFORMATION
SITE ADDRESS C, / Soft L c t kd• SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# 7 t✓ Ll _ 0 - G V q �/ LOT SIZE(s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Anaeh separate page for lengthy legal desaipuon)
PROJECT INFORMATION
TYPE OF PERMIT- X BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu),
!•
Over(al cx 5t:)-19 5 i y% 1•e 1a er r4 c?t'i La;;sill oL
9.
ne env-c.r of vvie c.tkx,.49 c o•+1pasroof
C2. _ crease e k 10-e r- o(? rob l ue . ' - . i aye f c.4.Pv-�e.T code.
PROJECT NAME(Name of Business or Owner Last Name) (A)A7r3'40 rt 4Z-
-
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER
Pawn ctc�-e — W cuctersios,ve P(ac-e 12jO(CI PS 3 ) 83 9 6SO y
MAIUNG ADDRESS CITY,STATE,ZIP
o't�l I se. L Act• 1C.edera 4a.r. 14)4 95'co
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
rI ;rd .t�►y j).evt lop rrt•eat'f' 5%bec'eN / 1 r/le 1, (`503) 457 -3?79
MAILING ADD CITY,STATE,ZIP end G CELL PHONE
��1 X( 1 10i CITY OF FEDERAL,WAYStrF,SS, NSE NUMBER DI"e,O►t city A /?�r (RATION DATE SI/ )E.''o y7 y`
l �" _ _ �/ /
(50 3 ) 657 -Y"IG
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
TH T RDDD 9 4 7 k l Dbio7 / D$
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•Lift_. 0.S covtf. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
F. vi: (S!U )340 - ./7(/
LENDER Per RCW 19.27.095: Lender in ormatron ts`
required if project value exceds$5,000
MAILING ADDRESS - - CITY,STATE,ZIP
DETAILED BUII.DING INFORMATION
EXISTING USE PROPOSED USE 15 3)3 TD
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ 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 EXISTING TOTAL PROPOSED TOTAL LASTING AIM PROPOSED
NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each typ:e.of fixture lobe Installed-or relocated as past of this project E;oo'nol incrtt-cle e;istingftxturesto-r;main.
Value of Mechanical Work $
AIR HANDLING UNITS EVAFORATIVE-COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODSicor...re...A WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
-PLUMBING -
BATHTUBS tor Tub/Shower Combo} SHOW ERS WATER CLOSETS rr,.. q MISC(Describe)
DISHWASHERS, DRINKING.FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAV4 fflathrooka Sir4 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 far 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 retiaoce of the city,including its officers and employees upon the accuracy of the informtVon„supplied to the city as a part of
this application.
NAME/TITLE £ - RATE Ds/if log
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USEONLY,
o NEW o ADDITION ia-A,LTERATIQN ,o REPAIR TENAXT IMPROVEMENT
BUILDING SHELL ONLY? o YES °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? Cl YES o NO
Bulletin#100-March 30,2004 Page 2 of 4 4A1iandouts-Revised\Pernlit Application