05-102636City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609
f
Building - Single Family Permit #: 05 -102636 - 00 - SF
Inspection request line: (253) 835-3050
Project Name: LAUSIER-BALDWIN llt I!
Project Address: 2718 S STAR LAKE RD Parcel Number: 516000 0010
Project Description: NEW - Construct a new, 2204-sqft two story single-family home with a 638-sqft attached garage.
****$174,500 selling price; 3 bedrooms****
Owner
Applicant
Contractor
Lender
Cathy Baldwin & Phil Lausier
QUALITY CONSTRUCTION & FIX-:
QUALITY CONSTRUCTION & FIX-:
HERITAGE BANK
28081 24TH PL S
28517 47TH PL S
QUALICF16ICN 2/14/200
201 5TH AVE SW
FEDERAL WAY WA 98003
AUBURN WA 98001
28517 47TH PL S
OLYMPIA WA 98501
Floor Are q_F't,), ! ---
AUBURN WA 98001
—__-
Includes:
Census category: 101 -New si
#1
#2
#3 #4
Occupancy Group: ;L
R-3
U
L
Construction Type:P
.
� TYPe V - B
Type V - B
�_-
Occupancy
Yes
_
3394
Floor Are q_F't,), ! ---
_
—__-
1st floor, Posed St. Feet .......................
... 1500
1
Basic Plan....: ............, ....
1410
Occupancy #2 -Construction Tye .........
ti
........ Type V
Garage Proposed Sq. ice..,...,. ..................675
L
Mechanical.................................................
Yes
Occupancy #2 - Class ..........................................
U
Plumbing .................................................
Yes
Total Proposed Sq. Feet .......................................
3394
.......a„.,... 101
- .. ......... -- -
Occupancy # 1 - Class .......................................... R-3
Othdr Proposed Sq. Feet ..... ............................... 394
Total Building Sq. Feet ..................................... ,,.33
Zoning Designation ............................................. R 6
Plumbing Fixtures
_Description_Quantity Description' Quantity) C Description _Quantity
Bathtubs Dishwashers 1 Laundry Washer Outlets 1
ry
Lavatories 2 Other Plumbing Fixtures 2 Sinks -- l_
Water Closets ---JL__
IIL 2J I Water Heaters i� I
Mechanical Fixtures_)
DescriptionQuantity
Description
Quantity
Description _Quantity
Fans�I
Furnaces
L
Ranges
CONDITIONS:
* ROW PERMIT REQUIRED FOR PAVING CONNECTION TO STAR LAKE ROAD. BUILDING PERMIT MAY NOT
BE FINALLED UNTIL FRONTAGE WORK IS COMPLETE.
on(,i lj
t
a� PERMIT EXPIRES April 12, 2006.
Permit issued on October 14, 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 Way.
Owner or agent: Date:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.3 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: LAUSIER-BALDWIN
Address: 2718 S STAR LAKE
Permit number: 05 - 102636 - 00
#1 �_
Occupancy Group: - R-3
Construction Type: Type V - B
#2
U
Type V - B
#3
#4
--
L Occupancy Load:
Floor Area (Sq. Ft.):
�!
Owner Cathy Baldwin & Phil Lausier
Name: 28081 24TH PL S
Address: FEDERAL WAY WA 98003
�• MAVOVIk C80
e-106
Building Official '4�1 �C��� Date
The priorityfocus 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 ' ' MAIN ON-SITE
CITY OF fommunity Developme t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -102636 -00 -SF
Owner: CATHY BALDWIN
Address: 2718 S STAR LAKE RD
FEDERAL WAY, WA 98003-6920
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.
❑ Temp. Erosion Control (4365) ❑ Footings/Setback (4110) ❑ Foundation Wall (4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By&__� j %
Date By 4�kDate h By Date
❑ Drainage/Downspout (4040)
Approved to backfill
By Date
❑ Underfloor Framing (4285)
Approved to sheath floor /
By Date Y "
❑ Roof Sheathing (4220)
Approved to install roofing
By Date 0st a�r
❑ Gas Piping (4125)
Approved to release test
By &D DateZ-Z/ -
Framing (4120)
Approved to insulate
By Date 3 I -2j ` �
❑ Final - SWM (4375)
Approved
By 0&,S Date �///6
❑ Final - Building (4050)
Approved
By kt,4 Date IAG
❑ Plumbing Groundwork (4190) ❑ Slab/Concrete Floor (4255)
Approved to cover
Approved to place concrete
By
L, � Date /l_ Z .
By Date e, Z . 4
❑
Floor Sheathing (4105)
Shear Walls (4245)
Approved to install flooring
Approved to install siding
By
Date Q
By Date `u
❑
Rough Plumbing (4230)
❑ Mechanical Rough -in (4165)
Approved
Approved
By
Date 2.2 1 — O (o
By G. Cj Date 2-! —C3
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120)
Approved inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
BX',-' Cj Date3-9 signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130)
Approved to install wallboard Approved to install mud & tape
ByC Date `� By /� Date3 . / % V
Cj
%❑ Final - Mechanical (4065)
Approved
By Date
❑Temp. Erosion Maintenance (4370)
Approv
ry e
By Date
Final - Plumbing (4075)
Approved
BP SA, �_� b
CEIVE �� PERMIT
CO1rAfIfJlTfa!
TVLCES
333258TMALWAY,WA980'OBOX 9718 8�N o 3 APPLICATION
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609
www.cituolTederalwau.com RAL WAY
rITY OF FEDE_
The iollowina is
an
mill
SF F CO ME EL PL DE EN FP
ted. Please print leaiblu din inkJ or tune.
SITE ADDRESS 719 b r--5 -514C C Ati o& && 6`^1d� ,W 9 ay3 SUITE/IINIT N
.7
ASSESSOR'S TAX/PARCEL # -L � -0- -0 .2 v , - 0 0 LOT SIZE (sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot]) I M1fj-1 '%W t4 -%AJ ,e 5 FP AC -F 319 S -Z-76 7 et,�
(Atmch-p.—pagefor ie legal ties p—n)
PROJIXT INFORMATION
TYPE OF PERMIT BUILDING %PLUMBING '15t MECHANICAL
] <DEMOLITION id ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this ermit onl
An _ A IL - / /I V— ♦ _ n n . ®_ :/. li/- j .1 ss iz-^ ✓ 3_ A
PROJECT NAME (Name of Business or Owner Last Name) �� i/ i' T_Cs1(�(✓l
P�,OPLE INFORMATION
PROPERTY
OWNER
w• �MM;J;T44&)z4
APPLICANT
CONTACT
11�D)11.1 D�'7
EXISTING USE
NAME PRIMARY PHONE
se/' $C,cldw,A./ (ZS3 S7s1 - Sri 86
MAILING ADDRESS CITY, STATE, ZIP
MPANY NAMES _
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
�/ I / f
CITY, STATE, ZIP /��j/y �
At bU �� ( 7OW (
CELL PHONE ]
( XYp ) i -gr - 1-1 2-,?
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
-!1 (2-1 0 1 Lo I I -B
EXPIRATION DATE
a /'j1 /aoo5'
FAX NUMBER
W5)%"
-OZ33
L
CONTRACTORS REGISTRATION NUMBER (copy of card regnir" wtth each appHeatim)
EXPIRATION DATE
PANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINGjt
ADDAESSCITY,
¢? &o
STATE, ZIP
✓d
44LOn,I'd-
CELL PHONE
RELATIONSHIP TO PROJECT
RELATIONSHIP
❑ Architect ❑ Tenant *Agent ❑ Other (Describe)
FAX NUMBER
(X3)&'q
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1-74: 906"
SPRINKLERED BUILDING? ❑ YES AO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES "IXNO
WATER SERVICE PROVIDER
❑ LAKEHAVEN XHIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
1�� �S3> "� - �'-� I
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ, FT.
BASEMENT
DRINKING FOUNTAINS
'7913
W3
FIRST
% WASHING MACHINES
1 `'I' - �
14 Z `
SECOND
VACUUM BREAKERS
ELECTRIC WATER HEATERS
le
THIRD
.
FOURTH
ee
jar
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE K CARPORT D
NUMBER OF FLOORS
axe
Z TOTS
TTCTT N
�.
+�-
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $Jam` �' a
Indicate number of each type
ffiECSAAIICAL
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
to be installed or relocated as part of this project Do not include existing fixtures to remain.
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
GAS LOGS
T HOODS (commerci.4
/ RANGES
GAS WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
Z BATHTUBS (--Nb/sb--combo)
SHOWERS
Z WATER CLOSETS (ro&t) MISC (Describe)
DISHWASHERS
% SINKS
DRINKING FOUNTAINS
Z GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
% WASHING MACHINES
URINALS
Z HOSE BIBBS
LAVS P thmomsinlm)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
1 aertib under penalty of perjury that the in/brmation 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 farther 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 oL the city, Including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this oppiication. /
,
NAME/TITLE DATE �D /(v 4D J
S tore) (Title)
RELATIONSIEIP TO PROJECT ❑ Owner Agent contractor 0 Architect ❑ Other
PI
m
�y
§.
\
C
C-,! \
�