04-103795 • i
City of Federal Way
Community Development Services Building - Multi Family Permit #:04 - 103795 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
4
Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RD Bldg6 Parcel Number:720480 0095
Project Description: Install new comp roof with roof vents
Owner Applicant Contractor Lender
PINNACLE MANAGEMENT-WAT1 THIRD DAY DEVELOPMENT INC THIRD DAY DEVELOPMENT INC NONE
2211 STAR LAKE RD S 615 14TH ST S THIRDDD997K1 6/7/05
FEDERAL WAY WA 98003 OREGON CITY OR 97045 615 14TH ST S
OREGON CITY OR 97045 NONE
Includes:
Census category: 555-Non-st 1 #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft):
Census Category........:.... 555-Non-structural roofing p Mechanical No
Plumbing....... No
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th= e will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W iy. t
Owner or agent: 1Date: q I Y� t6
A • THIS CARD IS TO . AIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103795-00-MF
Owner: PINNACLE MANAGEMENT WAT' RST(
Address: 2211 S STAR LAKE RD Bldg 6
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.
O 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) ❑ Floor Sheathing(4105) �❑ ShearWalls 01245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By nate
❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE. Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical t
Rough-in and Fire/Dr:. Stop inspections must be
By Date By Date signed-off and approve,. IBC 109.3.4/UBC 108.5.4
#❑ Framing(4120) j 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) 0 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 Approved
By Date By . Date to .8.0 1
1
f crtraF • 0 _a 4 = — 63 7 S
Federal Way —
PERMIT •
COMMUNITY DEVELOPMENT SERVICES SF MF 0 ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
53-66 4 5•,WA 98063-9718 FAX 253 WAY4129 APPLICATION / /
www.cituoffederalway.com
The ollowin• is re•uired in ormation-an inco •tete a.•lication will not be acce•ted. Ple - •rint le•ibl (in ink)or .
u PROPERTY INFORMATION
SITE ADDRESS c I( SOk,'H-. 51 - L•Cdc. . ka• SUITE/UNIT#dt.,6 6-4-62
ASSESSOR'S TAX/PARCEL# _ _- _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates Lot 1)
(Attach separate pagefw lengthy legd description) ..
PROJECT INFORMATION
TYPE OF PERMIT k BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu).
1. . Olen(a► ex sl-:n9 sivt9l•c 1a04.ver 01 re)'-Ct 1.i will at-
neei7 1 ou.j-e..r o'F v►aafc.k144, cow+,rost"4-Its,. rooivty
a. l e_remsa 'fate nca..% b.er er robl ueILE5 "I-� #+tae 1 c•..,re-•emi.7' code.
PROJECT NAME(Name of Business or Owner Last Name) W1 Cf r 5 i-a h Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P;yin GLC../.e. "" t• ers l`''•e P(4C-2 PS-3 ) 839 - (.SOe/
MAILING ADDRESS CITY,STATE,ZIP
alai! So. -Ifigke
L ..L Ind• F.opdera►t 4.).i.y iO4 9S'00
CONTRACTOR COMPANY NAME .L APPLICANT NAME OFFICE PHONE
7l„�d befit/op sok 1 5'tcuei Mil fee (503) 457 -3999
MAILING ADDRESS.' CITY,STATE,ZIP CELL PHONE
(5 !<( DI S'F•ree l Oreo. C:*41 at 97041s (Sit/ ) .39'0 5/7s'
CITY OF FEDERAL WAY EUSINESS LICENSE NUMBER EJnRATION DATE FAX NUMBER
B L / / (503 ) 657 -iW/6
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
Z' fIRDbb997kI 141 o7 / OS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5 -L as coat.
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
`!- ..uen E. 01:1 l€r (Sq( )390 - 47`14,
LENDER Per RCW 19.27.095f Lender m ormatlon is 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 $ S��•
SPRINKLERED BUILDING? D YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 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 INGESTING TOTAL PROPOSED TOTAL uasrD`OAND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture/0 be instated or relocated as pari of this project. Do`not include existing fixtitrees to-remain.
MECHA V17ICAl �:
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE,COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c.m.m4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING ".' ...
BATHTUBS t<,r..m/shevtrcombol SHOWERS WATER CLOSETS fr J,rl MISC(Describe)
DISHWASHERS. .SINKSDRINKING,FOPNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
ELECTRIC WATER HEATERS
VACUUM BREAKERS ,
"' LqVS(®athrosm 5ink>d -
AISCLAIMER/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
.-winat thorised'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 rela*ce of the city,including its officers and emplbye,es,upon the accuracy of the information supplied to the city as a part of
this application.
NAE/TITLE
Mr _ _ .. DATE 51/19/o /
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION 9 ALTERATION ..o REPAIR . <a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application