04-103800 •
City of Federal ay
Community Development Building - Multi Family Permit #:04 - 103800 - 00 MF
ent Services
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 ~'
Project Address: 2211 S STAR LAKE RD Bldg8 Parcel Number:720480 0095
Project Description: Install new.comp roof with roof vents
Owner Applicant Contractor Lender
PINNACLE MANAGEMENT-WATI 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 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category..,..... ..555-Non-structural rooting 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 the ,e will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: 4 Date: 9 I I n
THIS CARD IS TO*MAIN ON-SITE
CITY OFA
ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103800-00-MF . ,
Owner: PINNACLE MANAGEMENT -WATERSTC
Address: 2211 S STAR LAKE RD Bldg 8
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) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
.❑ Re-steel(4215) 0 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(410 ) 110 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date Dy Date
❑ Roof Sheathing(4220) ❑ 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 1093.4/UBC 108.5.4
•❑ 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
0 Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
0 Final-Public Works(4080) 0 Final-Building(4050)
Approved Approved
By Date By C Date !p..g., co/
an,� • 411,2
_ ` 3 �s0-0
Federal Way PEIZMITSFn COMEELPLDEENFP
- -
COMMUNITY DEVELOPdfEN1'SERVICES
3330 FIRST WAY SOUTH•PO BOX 9718
2 3-66145•FAX253 4129 APPLICATION TO
www.cittfoffederalway.com
The ollowin• is re•uired in ormation-an inco •Tete a..lication wiII not be acce•ted. Please •rint le•ibl (in ink)or • .
PROPERTY INFORMATION
SITE ADDRESS / / Som. S't'art' L c ic.c. R..4• SUITE/UNIT# 4 1.
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaip9on)
PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/•
00er(e► ex �, t":ng .S1 EZ.)t•c 104 e1# o'F r-o0Ci 1#141 CA);sill Cd-
net) ex-art.1# c�-( int dd.c.k;i•�q _c �rMroSi'�it9>r► v"oo f i eto,
. 2.' erectsc 'tLte nb•er of robl ue5t.1-3 '-� .rt a�e1 c•.� +4 ccede.
PROJECT NAME(Name of Business or Owner Last Name) (A)04.-fie rsl-Co Yl'Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNERPat vtiq GLG -e. — rs ofr e Prac.�e (?S 3 ) 83 9 - 6.5.0
MAILING ADDRESS CITY,STATE,ZIP
(22,A .3 . Sa.r L Lkc Rd• 1 edera( 4)a tt),Q ?,$)
QO 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7•lti1#41 beuttopnt.ear't 514ec'et'a miller (5o3) 457 -3997
MAILING ADDRESS'''. CITY,STATE,ZIP CELL PHONE
6,(5• /4j 1-4 Stree 7� Oreo. Ci+1
1 DX 97 DVS (5/Nu) J9'O - (174/4
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
-
(So 3 ) 657 -' F/t:
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
RDDD 9 4 7 k1 X6 / 07 / D5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
-e. as cc:wi t. (
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
.54- .c ce E. NI:!I ee r ( ( )310 - 4174
LENDERNAME
Per RC W'19.27.095: Lender information!s,
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BVThDING INFORMATION
EXISTING USE PROPOSED USE
G
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ i C10.
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
T
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 TOTAI.PROPOSED TOTAL EXISTD(G AND PROPOSED
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIRTURES
Iruiicate number of each type of fcxture lobe instalied.or relocated as pant ofthis project. po"ndt include existing fixtures to-retrain.
MECHANIt L
Value of Mechanical Work $
AIR HANDLING UNITS EVAPQRATIVE«COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODSieomene WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe),
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
i
PLUMBING
BATHTUBS(erTub/Shower Comb,) SHOWERS WATER CLOSETS tr.Il t) MISC(Describe)
DISHWASHERS SINKS+ ,,. , _ DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
U VS;teartvsa+s,* VACUUM BREAKERS ,ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
Icertify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
aamtta thorized'-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 re(ia ce of the city,including its officers and employees,upon the accuracy of the informa ion;supplied to the city as a part of
this application /
,
NAME/TITLE DATE D1/1�!
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION AI.TERATIO,N° ; :.ci REPAIR :o'TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-March 30,2004 Page 2 of 4 k\I-{andouts-Revised\Permit Application