04-103803 0 1111
City of Federal ay
Community Development Services Building - Multi Family Permit #:04 - 103803 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 253.661.4129 z Inspection request line: 253.835.3050
Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RD Bldg13 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
I
OREGON CITY OR 97045 NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
Occupancy Group: j
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.}: I
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 the use 11 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: �,A _ ��- /) i
l
Date: 9 O'
litTHIS CARD IS TO*MAIN ON-SITE
CITY OAF
ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103803-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 13
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) �❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
Py Date By Date By Date
❑ U;sderlloor Framing(4285) ❑ Floor Sheathing(4105)TBy
Shear Walls(4245)
Approved to sheath floor Approved to install flooringApproved to install siding
By Date By Date Date
____
Li 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
B7 Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
.�:..� ............... . __ �... . . .,..,� , . 4..
❑ 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
❑ 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
❑ Final-Public Works(4080) 0 Final-Building(4050)
Approved Approved
By Date By G Date/0 ..a..e,v
arrOf •c7 - 1 a3 0 3
Federal Way PERMIT
cOMMUMIYDEVELOPMEN'SERVICES
SF CO ME EL PL DE EN FP
33530 FIRST WAYL.WA ,WA • 63-971BOX 918 APPLICATION TO
FEDERAL WAY,WA 53-6 1-412
253-6614715•FAX 253.6614129
www.dtuoffederaltuati.com
The ollowln• is re.uired in orrnation-an inco •tete a.•lication will not be acce ted. Please •rint le•ib/ (in ink)or -.
PROPERTY INFORMATION
SITE ADDRESS oicl.! ! SOD S*Gd' Lac.t. r��• SUITE/UNIT# t Cr /3.
ASSESSOR'S TAX/PARCEL# _ - _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT h BUILDING n PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onl.).
�• e..1"(A. e x n9 s i vt 1.e layer of 1-d,v-c;119
ne/.) -c.r. of vvtetfc.Gr, hoJ Cmow%rostag, roo'Ft s.t
a. Sticre.tsc 1-10%e n &etr d rob-e ue't. e s -� • i cccede.
PROJECT NAME(Name of Business or Owner 1,7 et Name) Wocf e r S j-o vi Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Y — Ctom- crs e P(ac-R L?S 3 ) 839 - est)y
MAILING ADDRESS. CITY,STATE,ZIP
(t so. , ,. Lat.k. . I d• 1Ceders & )4 ?S DU
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
71;rd bout pm..k't 5Y'cutii Miller (5e ) 457 -3999
MAILING ADD CITY,STATE,ZIP CELL PHONE
6(5" /<( z— Strte� ()fey: , Cily DX 97D5/s (S'I ) . 9'O -417414
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EJThIRATION DATE FAX NUMBER
B L / / (5c3 ) 657 -Vy/b
CONTRACTORS REGISTRATION NUMBER.(copy of card required with each application) EXPIRATION DATE
I R D b a 9 9 7 k 1 x6 / 07 / D5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•
Sa-wt-er o.s co•�F (
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSH P TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME - PRIMARY PHONE E-MAIL ADDRESS
.5 E. N'I:I 1,¢r (S((( )390 - 47416
LENDER Per RCW 1927 09S: Lender in armatton,is
fr,
required if project value exceeds$5,000:
MAILING ADE RESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ 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 ❑ 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 EXISTING AND PROPOSED
''''NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FIXTURES
Indicate number of each type offixture lobe installed or relocated as part of this project. Do'n6t incliuie existing fixtures-to'remain.
MECIIANIC`AL
Value of Mechanical Work $
AIR HANDLING UNITS EV.APORATIVE,COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS ico....aos WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
"PLUMBING 4 4 *, ..
BATHTUBS(f.,T..bisno .comb.) SHOWERS WATER CLOSETS tro.i.q MISC(Describe)
DISHWASHERS,.` SINKS -_.o , .DRINKING.FOUNTAINS. „ ;a
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
'>`v. LPIVS iett+toas;n VACUUM BREAKERS ELECTRIC WATER HEATERS •
DISCLAIMER/SIGNATURE BLOCK
Icertify under penalty of perjury that the information furnished byme is true and correct to the best of my knowledge,and further, that I
auritta thorised by thie_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 mow 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 ret;,iarace of the city,including its officers and employees,upon the accuracy of the lnforma ion supplied to the city as a part of
this application.
os/iv/04/
NAME/TIT.E DATE
(Signature) '(Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE:ONLY
o NEW o ADDITION .R.ALTERATION ,; :o REPAIR °< , =a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC'PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Rcvised\Permit Application