04-103802 •
City of Federal eBuilding - Multi Family Permit #:04 - 103802 - 00 - MF
Co unity Development 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: WATERST I NE
Project Address: 2211 S ST LAKE RD Bidg11 Parcel Number:720480 0095
Project Description: Install new omp roof with roof vents
Owner Applicant Contractor Lender
PINNACLE MANAGEMENT-WATI HIRD DAY DEVELOPMENT INC THIRD DAY DEVELOPMENT INC NONE
2211 STAR LAKE RD S .15 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-•t #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 in tmation is correct and that the construction on the above described property and
the occupancy and use will b,in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal f
Owner or agent: „A' , ' • Date i_'i f o�
l
THIS CARD IS TO 'MAIN ON-SITE
CITY OF
A atommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103802=00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 11
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) 0 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) 1 0 Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date j 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
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By r1:ate By Date
❑ Framing(4120) ❑ Insulation(4150) ❑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
•
O Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By G Date to ..et....eiq •
4-4
.
60 - b 3 3 2
Federal Way P E R M LT
SF 0 ME EL PL DE EN FP
COMMUM7Y DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH PO BOX 9718 O -
2536614 WAY5•,WA 98063-9718 FAX253.661{129 APPLICATION
www.cituoffederalwau.com
The ollowin• is re.uired in c rmation-an inco .lete a•.lication will not be acce.ted. Please •rint le•ibl (in ink)or .-.
PROPERTY INFORMATION e
-�.7 _
SITE ADDRESS /1 S Sob ," +�,rr Kt kd• SUITE/UNIT# �AGr it
ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acrns Estates,Lot 1)
(Anodise/mune page for lengthy legal desoiptoe)
PROJECT INFORMATION
TYPE OF PERMIT k BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oni_u)
/, 1 erta► cx;'sfi:Y►9 i K9lt lay ycr o'F' r-d��i+�+oJ c4 Liat-
r e�' *.j-c.r Gyt v►1 a.4.e.k i 141 c o w.ra s i*t' a- r`o a'F s4 v
o?. 1 r►i *re ( 't 1 i n e.4e.4.4aa 12-er d!' re L
b l @'t, -5 �v rpt 'e�e C•a re-e K'(` C cid f.
PROJECT NAME(Name of Business or Owner Last Name) Wd\ M r s l-o t^'Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER al v,n GLG/'-e — W.:deYS Ise Q53 ) 839 4SO4/
MAILING ADE RESS CITY,STATE,ZIP
$241.1I o. sa.r . Rei• t tc u,)A 95,co
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
74;rd bait y ,be.ut prrl. ar'f 5fCtr€N mi/fie y (503) 457 -3??
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(o!S !1( ! 5free Orep.t G:f'y ok 9705/s (A51/).. 9'o -5/7yG
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EJnRATION DATE
- - s L / (503 ) 657 -414/16
CONTRACTOF 5.REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
r )t ? R 9 4 7 K 1 Pit Io7 X05
APPLICANT COMPANY NA dE APPLICANT NAME OFFICE PHONE
544.rtrt-e_. as cc..4 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
E. yri:1 14e.- (sc(( )3/0 - 474/
LENDER Per RCW-19 27 095 Lender information is` NAME
required if project value exceeds;'$5,000
MAILING ADD ESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 5' J4'iN
,
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER C LAKEHAVEN 0 HIGHLINE a TACOMA ❑ PRIVATE(WELL) '
SEWER SERVICE PROVIDER c LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
I _
. .
•
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 $
FDITURES
- -
Indicate number of each type of fixture to;be 1n-stalled or relocated as pad-of this project Do-not include existing fixtures to-remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAFORATIVE.COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Gammen:is') WOODSTOVES
BOILERS FIREPLACE INSEk lb RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMB/NG
BATHTUBS Tub/Shower Coombe) SHOWERS WATER CLOSETS r..at) MISC(Describe)
DISI-10/ASHERS,. DRINKING FOUNTAINS, ,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
141.eS , 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
taicthorized 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 ma,y 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 retictoce of the city,including its officers and empibyeef,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE E RATE Di3//f/o /
(Signature) '(Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect o Other
FOR OFFICE USE ONLY
0 NEVI o ADDITION El-ALTERATION -.0 REPAIR ' , 0 TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES 0 NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES 0 NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-March 30,2004 Page 2 of 4 1:\Handouts-Revised\Pernlit Application