04-103801 • •
City of Federal an Building - Multi Family Permit #:04 - 103801 - 00 - MF
Community1st WayD
33530 eveSlo ment Services
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 Bldg9 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: f
Construction Type: _
Occupancy Load: _
Floor Area(Sq.Ft.):
Census Category..............: ............................555-Non-structural roofing p Mechanical ! No
Plumbing........ No
t ,
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 '- will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa
Owner or agent: -41t � ,A _A Date: q )-1 10‘f
A • THIS CARD IS TO AIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103801-00-MF ' -
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 9
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) 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) 1 ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
• ._ . %
•
•
I❑ Undcrflc r_-Framing(4285) 4,11 ' �
Floor Sheathing(4105) ;'hear Walls(4245)
Approved to sheath flcor Approved to install flooring Approved to install siding
By 3 ate By Date By Date
• . . _. •
r •
D I?�cf Shz;.thing t'4220) ❑ Fire/Draft Stops(4095 NOTE: Prior to scheduling a Framing(4120)
Approved to i:istall roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By i a:.e By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
•
,❑ Framirg(410) 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)
0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By .„ W Date to .8— co(
ft)
cf
an,of. ..� — •7j (/
Federal Way PERMIT
SF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST FEDERAL
,WA • 6 BOX 9718 APPLICATION
FEDERAL WAY,WA 98063-9718
TO / /
T53-6614115•FAX 2536ti14129
uw w.dhto ffede rol wa m com
The ollowin• is re•uired in ormation-an inco •fete a.•lication will not be acce•ted. Please .rint le•ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS _alai 1 S 5' -ar 1-0.14.1.. kci• SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sJ)
LEGAL DESCRIPTION(eg.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING D PLUMBING 0 MECHANICAL
DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit)).
1. . lameris ax;:s'1-:N9 s i"`&•c ' a yen of roo-c;�9 w;•it1 a
net., •c.r o'f wta,•Fc.ki+� cow,rosce.ic�•-L V'oof Pto
a. 1'.A treats c�#h e n c.4.14 hi-e r or rob 1 tie int.'s V-,. "pi •e'e f c•..r•-.e• t c wale.
PROJECT NAME(Name of Business or Owner Last Name) W4"e r 5l-a rt
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P:hri ,,,,.J-e. - wa.`f'crs f'o''te P(ac-Q L?S 3 ) 839 - 6,So y
MAILING ADDRESS CITY,STATE,ZIP
aa(I 5 . sEa.. 1..tkg. 12d• Laden( (c.).i.& LOA 9S'DO 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7-4;rd bail be tit Is:yrri.Qk f S .eu,eN !!1r/le se (503) 457 -3?r?
MAILING ADDRESS.' CITY,STATE,ZIP CELL PHONE
Czsi S /g ni 51`re fDreyc•+ C.* O 970Ys (SSI/ ) .39'o - S/74/6
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E IRATION DATE FAX NUMBER
_ _ / / (503 ) (057 - 401/4
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
T I R D D D 9 9 7 k 1 P6 / 07 / D5
3
APPLICANTCOL1PANY NAME APPLICANT NAME i OFFICE PHONE
S0L•WL-e- ab cei,"t. ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
SM-e,ve,.+ E. v)1:1 fer (5(4( )34O - 417416
LENDER Per RCW.-'19 27.095• Lender it orination 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 $ tel, ,
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) '
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ 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 EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of frture lobe installed or relocated as part-of this project. Do-not inclUde existing fixtures to-remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE-COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
-PLIMMING -
BATHTUBS Ian Tub/Shower Combo) SHOWERS WATER CLOSETS(r,,a,-s MISC(Describe)
DISHWASHERS, SINKS^ DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
- LAYSta.ehnotpsiok,) 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
sinv„tetzthorized 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
Striees out of the reliance of the city,including its officers and employees,upon the accuracy of the inforiniiion supplied to the city as a part of
this application.
NAME/TITLE E DATE D1/1 /°d7/
(Signature) (Title) "
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY,
o NEW o ADDITION c9 ALTERATIO,N a REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YFS a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Flandouts—Revised\Pernlit Application