04-103806 III
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City of Federal ay Building - Multi Family Permit #:04 - 103806 - 00 - MF
CommunityDevelopment Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
1
Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RD Bldg40 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 RDS 615 14TH STS 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(Sy.Et.):,, 1
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 -.- above information is correct and that the construction on the above described property and
the occupancy and th ,se will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal
Owner or agent: 4 A , A,fj Date: /t>611 O 'r
• THIS CARD IS TO ]MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103806-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 40
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) ❑ 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) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
--
•❑ Underact-I-Framing(4285) •❑ Floor Sheathing(4105) I ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date j By Date
%.__ . %--
'
❑ Roof Sheathing(4220) 0 Fire/Draft Stops(4095) NOTE Prior to scheuuling a Framing(4120)
Approved to install roofing Approved h inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be '.
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ raming(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
❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
g❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By G.. ( Date/d 4 et..O 4
t
- ( O3Onof aCo
Federal Way PERM IfiSF ME EL PL DE EN FP
—
OOMMIIMIY DEVELOPMENT SERVICES
� F O
33530 FIRST WAY SOA 980 3-9718 18 APPLICATION
FEDERAL WAY,WA 98063-9718 TD
253-6614115•FAX 253-6614129
www.cittiofederalwatt corn
The oilowin• is re.uired in ormation-an into •lete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS a.A./ / Secdk, Star- L-e. k,d• SUITE/UNIT , A
ASSESSOR'S TAX/PARCEL# - - _ _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Much separate page for lengthy legal dew:moon)
PROJECT INFORMATION
TYPE OF PERMIT- X BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)_
I. a tr(04 x 't':)-t- la o'F o0"Ciu-,;/11141- u-,;/111 CC"
nets-) 4..r cy wtot.+c.kii c6Mn1N—
o t h roof Pt j
o?. 1..creasL.e r cdr•!roti lel ue rt1-5 c cede.
PROJECT NAME(Name of Business or Owner Last Name) WeIT' -r S j-c K'Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P i hn -fcrs04 'e P(Rc-12 Q5'3 ) 839 - ‘Soi,
MAILING ADDRESS CITY,STATE,ZIP
c241.11 so. s&..- kg. Rd• Eads,-c ( CcJ.�.j uJ4 ?S'Oct
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
711 rd �y ,()euele prN•ok-f- 5fCLP€k1 /Jr/fetr (563) 1057 -3999
MAILING ADDRESS.' CITY,STATE,ZIP CELL PHONE
Cot 5. 114 7-71' Scree/ Oreo., City at 97oys- (Sv/ ) s9'o 417yL
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER FOMRATION DATE FAX NUMBER
(5o3 ) X57 -444114
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I RI) D139 9 7 k1 ad / O7 / OS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
S4-wt-e— as co.1f. ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent o Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
S E• N'1:I I'er (sc.( )3i° - 47(/
LENDER Per RCW=19.27.095: Lender information 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 $ ' t S 70
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 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 EXIST= TOTAL.PROPOSED TOTAL EXISTING AND PROPOSED —
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FIXTURES
Indicate number of each type offixture.tote installed or relocated as part_=of this project Do`nu`t include existing factures to-remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE•COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS ie....L l) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe).
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING ,"`. _
BATHTUBS(orrub/ShS' rCombo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS, SINKS: .. >_ .` DRINKING,F.OUNTAINS.
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAMS itgaus.okp s,*, 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
amt 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
irises out of the reliaace of the city,including its officers and employees,upon the accuracy of the informs iionsupplied to the city as a part of
this application.
NAME/TITLE DATE D�/t /o '
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW .o ADDITION ALTERATION ,-,.o REPAIR _ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? 0 YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Iiandouts—Rcvised\Permit Application