04-103809 0
City of Federal Way Building - Multi Family Permit #:04 - 103809 - 00 - MF
Community 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: WATERSTONE ill
Project Address: 2211 S STAR LAKE RD Bldg43 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 L #1 #2 #3 #4 — 1
Occupancy Group:
Construction Type: -_--
Occupancy Load: 1
Floor Area(Sq.Ft.):. J
Census Category.........'...... .555-Non-structural roofing p Mechanical No
Plumbing.,..... No
r `
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
I hereby certify that the .bove 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: r,N1 4 ./.4 Date:
Ol 04
1
litTHIS CARD IS TOtY pnt MAIN ON-SITE
CITY of ommuni Develo m Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103809-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 43
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) ❑ 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(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By 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 109.3.4/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
❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ 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 C.., Date(0. e. Of
ci
Federal Way PERMIT -- --
COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
53-6614115•FAX 253 4129 WAY,WA 98063-9718 APPLICATION TD
uww.iituofedemlwau.00m
The ollowin• is re.uired in ormation-an inco •tete a.•lication will not be acce.ted. Please 'tint le•ibl (in ink)or • .
PROPERTY INFORMATION '^A
SITE ADDRESS / / Sestk.411, S*d-r L c M • SUITE/UNIT#lam 17
ASSESSOR'S TAX/PARCEL# - - _ _ _ — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legd desaipeon1
PROJECT INFORMATION
TYPE OF PERMIT k BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlli)
I. Doer-(a1 cxi srt-:x9 s i Kg is vcr olF re)0- l 9 1.43;Nit* '=4.-
net.)
nem e -c.r o-C v►1afc.k .t c osiroof 1 v4,v
o?. S.,crem$e 'fixe nk•i b.erobl ueYt-f- Y-c ',l .e.e cr.••4 tD ce,
PROJECT NAME(Name of Business or Owner last Name) WOI.7fla rr 51-O 1°k Q.
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER P;vwri cmc.!-e -- (4...1,cfcrs e 1,N1 4C- ( s 3 ) 83 9 - 4.So y
MAILING ADDRESS CITY,STATE,ZIP
Q(I 30. t-•t km. Rd. Federal 41.r. , wA 95'OU 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
71;rd , ut lap»4rpk 5•14eu'eli m fee (503) 4S 7 -39 99
MAILING ADD CITY,STATE,ZIP CELL PHONE
("IS !y T' 5free Ore 0.1 c: DK 97oyr (SI/ ) .39'0 %/7414,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER (RATION DATE FAX NUMBER
/ (503 ) 657 -4i41/4
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
TN T Rabb 9 q 7 k 1 6 / o7 / O5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
-.. as Co.i . ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
)
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME - PRIMARY PHONE E-MAIL ADDRESS
S E. WI:1 ter (Sc(( )31O - si7y�6
LENDER Per RCW-.19.27.09„5: 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 $ S- S`t j
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) •
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
1
•
•
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? Toru.cwsrwo TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FYgLTURES
Indicate number of each type of fixture Lobe installed or relocated as part=of this project. Do`no3 include"existing fixtures to-remain.
MECHANfcAI - .
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVEwCOOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER 1-EEATERS
DUCTS GAS PIPE OUTLETS
'-PLUMBBING
BATHTUBS(orTub/ShowerCombo) SHOWERS WATER CLOSETS trey MISC(Describe)
DISHWASHERS, SINKS ._ DRINKING FOUNTAINS,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
' s LAYS a:et.o sum 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
.nm,at 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 may 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 reiiaace of the city,including its officers and employees,upon the accuracy of the informs i'.onsupplied to the city as a part of
this application.
NAME/TITLE E PATE ,, o I/18/D
(Signature) {Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
• FOR OOFFICE USE ONLY
a NEW o ADDITION t ALTERATIQN , ; -.,to REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASICPLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application