04-103810 • •
City of Federal Way
Community Development Services Building - Multi Family Permit #:04 - 103810 - 00 - MF
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
Project Address: 2211 S STAR LAKE RD Bldg44 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 L #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 a.,ve information is correct and that the construction on the above described property and
the occupancy and the us- ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way. 9/ 7
Owner or agent: 4 A AAA • Date: f O /'
A • THIS CARD IS TO .MAIN ON-SITE
CITY community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103810-00-M F
Owner: PINNACLE MANAGEMENT -WATEI'tSTC
Address: 2211 S STAR LAKE RD Bldg 44
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.
❑ 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) 0 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) ,❑ Floor Sheathing(4195) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
l By Date By Date By Date
r
Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approvedinspection;Electrical,Plumbing&Mechanical
•
Rough-in and Fire/Draft Stop inspections must be t
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) 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 ci,„) Date/6 8,, ay/
•
of. • 2±[ - JO +
Federal Way PERMIrf
SF CO ME EL PL DE EN FP
COMMUNf1Y DEVELOPMENT SERVICES
335353-661-411 0
A 3 78 APPLICATION
FEDERAL WAY,WA 98063-9718 TO / /
www.dtuofederalwau.com
The ollowin• is re•uired in ormation-an inco •fete a.•lication will not be acce•ted. Please •rint le•ib/ (in ink)or .
_ -
PROPERTY INFORMATION
SITE ADDRESS .2.49,./ / SOtL S'j r- 1 LJc.t kd• SUITE/UNIT.%SAT
12:7-4-
ASSESSOR'S TAX/PARCEL# - - _ _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legd desvipson)
- PROJECT INFORMATION
TYPE OF PERMIT ),i/BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1. . CA)e.r CO. CX StiA.9 5iI✓Lai 1.4.ytr 01 re)0-4';an, 1.0;sill c4-
rte 1,...)
mem dii.,-c.r cif vyt dicf.c,k1 in., e w,�as%Sian, roofsyt.
C2. _rot creaks c "Hok a nk••Hb.er or re.bf u¢'t.6s NIL v •ii •eie1 c•.ir -ei f cOaf).
PROJECT NAME(Name of Business or Owner Last Name) WO:f a lSi'O IA 4Z-
PEOPLE
QPEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P;v$1% 61.c..1-e — Wgcferslokke P(ac.'e QS 3 ) 839 (,SD y
MAILING ADDRESS CITY,STATE,ZIP
G241,1l So. SK+ar Let.Le. Rd• F.'derat t.c.1%., 1.04 92 OU
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
T11 ird bA LI bevtlap,n•ekf 51!•ture`t Mate (5o3) 4S7 -3999
MAILING ADDRESS.' CITY,STATE,ZIP CELL PHONE
(S "f 72' 51-r•ee,4 O, City Oit y7ovs- (SSI1 ) Jo - yTyG
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E)U'IRATION DATE FAX NUMBER
-
-
/ / (So3 ) '57 -dig/L
BL
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I'tf I R 1) 1D D 9 4 7 k 1 P6 / 07 / OS
APPLICANTCOMPANY NAME APPLICANT NAME . OFFICE PHONE
50t.r1,1-e-. as co•at. ( ) -
MAIUNG 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
S*42.0q.A4 E. N'I:11 Qr (544( )390 - 474/6
LENDER Per RCW 19.27.095: Lender information is NAME
required ifproject value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP .
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
�r^ r
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �/ CIV .
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) •
SEWER SERVICE PROVIDER 0 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 Ewsrmc TOTA[,PROPOSED TOTAL Eosreio SliD PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FIXTURES
Indicate number of each typs offurtta•e to-be installed or relocatedas part-of this project. Do-not include existing fuxures-to-remain.
. _ =1♦TEFEiAIVIG.9� x ,- - . � . r .. �u
Value of Mechanical Work $
AIR HANDLING UNITS EVAPQRATIVE•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
PLUMBING, .
BATHTUBS ti rTub/Shower Combo) SHOWERS WATER CLOSETS(ropey MISC(Describe)
DISHWASHERS'', . . DRINKING.ROIJNTAINS' -, :, ,.;
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L VS(Bathroom Sink , • 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
.am;au horized'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 re(ia ce of the city,including its officers and employees,upon the accuracy of the informarion supplied to the city as a part of
this application. .
NAME/TITLE , .' , DATE 51/1 '/o�
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW a ADDITION ,p'AI.TERATIO,N, , , :a REPAIR ..K,. ; , =a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASICPLAN? 0 YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100–March 30,2004 Page 2 of 4 k\Handouts–Revised Temlit Application