04-103811 •
City of Federal ay Building - Multi Family Permit #:04 - 103811 - 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 •
Project Address: 2211 S STAR LAKE RD Bldg45 Parcel Number:720480 0095
Project Description: Install new comp roof with roof vents
Owner Applicant Contractor Lender
PINNACLE MANAGEMENT-WAT1 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:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.): 1 _
Census Category............... 555-Non-structural roofing p Mechanical No
Plumbing.......... .....: .._................ No
PERMIT EXPIRES March 20,2005.
Permit issued on September il,2004
I hereby certify that the a.ove information is correct and that the construction on the above described property and
the occupancy and the u - ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: AL / A Date: �' l O
• THIS CARD IS TO•MAIN ON-SITE
CITY OFA Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103811-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 45
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) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved t9 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 I By Date
00 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 '.
By Date By Date =signed-off and approved. IBC 109.3.4/UBC 108.5.4`s
•❑ Framing(4120) ❑ 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
O Final-Public Works(4080) 0 Final-Building(4050)
Approved Approved
By Date By G,,, W Date( 6 .08.c^b 4
_ c,, • • (7 41 I ° 3811
Federal Way PERMIT
S CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 DR WAY BOX 9718 APPLICATION
FEDERAL WAY,,WA WA 988 066 3-9718 TD / /
253.661-4115•FAX 253-6614129
www.eituoffederalwau.com
The ollowin. is re•uired in ormation-an inco •lete a..lication will not be acce•ted. Please •rint le•ibl (in ink)or -.
_ - PROPERTY INFORMATIONr
SITE ADDRESS c I / Si 51.04• L-C44 t k.0• SUITE/UNIT# /
ASSESSOR'S TAX/PARCEL# - - _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiplzon)
_ ,. .. PROJECT INFORMATION
TYPE OF PERMIT k BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti)
/. . Over Co. cx s1-:n� s i vty i•e. I. yen o1 r-o0-';Pi, LA,;sill et-
ane(� exv-e.r of wt afc.t� Koh c owl r0 St$i c5 r`oo'f 1&.t j •
o2. -rot e.re*$a 14L1 e rica.••n b-e r el ro fl"[ ue nl-3 %)1-c. "II 'e•e 1 C dt.P"€' 0' C cue.
PROJECT NAME(Name of Business or Owner Last Name) Wd i 44 x510 N
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 'at rfY1 GLGt•e. -. W r5 J-O"ve Nac-ce Ps 3 ) 939 - 6.564/
MAILING ADDRESS CITY,STATE,ZIP
022„1! So. _View Let[ce. Acf• Foderat 44.1..y w.4 95'DO 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Til;rd ,)eu�t10pni-aatf 5Y•tu'evi mr/!er (503) 457 -3999
MAILING ADDCITY,STATE,ZIP CELL PHONE:.
(S i<( 721 Strce 1 Ore>o.+ 0* OR 17 0415- (nsq)..r9'o `17''14
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E. IRATION DATE
- / / (So 3 ) ei 57 -414/4
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
rtf IRDDD 9 9 7 l< 1 D6 / o7 / OS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
501-114-e...._ aS co•1 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
'1-eue*.N E. 1/4:! ler (Sc(( )39O - '/7y6
LENDER Per RCW'r 19 27 095: Lender in ormation'iso NAME
f
required if project'value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
�y
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $'7 S-9(/•
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ 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? Tome=STING iG TOTAL PROPOSED TOTAL EXISTuc AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIRTURES
Indicate number of each type offurfure to-be installedorrelocated as part of this project Do`no"t include Ming fixtures to-remain.
MECIIA?JI AL .. . . 4 s
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORAT1VEyCOOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS -FIREPLACE INSERTS RANGES MISC(Describe).;
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS k.rrubisno<rCombo) SHOWERS WATER CLOSETS iron MISC(Describe)
-
DISHWASHERS, SINKS .DRINKING;.FOUNTAINS',
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LtiVS ililatbrooMs 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
.,amtauthorized-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 reliarace of the city,including its officers and emplbyees,upon the adcuracy of the informa43 on supplied to the city as a part of
this application
NAME/TITLE , DATE ,, D t/i a/11)
(Signature) _(Tile)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR-OFFICE USE ONLY ..
❑NEW .a ADDITION [=ALTERATIO,N , . ;-:.a REPAIR ,.,. , , :a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES ❑NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pemiit Application