04-103807 111
City of Federal Way S
Community Development Services Building - Multi Family Permit #:04 - 103807 - 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 Bldg42 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:
Construction Type:
I
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 above information is correct and that the construction on the above described property and
the occupancy and the use R 1 be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: , , Date: � 0 1
.4
THIS CARD IS TOY P p MAIN ON-SITE
CITYOF tommunit Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103807-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 42
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) ❑ 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) 0 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
O 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
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ 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) 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) 0 Final-Building(4050)
Approved Approved
By Date By G (.,„__) Date ip ,a.Ory/
."7. '1
.o .. A- 1 0 3 S0 _7_
0 . ..-
.
deral Way PERMIT
SFOMEELPLDEENFP
COMMUMIY DEVELOPMENT SERVICES
335253-6FIRST.WA 3WAY SOUTH•PO BOX 78 APPLICATION
FEDERAL WAY,WA 98063-9718 TD / /
www.dttroffederalwau.com
The ollowin• is re•uired in ormation-an inco •tete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or
-
PROPERTY INFORMATION
_ r t
SITE ADDRESS /) S 5*c,,r L-�O�,KC ka• SUITE/UNIT#, % _
ASSESSOR'S TAX/PARCEL# - - _ _ _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attoth sepamte page for tergthy legd desoipaonJ ..
PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit.I)
1. . Over exe::s•t':P14I Kg be #a ycr off` roo- It1
i to ac
..
1
n e e."-e.r t..1.-F wt a.'-c.k i t.t, c o wt r S s 41%5 r`o of i vt v
o?. 1'.1cresse. fits na.•.•% b.er de row( ueWEs '/-4 ell 'e•ey` ca.crreK"( cod e.
PROJECT NAME(Name of Business or Owner Last Name) (04-.)0Lf ieS 1-Cl K
PEOPLE INFORMATION •
PROPERTY NAME PRIMARY PHONE
OWNER );Inn GLci-e — (.taac fors J-obve Netc-4 QS 3 ) 839 (.SD ej
MAILING ADDRESS CITY,STATE,ZIP
( J( 50. , g,.r Lat.L Ref. T eller*/ (4.1...a 14)4 9S'Oct
CONTRACTOR COMPANY NAME t APPLICANT NAME OFFICE PHONE
'TA rc( 1 u /011 ni-Qliz'1 5�'etJ'eN mi/``Q 9
r (5E)3) 45 7 -39'9
MAILING ADDRESS 1), CITY,STATE,ZIP CELL PHONE
4,(5' P4 Th Scree/ 19e a.+ C.4'y 0 970els- (SS'1I ) ."91)E -'t17S/G
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ee)�IIRATION DATE
_ _ / LSO 3 ) X57 -' q,
BL
CONTRACTORS REGISTRATION NUMBER.(copy of card required with each application) EXPIRATION DATE
7 h' I RI) bD 9 q 7 k I a6 / o7 / DS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5yt-� as co•1f -. (
a ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
.54�U % E. W1:1 kr (5'4( )39O - 474/46
LENDER Per-RCW 19.27.095: Lender information is
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 $ 5 ' 0.
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ 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? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
••NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FIXTURES
Indicate number of each type of furture to installed"or relocated as past of this project Do`ad't include existing fixthresto-remain.
MECFfANICAL _ _
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE•COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS "_ HOODS(commerchu WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC{Describe)
COMPRESSORS FURNACES GAS WATER[-[EATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS terT.b/Sho.srCombo) SHOWERS WATER CLOSETS troies MISC(Describe)
DISHWASHERS. .DRINKING,FOUNTAINS_
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
.''° LAVE ta,rhroemc suck 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
�arn;al thorized by th.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 ma.y be made by any person,including the undersigned,and fated against the City of Federal Way,but only where such claim
arises out of the retiar ce of the city,including its officers and empiOyees,upon She accuracy of the'informs ion supplied to the city as a part of
this application. '
NAME/TITLE RATE I/1 8/0 y
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
a NEW o ADDITION < AJ,TERATION ;" o REPAIR _ " toTENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC'PLAN? i YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? Cl YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I-iandouts—Revised\Permit Application