04-103804 0 0
Comm nity Development Services of Federal Way
Building - Multi Family Permit #:04 - 103 04 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request li e: 253.835.3050
it J.—. •
Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RD Bldg21 Parcel Number:7204&0 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:
Occupancy Load: L
Floor Area(Sq.Ft):: C
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 i • above information is correct and that the construction on the above described prope and
the occupancy and th u.a will be in accordance with the laws,rules and regulations of the State of Washingt in and
the City of Federal :y.
Owner or agent: .41A 41,E Date:
1
116.
• THIS CARD IS TO *MAIN ON-SITE
CITY OF � Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103804-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 21
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 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) 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
.❑ 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(4 • 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 e......c.,j Date/D.a„ brt!
•
"N. — 0 %
V
411.0.
Fede Ira Way ' 4 .
PERMIT
SF 0 0 ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530FIRSTWAY PO 18 18
FEDERAL WAY,WA 98063-9718 APPLICATION
TO / /
2536614115•FAX 2536614129
www.dtuoffederalwati.com
The ollowin. is re•uired in ormation-an Inco •fete a..lication will not be acce•ted. Please •rint le•ibi (in ink)or -.
PROPERTY INFORMATION
SITE ADDRESS I / S S*G'4 Lt. Rd• SUITE/UNIT#/ A& , 2. I
ASSESSOR'S TAX/PARCEL# - - _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)-
/• OVErfa ex�:s• -:Y19 s I tA5l.e._.. is y.er o1 ro0-e k1 w:sill eL
hu
e - ' ,-c.r df vat4CfeJe i1401 C 6wi10Si•1`irah roof i et
c2. Sr►c_re.ts c. 'f{'ta r1ca•'l b.er carrrot -fl Lie frif 5 '-* .41 •e'e7` cacr•^-eftl- code.
PROJECT NAME(Name of Business or Owner Last Name) (A)2CM rs*'0 K Q.
- :PEOPLE INFORMATION •
PROPERTY NAME / PRIMARY PHONE
OWNER P;Yf)'1 6,.,_(..e. "e. — CA-1: ftrs e Pi etc._s L253 ) 839 - 6,56 y
MAILING ADDRESS CITY,STATE,ZIP
4:22,11 So. Sim,- Lt ke. 12d• Federal cca.ca 1.c)4 ?S Oce 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
TA;r4 bat y beut 10prri•i,e l 5. etresi Mil fe t• (503) 457 -3999
MAILING ADDRESS- CITY,STATE,ZIP CELL PHONE,
61 5' ISI r,' 3frreel Orelo.cG:EXPI Oil 97OS/s (Sv/ ) .3'9'0 '/7S'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER RATION DATE FAX NUMBER
- - � / (SO3 ) 657 -Vy"G
B_ L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
rif r R D D D 9 9 7 k 1 1)b / o7 / OS
APPLICANT 'COMPANY NAME APPLICANT NAME OFFICE PHONE
50L$14•C.— as Co.a'f'. ( )
MAILING 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
E. h'1:1 ter (sc(t )340 - 4/7(/
LENDER Per RCW 19.27.095:•Lender information is ,. NAME
required if project value ezceeds45,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $c
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 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 E DSTn!O TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIRTBdRES
Indicate number of each type of fixture Lobe installedor relocated as part of this project. Do'ndt induce existing firturees to,remain.
MECIfAIUCAL - - -
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE'COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(C.s ,srdaq WOODSTOVES
BOILERS FIREPLACE INSEKIb RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
.x
-PLUMBING
BATHTUBS tor T..b/Seo.s,Combo) SHOWERS WATER CLOSETS trey MISC(Describe)
DISHWASHERS;` ;` u ., b SINi." ,9DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
: = 14VS[ swey 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
,a m;authorized,by thk 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 relia ce of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. •`
NAME/TITLE DATE D t/i f/0'7/
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner a Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE-ONLY
o NEW o ADDITION , 'ALTERATION „o REPAIR *, -,<< . =o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC'PLAN? b YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application