04-103818 •
City of Federal Way Building - Multi Family Permit #:04 - 103818 - 00 - MF
Community Develo mens 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 B1dg67 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 1 #3 #4
Occupancy Group
ConstructioncType _� �_ __ _
cupancy Load
j 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 ab eve information is correct and that the construction on the above described proper ty and
the occupancy and the use ill be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: �_,_I 4.
AAA . Date: � 0 Lf
41116h,-
THIS CARD IS TO MAIN ON-SITE
CITY OF ommunitY Developmentp Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103818-00-MF •
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 67
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) ❑ 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) ❑ 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 9 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) �
El ❑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) ❑ Final-Building(4050)
Approved pproved
By Date By . Date rd.. ?-O $,
crrrof • _ W.
Federal Way L I d 3 —. ( —g
COMMUNITY DEVELOPMENT SERVICES PERMIT SF CO ME EL PL DE EN FP
33530F1RSTWAY SOUTH 9X9718 APPLICATION
FEDERAL WAY,WA 98063-63-9718 TD / /
253-6619115•FAX 253-661-4129
www.dtuofederalwau.com
The ollourin• is re•uired in ormation-an inco •lete a..lication will not be acce•ted. Please •rint le•ibl (in ink)or ••.
PROPERTY INFORMATION
u 1
SITE ADDRESS I/ Soa. S"alit 1.—Otic.t KC(• SUITE/UNIT t,66---. ( 7
ASSESSOR'S TAX/PARCEL# - - _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legd desaipuon; •.
- - PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1. . averts, cx:s'1':ytl I Kgbe.t1a ycr o1' oo- w;< h ac
het•) 44-74-r CM wt a.' 'c.k p.q c a.M OS1' Cwt roof.vt
.2. _T.•.c re..s c 'tin44.1 b.e r of ro r f l ue vi•'(H, V-,. ?SI a'e l C 414.r.-e et t' c Ode.
PROJECT NAME(Name of Business or Owner Last Name) (A) C` Q.r si-O K'Q
PEOPLE INFORMATION
PROPERTY NAME �['._ PRIMARY PHONE
OWNER P:inn GLG1'•e. — rs Tie Race L?53 ) 839 - 6•50y
MAILING ADDRESS CITY,STATE,ZIP
c22.1/ .56. _71-0..- Lae.ke. 12d• F.derat Wm., W4 9S'C'O 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
771;rd bat y be.tJtlapnuek1- SIetreii /'1r//er (503) 4S7 -3?9?
MAILING ADD CITY,STATE,ZIP CELL PHONE
4.(5 ! ( 1 ' Strte Ore>o.a City 7I 'noels- (SY ) J o - W 7 yL
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER It
— / / (503 ) 657 - Yy!G
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
TM Z. R D b b 9 q 7 k I D /O7 / OS
APPLICANTCOMPANY NAME
, APPLICANT NAME OFFICE PHONE
5".114'4.-5".114'4.-- 0.S co•1f. . i.
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME _u _ PRIMARY PHONE E-MAIL ADDRESS
9�.c.xe k E. N'1:1IQ.- (s'(( )310 - 47416
LENDER Per RCW 19.27.095: Lender in ormation 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 $ 6—‘.c/t0{
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ 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? TOW.EXISTING TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
- FIgLTURES
Indicate number of each type o}fixture lobe installed or relocated as part of this project Do'ndt include existing fulirres to remain.
hIECIIANIICAL"
Value of Mechanical Work $
AIR HANDLING UNITS EVAPQRATIVE'COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERT'S RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING -
BATHTUBS(orrob/shower combo) SHOWERS WATER CLOSETS trolcy MISC(Describe)
DISHWASHERS, SINKS ..DRINKING FOUNTAINS.
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS teou>:oapsirAr4 r VACUUM BREAKERS _ELECTRIC WATER HEATERS
DISCLAENIER/SIGNATIIRE BLOCK
I certifij under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
.,amtrsttthorized=by theYowner 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 reliance of the city,including its officers and employees,upon the accuracy of'the informs ion supplied to the city as a part of
this-application
NAME/TITLE £ DATE - Ds/i v/ q
(Signature) Irate)~
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE<ONLY
o NEW 0 ADDITION 9 AJ,TERATIO$ -o REPAIR ::. . 4o'TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ii NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application