04-103812 s
City of Federal Way Building - Multi Family Permit #:04 - 103812 - 00 - MF
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.835.3050
Ph:253.661.4000 Fax:253.661.4129 p 9
Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RI)BIdg60 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 1 #3 Ji #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 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: 'd' _i. ,A Date: q 1), f`V
IPI
THIS CARD IS TOY Pm MAIN ON-SITE
CITY of tommunit Develo nt Inspection ection Record
A
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103812-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 60
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) 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) 1 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 Da:e By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) 0 Insulation(4150) .11 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) ❑ Final-Building(4050)
Approved Approved
By Date By Date/d .8-0 4S/
CITIr Of
Federal Way PERMIT
ODMMUNr1Y DEVELOPMENT SERVICESSF �ivi0 ME EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
Z 3-6614 5•FAX 253-6614129 WAY,WA 98063-9718 APPLICATION TD
www.dt uoffederal wa u.oom
The oflowin• is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or • .
PROPERTY INFORMATION
SITE ADDRESS ] / SeddkS1aN' L•O�,lct, �c(• SUITE/UNIT Lo&
ASSESSOR'S TAX/PARCEL# - - _ _ — LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Mtach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT )1ti BUILDING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only{)
!. . aver(o. exp s•t':n9 s i vCaJ It /a ycr o'F " 41-); 1•1 of
nem -•r of v>aafc.G>,�+�. cow„poseoof i Kv
c2. cre^s c b•e r de rob-f tJ¢Ire -S v #41 'e•e'f c ry-eK:rt" code.
PROJECT NAME(Name of Business or Owner Last Name) (A)ol+e rSi-OK'2
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ta;hri u.c!-e — Wcferr lofrve place (?S3 ) 839 - !>DSoy
MAILING ADDRESS CITY,STATE,ZIP
,11 5 . .Sfa.r L•.,Le. Rd• gederot UAL, u),4 95'DU
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Third I)evt/op rn'ak'f" SYfeu'erl /M1r/fe' (503) 457 -3999
MAILING ADDRESS'. CITY,STATE,ZIP CELL-PHONE,
(,(S /q 7—"' Sfree Ore>a., GEXP] A 97asls- (SV/ ) .'9'0 5/75/G
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER RATION DATE FAX NUMBER
- / / (So3 ) 'SY -Yy/6
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
ri ] R D D D 9 9 7 k I P6 / O7 / 05
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5C4•1•14•� as C'o.if• ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
)
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
`t-evert E. 01:1 t ee r (sc(( )390 - 4/74/G
LENDER Per RCA/19.27.095: Lender in orrnation ass _. NAME
required if project value exceed:1$5,000"
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ 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
ADDITIONAL FLOORS(DESCRIBE)
• DECK(COVERED?) -
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROrOSED TOTAL EXISTING AND PROPOSED
"NEW HOMESONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FI�LTURES
Indicate number of each type of fixture lobe'installed or relocated as part•of this project Do'not include existing fixtures to remain.
MECIIANICAl. _
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE'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(orT.b/Shower Combo) SHOWERS V WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS. SINKS ,. ,, = DRINKING FOUNTAINS,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LIpVS 1s,throumSLAM) 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
aim%Chithorizedd-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;iaace of the city,including its officers and employees,upon the accuracy of the'informaionsupplied to the city as a part of
this application
NAME/TITLE DATE _ I/t a�0 y
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USEONLY
o NEW o ADDITION q°ALTERATION :o REPAIR .-> < . =a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin tI 100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Perniit Application