04-103815 • •
City of Federal ay Building - Multi Family Permit #:04 - 103815 - 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
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Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RD Bldg64 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:
Occupancy Load: 1
Floor Area(Sq.Ft.):
Census Category.,,.. 555-Non-structural roofing p Mechanical No
Plumbing........ ; ,.,...,,, No
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PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
I hereby certify that th- above information is correct and that the construction on the above described property and
the occupancy and the will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Wa f l �y
Owner or agent: a ' A .A Date: //)- fv I
1 111 r
lkh, THIS CARD IS TO *MAIN ON-SITE
CITY OF ?ommunity Development Inspectionn
Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103815-00-MF
Owner: PINNACLE MANAGEMENT W\TERST(
Address: 2211 S STAR LAKE RD Bldg 64
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
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�❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) �❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
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❑ 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
.._mm. ..,,...a,.....,..:.v.., . ..a.maw...., .,,.,..,,.<
O 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
❑ Final-Public Works(4080) 0 Final-Building(4050)
Approved Approved
By Date By G.. Date/0 -8-05/
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• 40 Cf - _l_ 0 S 1 5--
Federal Way PERMIT SF j, CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY • BOX 9718 APPLICATION
FEDERAL WAY,,WA WA 98066 3-9718 TD / /
253-6614115•FAX 253-6614129
unuw.dluofederalwau.com
The oilowin• is re•uired in ormation-an inco •fete a.•&cation will not be acce•ted. Please •rint le•11,1 (in ink)or • .
PROPERTY INFORMATIONr
.# ..k. 44
SITE ADDRESS cola/ / S 51%A.r- L--tic.t ka• SUITE/UNIT 'el. A(
ASSESSOR'S TAX/PARCEL# - - _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaipdon)
. PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
I. Overt*. exS't':`n9 i► le layer off' ori w.�h
net. - r of wt.cfc.k 1.,_ C 66'11Ioasi$ieh roo i of
.2. _z-.•.crew.5c *1-1ne la .1+ 1,-e r- d robe u@rt.1-5 C #$1 eel Cc..rreftt- cede.
PROJECT NAME(Name of Business or Owner Last Name) Wal r Si-o tA'Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P.y Gt„CJ , — Wal.-{•ers I.04-ve ?lac.-ca Qs 3 ) 83 9 6so y
MAILING ADDRESS CITY,STATE,ZIP
c(( So. ...5101.e Loft.ke, Rd. F4pdero l (ca..y w.4 ?V Oct 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
(503) 457 -3?9
771/rd ,(�.evt lap�.ok f S1f�ecreh Mater 9
MAILING ADDRESS'. CITY,STATE,ZIP CELL.PHONE
(o!S 19 T—"' Si-reel Ore ns C:fyINC 97o'is- (S11 ) .19'o V75/G
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EgPIRATION DATE FAX NUMBER
- - / / (5O3 ) 4057 -40114
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
r X RbDb 9 9 7 k 1 P4107 / DS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5oc.ct t-e— as co..tf. ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( I -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
.54-Lye_.-% E. N'l:1 ter (544( )act o - '/7y6
LENDER Per RCW 19.27.095: Lender in ormation is NAME
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 $ /�S/O l
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) '
' SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
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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? TOTALF.XISTUtG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
- FIXTURES
Indicate number of each type offixture xture.totbe installed or relocated as pad this project Do`rio't inchide existing fixtures tl remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE-COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS icomm,Ri q WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe);.
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
-
-PLUiIRING
BATHTUBS 4o,Tub/Shower comb.) SHOWERS WATER CLOSETS tr anti MISC(Describe)
DISHWASHERS o SINKS ;. DRINKING FOUNTAINS.
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS iii.uvaain VACUUM BREAKERS ELECTRIC WATER HEATERS
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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
nam;akzthorized 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 rehiasce 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 , RATE SA V/0A/
(Signature) Trate)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE-ONLY
o NEW o ADDITION a-ALTERATIQN ;" .o REPAIR r,:e-_ :o FENATIT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
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Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Pertnit Application