04-103813 ID
City of Federal Way Building - Multi Family Permit #:04 - 103813 - 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
Project Name: WATERSTONE
Project Address: 2211 S STAR LAKE RD BIdg63 f ' 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.): E_____ ____H
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 th: .e will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W
iii
Owner or agent: Iif _ Date: ��LIf 6tfr
THIS CARD IS TO larIAIN ON-SITE
CITY OF A Pommunity Development Inspection Recoor
d
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103813-00-M F
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 63 -
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
•❑ LTrder+'_o^, F� >i ng(4285) ' •
• ❑ Floor Sheathing(4105) ❑ Shear Wal'.^ (4245)
Approved to s'.teath floor Approved to install flooring Approved to install siding
11327 _ Date By Date ' [By Date
❑ Roof Sheati.i.,rg(4220) ❑ Fire/Draft Stops(4095) NOTE. Prior to scheduling a Framing(4120)
Approved to install tooting Approved ' inspection;Electrical,Plumbing&Mechanical
q Rough-in and Fire/Draft Sto, Inspections must be
'signed-off and approved. IEC 109.3.4/UBC 108.5.4
By Date By Date
❑ Framing(4120) ❑ Insulation(4150) 1 ❑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 . (A..) Date/O .8 *oil
1110o4'
.�. _ vs t
FederalWay y P E R M I 1 SF )O ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
536614 WAY5•,WA 98063-9718 FAX 2 5366 1 4 129 APPLICATION - T.
www.dtuofederalwau.com
The oilowin• 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 01,2.1 1 5 Stow- L-Ot,Kt, KA• SUITE/UNIT#G
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 BUILDING a PLUMBING ❑ MECHANICAL
0 DEMOLITION a ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/. . , ex(6), x rt-,'r►- I a. 01 O'‘%i - -
n e 4.0 r a.'Ec.k a 1.1 e 6 wk ra S i 41z.,z., eo of set j
a. 1 cress e. tie ti t..K b.e r csf ro b"f tie KY- 'si 'e•e l a code.
PROJECT NAME(Name of Business or Owner Last Name) (A)44.+Ja,r S 'a K
PEOPLE INFORMATION
PROPERTY NAME / PRIMARY PHONE
OWNER r•7n — t r5 I-ofrve Pi 4C-02 Qs 3 ) 83 9 - 4504e
MAILING ADDRESS CITY,STATE,ZIP
c22.1 . r L.-ft.km. Rd• J.eder..t Wm., W4 ?S)00 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7Miird Z)ei ,Oe.utlop m.oii f 5•6eteeh Maier (54103) 45 7 -3?9?
MAILING ADDRESSCITY,STATE,ZIP CELL PHONE
ta(5 Sf/ree Or•e>b.s G:E.XP ode 97 ow_ (3'1 MSE o '/7 s'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERFAX
- - (503 ) 657 -144//6.
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
TNI R1b1> b 9 9 7 l< 1 aG / 07 X05
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
jot.&y'-e. aS Covet. _ ( )
MAIUNG ADDRESS CITY,STATE,ZIP {CELL PHONE
)
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME _ PRIMARY PHONE E-MAIL ADDRESS
S E. Wl:11,er (54!U )310 - 474/6
LENDER Per RCW19 27.095 jender information is NAI�(E
required Ifproject'value:ezceeds-$5;000,`.
MAILING ADDRESS art,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE [�'/,/�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ J/&-e�
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE O 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 EXISTING TOTAL PROPOSED TOTAL=STING AND PROPOSED
**NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIRTURES
Indicate number of each type of fixture to be installed or relocated as part-of this project. D&ndt include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAF'ORATIVE,COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Ieommercit) WOODSTOVES
BOILERS. FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS ter Tub/ShovsrCombo) SHOWERS WATER CLOSETS traacy MISC(Describe)
DISHWASHERS; SINKu:`,., > DRINKING:FOUNTAINS,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L VS-ta u,roau s`rnt j VACUUM BREAKERS ,
ELECTRIC WATER HEATERS 7
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
mt authorized 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 mqy 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 retia*ce 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 r7�/i
(Signature) (Title('
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor l7 Architect 0 Other
FOR OFFICE USEONLY
❑NEW o ADDITION 9°ALTERATION , :,t❑REPAIR = _ =o:TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC'PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pemtit Application