04-103816 4
City of Federal Development Services
Be
Community Building - Multi Family Permit #:04 - 103816 - 00 - MF
velen
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 BIdg65 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: f
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 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 Way,
Owner or agent: Date: c )1-? I Oi.f
t 66
I
CITY Of THIS CARD IS TO *MAIN ON-SITE
Pommunity Development Inspection
n Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103816-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 65
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.
❑ Footings/Setback(4110) ElFoundation Wall(4115) ❑ 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) .❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place c>ncrete
By Date 1 By Date By Date
.4❑ 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
4❑ Roof Sheathing(4220) �I ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing 11 Approved inspection;Electrical,Plumbing&Mechanical
1 Rough-in and Fire/Draft Stop i nspections must be
By Date By Date signed-off and approved. IBC 1609.3.4/UBC 108.5.4
.❑ Framing(4120) ❑ Insulation(4150) �❑Gypsum Wallboard Nailing(4130)
Approved to insulate 1 Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
4❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) �❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date 1 By Date By Date
. _ - -4
❑ Final-Public Works(4080) 0 Final-Building(4050)
Approved ` Approved
By Date By c. C Dater-g _0 V
,
•
COT d • - -�-
1:2
Federal Way -�-
PERMIT SF O ME EL PL DE EN FP
OOMFed DEYELOPMENI SERVICES
33530 F1RS7'WAY SOUTH 98 PO 3-9718 18 APPLICATION T°
FEDERAL WAY,WA 9806317/8
253-6614715•FAX 253661-4129
www.dtoofederahuau.com
The ollowin• is re.uired in ormation-an inco •lete a.•Iication wiI1 not be acce•ted. Please •rint le.ib/ (in ink)or • .
PROPERTY INFORMATION
1 r �-
SITE ADDRESS /( 5 Xa.4 S".c'r L Gt k.a• SUITE/UNIT
ASSESSOR'S TAX/PARCEL# _ _ _ _- _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal de c..puon)
- PROJECT INFORMATION
TYPE OF PERMIT hf BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1. Over(aL. exiss•t•:)19 s i K91•c to y .r off' 4,0- 1 wf'iL c
Y1etn� & 'j-t.r (YE v►14.fc.k �.. c 5*irk,vas;'�-talot roofs 64.
o?. —Tv'erca$t -1-11 a , k.•., b•e r elf" reI b l Lie Yl.'-5 .yt e e 7R a c oc(e.
PROJECT NAME(Name of Business or Owner Last Name) (004 0612.1.$`-C)K'Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P 4 r1Y1 GLGI-e " cfer5 TO"t'e p(4c-_2 L?s3 ) 83 9 - loSo
MAIUNG ADDRESS. CITY,STATE,ZIP
(i 50. t LA.kg- Rd• Federal Gc1.cy )4 "PSOct
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7l�Frd beut 10prrt41if"f" 5Y•etreii I'?/I IQ to (503) 4S7 -3??
MAILING ADDRESS.' CITY,STATE,ZIP CELL PHONE
(o(S !41 z--'' Scree Oreo.. c: € 970ys (SSI/ ) , 'o tilyG
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER PIRATION DATE FAX NUMBER
B L / / (SO 3 ) 657 -Sly/6
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
r' iiI i b b b 9 9 7 k 1 D61o7 / 0 5
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
.5".giet ab co.tf. (
MAILING 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. ✓1'1:1I•e.- (Sc.(( )310 - 4174/6
LENDER Per RCW.19.27.095: Lender information it NAME
required if project value exceeds 45;000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE GG /+�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ v.� S ®,
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ 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? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND raoro5Ev'
"NEW HOMES!ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIRTURES
Indicate number of each type off Lure to be installed,o'r relocatedas part of this project. Do'not include existing fixtures to=remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPQRAVE•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 tr.Tub/Shower Combo) SHOWERS WATER CLOSETS trexq MISC(Describe{
DISHWASHERS, SINKS > DRINKING.FOIJNTAINS' . .:
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(e.tie,4,si,Eit _,_ _ VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
1 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
:,am.,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 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 reliace of the city,including its officers and employees,upon the accuracy of the inform4zon supplied to the city as a part of
this application.
,
NAE/TITLE I
MDATE S�0 y
(Signature) (Title'..
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION .c AJ.,TERATIO,N', .o REPAIR .0=TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC'PLAN? a YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Pemtit Application