04-103675 I,
City of FedDeveloeral W ayment Services Building - Multi Family Permit #:04 - 103675 - 00 - MF
Community
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 APARTMENTS
Project Address: 2211 STAR LAKE RD Bldg 1 u Parcel Number:720480 0095
- Project Description: ALT-Overlaying existing single layer of roofing with new layer of matching composition roofing;
increasing the number of roof vents to meet currennt code requirements.
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 �r #4
Occupancy Group:
Construction Type:
{ Occupancy Load:
Floor Area(Sq.Ft.): ____L----- ._____] . L
Census Category........ 555-Non-structural roofing p Mechanical.....:. No
Plumbing....... .. ......'. . ..................... No
PERMIT EXPIRES March 12,2005.
Permit issued on September 13,2004
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: E Date: `7/7.3/6
THIS CARD IS TO .MAIN ON-SITE,,
Nk
Y
CITY OFA tommunit Developmnt Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103675-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 STAR LAKE RD Bldg.r'28
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) .
❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
•
ElRe-steel(4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) l
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date ,i,
❑ 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
❑ Roof Sheathing(4220) 0 Fire/Draft Stops(4095) 3 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 1093.4/UBC 108 54
❑ Framing(4120) 0 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) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
O Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved /`
By Date By Date 9--/% —U7
of diP"L4111-11k----- ,;,..,:_-- _. ._... - ... . lk - ly) a. G 7..__
Federal Way RMT —
COMMUMrYDEVELOPMENT SERVICE5 a ,J i, P�" 'a' SF MF�'CO ME EL PL DE EN FP
33530 FIRST WAY SOU71•PO BOX 971*`- ,a , i
FEDERAL WAY,WA 98063-9718 APPLICATION TD / /
253-6614115•FAX 253661-4179-,,,
www.atuolfederalwau.cork' ,_. ,,'f;
The ollowin• is re.uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le•ib/ (in ink)or .
PROPERTY INFORMATION
SITE ADDRESS «I/ S 51-0-r- 1—ci,aCe, R,d• rjlpf
cf a SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 r2_C) ).( - - 0 i LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4.R,4+51-'4:'.1
(Attach separate page for lengthy legal desaipeon)
- 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. Over(o►y c X S•fi:hL. 9 s i K9 I t i s y c r 01 r-o o-Ct i w.1h
neap ai•v�.�r 6 v wt a.-re.,K i K� cow,joa S t( ern r`oo• -F 44v
o?. Sy,credits c '!rhe h 44..•1 &e r de "-Cob I LQ"t'&S Y-c. root 'e•e 1 c aarreft `' c ode.
PROJECT NAME(Name of Business or Owner Last Name) (A.)a.-E`e r 5$0 IA 4Z-
PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER �� P:n„ �c.t-e — cfcrs�„►e R4c--oz L?s 3 ) 839 - 14541 y
f_j' 'O MAILING ADDRESS CITY,STATE,ZIP
( o'a(1 so. -5-604... L.t.k.. ltd. Feder./ cty u)4 9S`) 'o
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�
`- Third b beut1ap *.r f 5-t•etreii Mr/ter (563) (DS7 -3999
13 (o(5 A1uj- MAILING !! 5 free 7� Ore1Ap.,,CITY,STTE,city OR 17 04/5- (SY/ )CELL PHONE
4/7s'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - / / (SO 3 ) 657 - Yy/6
-B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
r'/I) I R b D D 9 9 7 k 9 x6 / 07 / OS
APPLICANTCOMPANY NAME, APPLICANT NAME OFFICE PHONE
�•l9rt-&. as covet. ( ). -
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
E. v)1:I IQr (S.(( )390 - 4/7y6 _
LENDERNAME
Per RCW,19:27.095: Lender tnjorinatcon 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 $ 5 5-c--2-O -----
,
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE o TACOMA 0 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 FLOORS(DESCRIBE)
• DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTALZXSTuo TOTAL PROPOSED Toru.EXISTING ANDPROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
- FACTURES
Indicate number of each type of fixture lobe installed or relocated as part-of this project. Do'nu't indude existing Textures to remain.
MECHANI AL «
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE•COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS tcommerciatl WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS to-Tub/Showercombo SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS' ;` SINK^a ,. _ • DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L7).NS, ,< ,.• " 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
.wntatthoriued'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 reliance of the city,including its officers and employees,upon the accuracy of`the informajon supplied to the city as a part of
this application.
NAME/TITLE e_ , DATE DS/1 9/o /
(Signature( '(Title) ..
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE<ONLY
❑NEW o ADDITION 4 ALTERATION ,, rn REPAIR =o TENANT IMPROVEMENT
BUILDING SHELL ONLY? 0 YES a NO BASIC PLAN? 0 YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application