04-103791 1
• IP 1
City of Federal ay Building - Multi Family Permit #:04 - 103791 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 Bldg3 Parcel Number:720480 0095
Project Description: New comp roofing and roof vents
Owner Applicant Contractor Lender
PINNACLE MANAGEMENT-WAT1 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: L _
Occupancy Load; 1. _
Floor Area(Sq.Ft.): -1
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 , above information is correct and that the construction on the above described property and
the occupancy and tip e will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W•
Owner or agent: A A .4 A gDate: q1)..q104
I .
1
THIS CARD IS TO *MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103791-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 3a
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) ❑ Foundation 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) 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) 0 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
O 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 1083.4
❑ 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) .
❑ 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 Date1e ,..0 .0 4,1
•
Federal Way PERMIT
CO ME ELPL DE EN FP
cOMMUNDYDEVELOPMENT SERVICES S
33530 FIRST WAY SOUM•PO BOX 9718
FEDERAL WAY,WA 98063-9718
APPLICATION T°
253-6614115•FAX 2536614129
www.cituoffederalwau.com
The ollowin• is re•uired in ormation-an inco •fete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or, .
PROPERTY INFORMATION
SITE ADDRESS / SOctik, S't'our- L-Ot,Kt g.ci• SUITE/UNIT# ••-' .
ASSESSOR'S TAX/PARCEL# - - _ _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Anal,separate page for lengthy legd daaipton) •
-. PROJECT INFORMATION
TYPE OF PERMIT k BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
1. . Over ta ex:s•t Kea S t rA •t toyer off' roc?R•i h9
hem �o1L.j•c,r df vvta.#c.kliot, c owsroof L
o?. .--Tai cress t 'fie n k.H b-e r dr re,b ve arses '#-A rst c•�r.--eK ` cede.
(Nameof Name) GJa-f ers1-ov•e
PROJECT NAME Business or Owner Last
-
PEOPLE INFORMATION
PROPERTY NAME / PRIMARY PHONE
OWNER P;invk f Gl rsle Rac-2 Qs3 ) 839 - (PSoy
MAILING ADDRESS CITY,STATE,ZIP
4:22.1I So. _liar kc ltd• Feder..( LcJmj LO4 9900 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Third Any betit/op PS••41- S*tcrevl Mi.//42 I (563) 457 -3?99
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
(5' /y r'' 51-ree Ore o•+ C.t C)1 97oys (Sv! ) 39'o - '/7'/C
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXIPIRATION DATE FAX NUMBER
(50 3 ) 657 -Jig/
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I� It r k b b b q 7 k 1 ad / o 7 S D S
APPLICANT .. COMPANY NAME APPLICANT NAME OFFICE PHONE
501.444-e- Coott.
MAIUNG ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME _ PRIMARY PHONE E-MAIL ADDRESS
e�0emk E• yri:l l e r (5'4( )31C) - 474
LENDER Per RCW'19 27 095 •Lender inforrization,ls NAME
required if project value exceeds 45,000'
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE /�9'n
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ,
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ 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? TOT,u.EXIST= TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIgLTURES
Indicate number of each type of fixture.tote installedor relocated as part of this project Do'adt incliule existing fixtures to-remain.
MECHANIG`AL" « ,
Value of Mechanical Work $
AIR HANDLING UNITS EVAPQRATIVE'COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/Shower Combo) SHOWERS WATER CLOSETS(Toile) MISC(Describe)
DISHWAtHERS, „. =SINKS:- :. .DRINKING.FOUNTAINS.
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBSS
LANs I®advoao.Sing - `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
aantt Wthorized=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 informatlonsupplied to the city as a part of
this application.
NAME/TITLE DATE D1/1 9/°°./
(Signature) (Tule)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect ❑ Other
FOR OFFICE USE ONLY
o NEW .a ADDITION ,e A,LTERATIQN ;3 .o REPAIR ..- , i a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Rcvised\Permit Application