04-103794 • •
City of
CommunityeDevelopment Services Way
Building - Multi Family Permit #:04 - 103794 - 00 - MF
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 s
Project Address: 2211 S STAR LAKE RD B1dg5 Parcel Number:720480 0095
Project Description: Install new comp roofing and 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:
IConstruction 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 th, .bove information is correct and that the construction on the above described property and
the occupancy and the 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: 4. 4. Al* t Date: rl 6
1
A • THIS CARD IS TO*MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103794-00-MF
Owner: PINNACLE MANAGEMENT -WATERSTC
Address: 2211 S STAR LAKE RD Bldg 5
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) 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
. •
❑ 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
Roof Shsathin�(4220) Fire/Draft Stops(4095)• �.a �b, .. �oa�.d e�_,..F �. ,. 2 N i
❑ b 0 pl 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'
,❑ 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) ❑ 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 G Date/ "sly p y/
•
41111,16.
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• 1_)_ 3 7
Federal Way DE TV''IT
so 0 ME EL PL DE EN FP
ODMAlUM1Y DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH• BOX 9718 APPLICATION ° -
FEDERAL WAY,WA 98066 3-9718 / /
253-6614I75.FAX 253661-1129
tutow.at,iolfederalua u.com
The ollowin• is re•uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS II! Somu- Star oJc
e. Qd• SUITE/UNIT (v-
ASSESSOR'S TAX/PARCEL# _ - _ _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desnipron)
- PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING a PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)..
/. . Over(a . ex:st:)45 sivtyyet- 01 rd0-Ct 4-19 w.%il1
hem -e-r df _km t4,, c o ra ro s i$ a—t ro of 64
o?. 1.,.creaks c tM e n ca.•4 1,4e r of ro b l Lie 11,1-s %it- c ba.•v--eM,D c cute.
PROJECT NAME(Name of Business or Owner Last Name) (A)OL`oa r s l-c N'
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER (Aiccf crs lofrke p(ac_t Qs 3 ) 83? - lvSo y
MAILING ADDRESS CITY,STATE,ZIP
622.11 So. Le. Rd. F.Pdera( tc.aa u),Q 9S'Oct 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
77);"41 j be u -f"/ p�t�o k S14e ues /11://Q 1. (503) to 5 7 -3' 9 9
MAILING ADDRESS— CITY,STATE,ZIP CELL PHONE
,(S 14/ T–'' Sfre- Dre10.4 C.*, OK 97Oys (SSI/ ) J',c, - %'7s,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E PIRATION DATE FAX NUMBER
(503 ) 4S7 -4141/6
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
TH I R b b 9 7 k 1 P6 / 07 / OS
APPLICANTCOMPANY NAME APPLICANT NAME OFFICE PHONE
Sa.YYt-e_. aS G'o.1'f. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant a Agent 0 Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
' -avt.n E. 01:I l•er acto - 4/7c/
LENDER Per RCW 19.27.095: Lender information is NAME
required ifproject'value;erceeds`'$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ CSO. r
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• ill
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 EXISI1NG AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture lobe installed or relocated as part of this project. Do ricrt include existing fixtures to-remain_
Value of Mechanical Work $
AIR HANDLING UNITS EVApORATIVE,COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercisd) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING-
BATHTUBS co,rubishow.-Combo) SHOWERS WATER CLOSETS(rens MISC(Describe)
DISHWASHERS SINES DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
L4VS , 4.
tilathroOkp 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
...arntthrthorized by thkowoer 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 retiasice of the city,including its officers and emp(byeef,upon the accuracy oftheinfornayon.supplied to the city as a part of
this application.
NAME/TITLE E
-
(Signature) ...ante) DATE D13/1 fii4b
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY;
o NEW •a ADDITION <a ALTERATIQN „a REPAIR < TENANT IMPROVEMENT
BUILDING SHELL ONLY? a 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? a YES o NO
PLATTED LOT? o YES a NO • DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application