04-103799 •
Cottmmuny ofity Development Services ederal Way Building - Multi,Family Permit #:04 - 103799 - 00 - MF
33530 1st Way S If Y i
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WATERSTONE 11)
Project Address: 2211 S STAR LAKE RD Bldg? Parcel Number:720480 0095
Project Description: Install new comp roof with 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
y
OccupancGroup:
Occupancy
Construction Type:
Occupancy Load: 1�
j 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 e above information is correct and that the construction on the above described property and
the occupancy and II :use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal ' a
Owner or agent: 4101 1 i A,ag, Date: 9 / iJ
(7'f
AIL
IPTHIS CARD IS TO *MAIN ON-SITE
CITY OF ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103799-00-MF
Owner: PINNACLE MANAGEMENT -WATERST(
Address: 2211 S STAR LAKE RD Bldg 7
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) 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 ByDate
•❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 17. Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date Date
ElR,ci Sheathing(4220) ❑ 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 E
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.41.
❑ - Framing(4120) 0 Insulation(4150) �❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•
❑ rJuspended 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 1 Date By Gcd.3Date,0 .+B, al,/,
$ 0.4- •' 00 c { - 1 D 3 91FederalWay PERMIT
SF 1;01 0 ME EL PL DE EN FP
ODMMUMIY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718 TD / /
253-661-FEDERAL 5•FAX 253-661-4129 WAY,tVA 98063-9718 APPLICATION
www.dwoffedercdwae.com
The ollowin• is re.uired in ormation-an inco •lete a.•lication will not be acce•ted. Please •rint le•ibi (in ink)or • .
PROPERTY INFORMATION
r
SITE ADDRESS &I/ Sowu- Star Laic^"aic a k.d• SUITE/UNIT#8143 U ---p
ASSESSOR'S TAX/PARCEL# - - — LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepanzte page for lengthy legal descrtpion)
_ -• PROJECT INFORMATION
TYPE OF PERMIT- k BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit omit)
/. . mer(a► ex St:n9 511A51•e. to yer 01 rd 0-P Piw.sit et-
net.) i -c.r of wt.t.4-c.k;I..o� c owkrosi$ic s-i roof etv
07. 1'.nt_rcw,sc 'the r1k.•, b.er of' rob 1° uen1-s `1 rrt .eel C•4.r•.--eat code.
y
PROJECT NAME(Name of Business or Owner Last Name) Wocf,e rs4o IA'Q
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER P rfYl Gt•c.(.e -' Gc be f ers ►' P(4 .-4 ( 5s ) $39 - 6504/
MAIUNG ADDRESS CITY,STATE,ZIP
0 ,1 t so. 51....- L.a.kc Rd• Foder.l (4)...y W4 9S'00
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7 1 rdba ` befit lopm�kf' 5'fetrei /�1///e r• (563) 457 -3999
MAILING ADD CITY,STATE,ZIP CELL PHONE
60(5 /41 T'' Stree 4 Qre>on cif-1 ok 97 oda- (31/ ) .J9'o ev7YG
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER E RATION DATE FAX NUMBER
i / (503 ) (o57 -"Fy1 G
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
£' 1IR.bbb997K1 a6 / 07 / OS
APPLICANT COMPANY NAME APPLICANT NAME` OFFICE PHONE
50"14'es-, aS co.,'f. ( )
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. 1/Y1:1 I¢r (5.4( )310 - 47414.
LENDER Per RCW 19.27.095: Lends��rr information is NAME
required if project'value eicceeds`$5,000
MAIUNG ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ yr
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) '
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
1
•
a
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
S-ECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
• D- ECK(COVERED?)
GARAGE/CARPORT
-HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
""NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE
FIRTURES
Indicate number of each type of fixture lobe installed or relocated as part ofthis project Do€of incliede existing fixtures tri-remciin.
ECIWJIOAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE.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
' Q..
-PIUMBING -
BATHTUBS(orTub/Shower Combo) SHOWERS WATER CLOSETS(Toy MISC(Describe)
DISHWASHERS, s SINKS .DRINKING FOUNTAINS ,
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
4. 4-4 I.4vz te',tl,rolt;5inki] - VACUUM BREAKERS - ,ELECTRIC WATER HEATERS
)DISCLAIMER/SIGNATURE BLOCK
I certifj under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
,arntatathorized by the,oamer 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 retiasce of the city,including its officers and employees,upon the aecuracy of the jnfarmiiVon supplied to the city as a part of
this application.
NAME/TITLE , DATE .. D S/1 V/o q
(Signature)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ALTERATION o REPAIR - e t a'TEN,ANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC'PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I4andouts—Revised\Permit Application