10-103438City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical
Permit #: 10 -103438 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: CLUB PALISADES - SPA & POOL BUILDING
Project Address: 2211 S STAR LAKE RD
Project Description: Remove and replace HVAC de -humidification unit.
Parcel Number: 720480 0095
Owner
Applicant
Contractor
2211 SOUTH STAR LAKE LLC
JAMES DAHLEN
K & D MECHANICAL (GENERAL)
42 CORPORATE PARK DR UNIT 100
K & D MECHANICAL (GENERAL)
KDMECI*008CJ (02/21/12)
IRVINE, CA 92606-3104
33530 IST WAY S SUITE 102
33530 1ST WAYS SUITE 102
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Mechanical Valuation............................................56000
Is this an Online or O.T.C. application?.................Yes
Air Handling Units............ ............. 1 Ducting ........................................... 1 Fans................................................ 1
CONDITIONS:
Subject to field inspection without plans. '!
PERMIT EXPIRES Sunday, February 6, 2011
Permit Issued on Tuesday, August 10, 2010
I hereby certify that the above inform i n rand
orrect and that the construction on the above described property and
the occupancy and the use II be ' ccnce with the laws, rules and regulations of the State of Washington
j the City of Federal Way.
Owner or agent: 4��/`7� Date: 9-10-,2010
CITY OF ASV THIS CARD IS TO REMAIN ON-SITE
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -103438 -00 -ME Address: 2211 S STAR LAKE RD
Owner: 2211 SOUTH STAR LAKE LLC FEDERAL WAY, WA 98003-3406
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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
4k
Federal Way
CO.W407VITY DEVELOPMENT SERVICES
253-835-2607- FAX 253-835-2609
J -
PERMIT F COPL DE EN FP
APPLICATION AUG 7
SITE ADDRESS
--Q
C3� NA t 1V'1
SUITE/UNIT #
a a 7
s-ra r/ 4 xe- �Foe, b
PROJECT VALUATION
$
ZONING
ASSESSOR'S TAX/PARCEL #
Y- 9- a
-
TYPE OF PERMIT
0 BUILDING 0 PLUMBING %CMECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/HomeownerLast Name)
L61�
amu 7t' 1)14 e e od-)
PROJECT DESCRIPTIONil'IOVL
1
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
MMING ADDRESSE-MAH.
�P 4 61
CITY
Diry
FeWIf
STATE
I ZIP
NAME PHONE
K �b 4fee-46olie-41
—
MAILING ADDRESS A"2 E-MAIL
3 tit) a gcof-re 10 k D Me C la 601VUrr.
CONTRACTOR
Ivil
CITY STATE ZIP FAX
F,- D W461 4'�-4)0 J .2 C -1 - 7%-- S- Z 0'r-
wA STATE CONTRA R'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE #
K DME X 0 0&� j—
NAME PHONE
,r,4M is D A IeAl
APPLICANT
MAILING ADDRESS E-MAIL
1 15; ee Af As 4 13,9 V &
CITY STATE I ZIP FAX
PROJECT CONTACT
NAIL PHONE
ZAM -e-r, D 4,h /,-V
(The individual to receive and
respond to all correspondence
MAILING ADDRESS E-MAIL
S,2A' e as 40 V 6
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING
NAME 0 OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that r will comply with
all applicable City of Federal
Way regulations pertaining to the work authorized by the issuance of a permit. r understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agreeto hold ha
Iess the Ci (including eras Way as to any claim ncluding costs, expenses, and attorneys' fees incurred in
the investigation and �e
of, UP
such cl may be made by any person, including the undersigned, and filed against the city,
but only where such 1� es of he fiance of the city, including its officers and employees, upon the accuracy of the
information supplied t e cityapplication. as art
/0 - ;0 0
SIGNATURE
TNT NAME: -TAIY)
DATE
eS 1) 4 .1-1 LeAl
Bulletin #100/Apfil 14, 2010
Page I of 3
k:\Handouts\PenTfit Application
r
VALUE OF MECHANICAL WORK s 5 6 X -(.copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS 1co—reiai),
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS )H—dSink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )kitchen/Utility)
WATER HEATERS (Hectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
:........
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TOTAL
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FOR OFFICE USE
AREA DESCRIPTION din square feet)
EXISTING PROPOSED
rrMrrr.
FIRST FLOOR (or Mobile Home)
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(s>=s''>.>s'%s(-<>.>%?;:}•:�
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
•rte.
:l)SED
Z=STMG PROYo
TOTAL
Area Totals
>~
ESTIMATED SELLING PRICE $
# OF BEDROOMS
Area Construction # of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Tye Stories
#f ......................r.
ADDITION
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p'•}'4•r::.}`.:: {:.}••::.......r...;..::'i'SiiQ:SSiiS.'•:::2:':::'ii::}�:{:}i;:. '}', •: . i J�' v::...'�:•. . •!. }: ? ..........
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:{•}:•}:•}:4:•:}¢}:^}}r•}FnY.?4:•}}}:S:4Y is vw::::: w::.......::. .:.....:::.......... .. .................. ... ...... ..................
Area Construction # of
AREA DESCRIPTION Occupancy Groups)Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\Handouts\Pennit Application