15-106490 •
Iildng - Multi Fa'
City of FederalWay Permit #: 15-106490-00-M F
Community&Econ.on.D ev.Services
33325 8th Ave S
Federal Way,WA 98003
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 Line: (253)835-3050
Project Name: CLUB PALISADES APARTMENTS BLDG 69
Project Address: 2405 S STAR LAKE RD Bldg 69 Parcel Number: 720480 0111
Project Description: REP-Deck repair and coating to units101,103,104,201,203,204,303 and 304
Owner - Applicant Contractor Lender
K W CLUB PALISADES LLC DAVE FISHER EXECUTIVE COATINGS AND
800 IRON POINT PKWY RD SUITE EXECUTIVE COATINGS AND CONTRACTING
FOLSOM CA 95630 CONTRACTING EXECUCL904MN(7/31/16)
1138 INDUSTRY DR BLDG 40 1138 INDUSTRY DR BLDG 40
TUKWILA WA 98188 TUKWILA WA 98188
•
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 2
Permit for Building Shell Only? No Plumbing to be Included? No
Proposed Structure Valuation 3000.00
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, July 13, 2016
Permit Issued on Friday, January 15, 2016
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: F I L1.
E • Date:
THIS CARD IS TO MAIN ON-SITE
CITY OF • � ` ` A.
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-106490-00-MF Address: 2405 S STAR LAKE RD Bldg 69
Project: K W CLUB PALISADES LLC FEDERAL WAY, WA 98003
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 Initial Erosion Control(4365) El Footings/Setback(4110) Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
O Drainage/Downspout(4040) ❑ Re-steel(4215) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) LI Shear Walls(4245) `
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
® Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By 60 Date 4/ I ( i(e By Date
. ,. Framing4120 Insulation 4150)
Prior to scheduling a Framing inspection; Approved t ) El
(ulateApproved to install wallboard
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By A.0 Date 3/30//(a By Date
„ T� :
®Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) ElFinal-SKF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
•
0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By Iir0 Date 1)4 I(p,
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IP,
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fc-
- f' COYoF� PERMIT APPLICARQN
Federal Way
n F C 2 2 2015
PERMIT NUMBER j _ 1 O (p zi _ M P CITY OF FEDERAL WAY
TARGET DATE
CDS
SITE ADDRESS SUITE/UNIT#
2405 s. 5-tar LAC_ P.d frctcycq wed a* 5 7CO
PROJECT VALUATION ZONING ASS OR'S TAX/PARCEL#
$ 3/°0U -22Qy 8' D - OE - L (
TYPE OF PERMIT Ir BUILDING ❑PLUMBING 0 MECHANICAL 0 DEMOLITION- 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C 11 4,Sc(e S AIA:t 101:‘4� lD 1
c)eck 14;ss t I 0(,_41.. C t-vt�j , _ _
PROJECT DESCRIPTION ? .-�
Detailed description of work to 1 Q( 2(j 1 "S 1G-{�j - �� ��
be included on this permit only 1 / /
NAME
PRIMARY PHONE
PROPERTY OWNER Kw (L 1 '6l tie LLL 3 to-0�7- z/7c
MAILING ADDRESS E-MAIL
(S 9 70 I \j ttsku %ludCITY (f 5A 1-t EZIP
tnacsly t+411s lC� �loZ f z
NAME -- ...._.. -
PHONE
`
C.1lCLL(-tkUC. C.04.1":wtS Gwt COICETAc--r.t. 1.3.C- Zt( /Ot-4e/2t$
MAILING ADDRESS E-MAIL
CONTRACTOR 1III i 6
t" 'Y j Vox— L(As 40 i4k0>eyee.v, ,,,x,t:oct,w35.co..
CITY STATE ZIP FAX
1; .tial#. Wkk 1$I I 31-,3-Soo--gget e
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
E E6utc1-10,fA4,0 7 / 31 //4 20-141-tozz/q oo-0o
DDTMARY PHONE
OAU;et Fi5LES .7,04 -ss/-696s
APPLICANT MAILING ADDRESS E-MAIL
113$a-t atws-rry Of:vc 51et:4o Act Utec c..,.T„,..cm40-', s.c ,i
CITY 1 STATE ZIP FAX
4tw:(K VIA- '1,41l car 5-30o-33Kg
NAME PRIMARY PHONE
PROJECT CONTACT -1'41' /44A,: I-1-01,.. 206-2°K, .-3761
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 11ST t,.1A- rii oj'tvc si t'tO i4t•QCXtGk-i•.kite0Al.ke2S•Go.-l.
concerning this application) CITYSTATE ZIP FAX
TiCw' 114 w,- c CIV' 3°S-goo 33 1$!
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I 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.
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,
but only where such cla- : arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
e a MIRE; N.W'mr` _. __._:__
ATF i Q'
i, 1 _ _
Bulletin#100-October 26,2015 Page 1 of 3 k:\I-Iandouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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.
AIK HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercisi)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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(Hese sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Mitcbcn/Un7ity) WATER HEATERS(Elecbio
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
D«.ks $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND:FLOOR r
COVERED ENTRY
:DECK
GARAGE 0 CARPORT 0
•
•
OTHER(describ ).
Area Totals EXISTING PROPOSED TOTAL
**?EWHOMES':ONLY""'
ESTIMATED SELLING PRICE$ — #OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P y PI I Type Stories Additional Information
NEw BUILDING
ADDITION
COMMERCIAL— REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s)s Construction #of
Square Feet P y PO Type Stories Additional Information
TOTAL BUILDING t
TENANT AREA ONLY
I PnrRr r ARM A AP.71 V - -
Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Permit Application