15-106485 •ilding -. Multi
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-106485-00-MF
33325 8th Ave S
Federal Way,wa3 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)53) nsec835-2609 p q
Project Name: CLUB PALISADES APARTMENTS BLDG 65
Project Address: 2405 S STAR LAKE RD Bldg 65 Parcel Number: 720480 0111
Project Description: REP-Deck repair and coating to unit 201
Owner Applicant Contractor Lender
K W CLUB PALISADES LLC DAVE FISHER _ EXECUTIVE COATINGS AND
800 IRON POINT PKWY RI)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 2000.00
No Fixtures Associated With This Permit II
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 Ci sof Federal Way.
Owner oragent: F I L LAL Date:
THIS CARD IS T AIN ON-SITE
CITY OF •
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-106485-00-MF Address: 2405 S STAR LAKE RD Bldg 65
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.
Initial Erosion Control (4365) ❑ Footings/Setback(4110) El Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
,
0 Drainage/Downspout(4040) El Re-steel(4215) .❑ Slab/Concrete Floor(42557--..
Approved to backfill Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
r® Underfloor Framing(4285) ` ® Floor Sheathing(4105) E Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
.El Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control TIT-Tor
Approved to install roofing Approved Approved
By Date By Date By Date
� ...., . �.. Framing(4120) U Insulation 4150
Prior to scheduling a Framing inspection; El
( )
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
.®Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265) 13 Final-S KF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
.
Final Erosion Control (4375) 0 Final-Building(4050)
Approved Approved
By Date By A) Date q jill/ie
Rough Electrical El Final Electrical ® Right of Way
Approved Approved Approved
By Date By Date By Date
�P
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1,11
�� PERMIT APPLICATION
Federal Way RECEIVED
PERMIT NUMBER
rlj _ 7 , 65-- \, F DEC 22 2015
- TARGET DAT rI�CC
SITE ADDRESS SUITQIDILT it
74 a 5. (.atikd�c.( wAi A 9 700'5
PROJECT VALUATION ASS ORS TAX/PARCEL#
$ 2/oov ? g o - C� 1 ,
TYPE OF PERMIT (g BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT CI/At i ct'`se e S /(�_ ,, I,,t
PROJECT DESCRIPTION OfC k 14.1$' t 4� de-e.1 eect. �S c0
Detailed description of work to I
be included on this permit only V N 11 o 1 70.1
NAME PRIMARY PHONE
PROPERTYO ER K.W Llu6 1At ,IeS LLL 310-S$7-l0'/7
MAILING ADDRESS E-MAIL
{(_�t 70 I V:1 t1SInU�c % mA $ ;-tom 7dO
'-t� CITY STATE ZIP
tcvcrly wits L4_ 1oz l 2—
NAME PHONE
EXrcut'kui Cf&+.t t.,o( Cok- .c-t. L�.c ZtG-'/o2'41/iC'
MAILING ADDRESS E-MAIL
CONTRACTOR 113'8 .iwiw5-rsv� AKve� (us qv j4HPexcCk-1-,)e Coc`w35.co..
CITY STATE ZIP FAX
i k1.^) W� ,3-30o 38 18'
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EXE6 A L9oggNi1V �7 31 il4, zo-I'i-iozz�q_oo-g�
DDTMARY PHONE
�;d F(5L<e - :ZOC-SiY-496s
APPLICANT MAILING ADDRESS E- L
113`'51.ot(.s-rry ur.� bib>410 dautec tuT:Je.�ar;435lo.M
CITY STATE ZIP FAX
174 kW: u/R4 ° '!� C 3o -goo-3swi
NAME PRIMARY PHONE
PROJECT CONTACT r�k M: I•fUG.. 2o6-2 a -37(o
(The individual to receive and
MAILING ADDRESS E-MAIL
respond to all correspondence i 1 S .Zkaf w$'trtj Dt'kVc. �� �lU lG�-�CXcC1.t i.�/e Goy Y.I4 S
concerning this application) CITY �! STATE ZIP FAX
Tkw'=1 w�l- Ck�►o<' 3o3-3co 33Y8'
NAME APPLICATION_
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 29.,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 clai; arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to thh,city as a part of this application.
RT(*NATURE T�f ATF IZz
-
Bulletin#100-October 26,2015 Page 1 of 3 k:\Handouts\Permit Application
. di . ik,
• i
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 res to remain.
AIK HAIWLING UNI lb FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercian
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(orTub/shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS paw.s.n/unity) WATER HEATERS(Eleotdo
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Decks $
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:
COVERED ENTRY
DF{CK
GARAGE 0 CARPORT 0
OTHER(desonbe),
Area Totals EXISTING PROPOSED TOTAL
"5Ig1WH MESONLyxe.,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P y p( ) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL— REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P y 1 Additional Information
e Stories
:TOTAL BUILDING
TENANT AREA ONLY
Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Permit Application