15-106486 • •uilding.- Multi,F .wily
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-106486-00-MF
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609' p Q
Project Name: CLUB PALISADES APARTMENTS BLDG 71
Project Address: 2405 S STAR LAKE RD Bldg 71 Parcel Number: 720480 0111
Project Description: REP-Deck repair and coating to unit 102,202& 203
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: • V
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Addit•ional 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!I
PERMIT EXPIRES Wednesday, July 13, 2016 V
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
ty o eral Way. .
Owner or agent: PI . Date:
F','IN al4
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-106486-00-MF Address: 2405 S STAR LAKE RD Bldg 71
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 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) 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
, e - — ♦
O Drainage/Downspout(4040) 0 Re-steel (4215) ❑ Slab/Concrete Floor(4255)
Approved to backfill Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
•
O Underfloor Framing(4285)�` ®
By Floor Sheathing(4105) ®By Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install sidingL
By Date Date Date
..
O Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370
Approved to install roofing Approved Approved
By Date By A.N Date N 1 1/16z By Date
mismasesemor ' Framing( )
4120 ® Insulation (lati4 50)
Prior to scheduling a Framing inspection;
i 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 AO Date 3/30)/6 By Date
0 Gypsum Wallboard Nailing(4130) ® Suspended Ceiling Grid (4265) Final-S .K F&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
O Final Erosion Control(4375) ® Final-Building(4050)
Approved Approved
By Date By 1),(\) ii
Date 14' 13
.
O Rough ElectricalCI Final Electrical Ly_____
Right of Way
ApprovedApproved Approved
By Date By Date Date
aryof- PERMIT APPLICAN
Federal Way
DEC 2 2 2015
PERMIT NUMBER
_ 1 Q (0 4 8 Co -Iv( { CITY OF FEDERAL WAY
-
TARGET DATE CDS
SITE ADDRESS SUITE/UNIT#
11(65. was L,c QA. 1-Cd'acu I kJ l 1/00.-5PROJECT VALUATION ZONING ASS R'S TAX/PARCEL#
'-)
/00V 7 2 O y g D - 0I L
TYPE OF PERMIT gr BUILDING ❑PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (1
1 u6 k ,sc e S /? . 'd I:, /
PROJECT DESCRIPTION mak 144ss Av.," of &cl ceec v�S l
Detailed description of work to r i
be included on this permit only V N IT ( VZ zoZ/ Z 03
NAMEff PRIMARY PHONE
PROPERTY OWNER Kwnubt'c,1iscIe- LLC.... 3to-S$7-G4/7
MAILING ADDRESS. E-MAIL
54
9'70 I W tsku %NA,5 ;-tom?do
CpqCITY STATE ZIP
tcuCs11�{ }:,its ( 1021 Z-
NAME PHONE
&ICCctfiauc. Caxt-lutS FMd Cok-t c.-- L.Lt- 204'6/02-4g26'
MAILING ADDRESS E-MAIL,
CONTRACTOR 113$ - mi �r,Vc. lldrs '/0 1Gkg.G1(catxr;vt.c:AI-415.a.••
CITY J STATE ZIP FAX
r kw�l.. WA '7/ 3G3-3ao-3sejf
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
®_-_._.__-----___...__ EXE6tAGL101bot,0 '7 / 31 i1(, `i
zo-� -jozzlt/-oo-p,,
vnTMARY PHONE
•).u'o Fi5ILer :Z06-Sr/-/, 4,s
APPLICANT MAILING ADDRESS E-MAIL
113T.11-aw&try Q f: 614,4o otctue2etre,..c :oc.Cs•rr igs.ro.M
CITYSTATE ZIP FAX
(�kw: (c% \VA- . crierW k6-goo
NAMEIAA,: ..... .. _ _- PRIMARY PHONE
PROJECT CONTACT i I-roc,, 204-2..c. ;3761
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 11391 .7"2t.8-0ry or'ttic_ 61 410 lawCXrel4-f;JeGear:' s
concerning this application) CITYSTATE ZIP FAX
7� W: W a1.T1cg�
` 303- 00-33q 8"
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 clai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tot city as a part of this application.
_
SIGNATURE: --_
ATF 7 Q1
PRINT NAME — eRV'c —
: "-
Bulletin#100—October 26,2015 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existin zxtures to remain.
AIx HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Cemmercia)
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/sbouerCombo) LAVS isms Siaka) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Eiecsic)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Q«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
COVERED ENTRY
,DECK
GARAGE ❑ CARPORT ❑
OTHER(descnbe
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION `rea In Occupancy Group(s) Construction #of
Square Feet Tempe
Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL— REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of
Square Feet P cY Pl ) Additional Information
TYPe Stories
TOTAL BUILDING
TENANT AREA ONLY
Bulletin#100-October 26,2015 Page 2 of 3 k:\Handouts\Permit Application