15-106483 • •wilding - Muty ' �9nily
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-106483-00-MF
33325 8th Ave S
Federal Way,WA 98003 Inspection Request-Line: 25
Ph:(253)835-2607 Fax(253)835-2609 p ( 3)835-3050
Project Name: CLUB PALISADES APARTMENTS BLDG 62
Project Address: 2405 S STAR LAKE RD Bldg 62 Parcel Number: 720480 0111
Project Description: REP-Deck repair and coating to units 202 and 204 • • . .•
•
OwnerApplicant. 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 2000.00
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
Ci deral Way.
Owner or agent: Date:
F",./1a.te�
• THIS CARD IS TO MAIN ON-SITE
CITY OF � Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-106483-00-MF Address: 2405 S STAR LAKE RD Bldg 62
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.
El 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
Drainage/Downspout(4040) El 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) 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) Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
Framing4120 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 109.3A By Date By Date
0 Gypsum Wallboard Nailing(4130) 'El Suspended Ceiling Grid (4265) ❑ Final-SK F&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 4+" Date L) ))6f1 AL
•
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
(o
.,. r • -2.*_
-if .-4.CITY OF PERMIT APPLICATION
Federal Way RECEIVED
l - 1 0 (p4-` M
� DEC 222015
PERMIT NUMBER— TARGET DATe�r,1� OF FF D E RAL WAY
SITE ADDRESS �(- / J �,/ SUITE/ 9%#
Z5OJECT VALUATION Gt- LG.le'C_ZONING►�l. 'CTG,I ct SE 6 wiR'S TAX/PARCEL 9 �cx�3
$ 2,zo7 2- 0 t( g o - o _ A [ (
TYPE OF PERMIT tiff BUILDING 0 PLUMBING 0 MECHANICAL1 ❑DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Club Qom(',s c e S /(� ,t t�'�1nt 622_
PROJECT DESCRIPTION c')e 11Pc y' ava deC� Cecct- S
ipof work to Y�
be inclDetailedudeddescron ibtionis permit only I j ( 11-- Z, 7 01—
NAME - . - -------- -----
p PRIMARY PHONE
PROPERTY OWNER KW C1u6 i)At LLL 310-$N7-697
MAILING ADDRESS E-MAIL
p c�0 ( \►J its %t ,Ai k'rt�?DO
CITY STATE ZIP
1ctxr1u ,{ells_ LA- IoZ 12 -
NAME �-
PHONE
E1trcL02kVc (Exf.‘uts a Cok-[r4c-t-4. [-Lc 26.4-4/oz-Ge/i4.
MAILING ADDRESS E-MAIL
CONTRACTOR 1138 .iwlugrs,i ti ewe- Lids /1O 14kPexcck-r;vcCom-rwgs.co.,.
CITY STATE ZIP FAX
r 1....).4,1.. Wily ` fill/ 363-30°'.3get e
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EXE.LUCL`tagf q J 7 ! il4. zo-15-0zzlq oo-g!.
.,.� 1
�.0�ot 'Y(-is�tS .....ARy PHONE
12,4-ss/-6d76s
APPLICANT MAILING ADDRESS E-MAIL
II3.'.1-(4-0(ws-r9 0 r vc 61.4,4 0 Actue ec _rete-r.,,<c..gr:iss.rA.M
CITY STATE ZIP FAX
NAME '/ PRIMARY PHONE
PROJECT CONTACT Q In, /i,,N.: /-(OG., 2o6-2"io -3761
(The individual to receive and MAILING ADDRESS
respond to all correspondence 113/ q•ka6.4r(1-1 IJr'tv,.. b1 410 t44%_eXzettt:oeCOAT:i s.cu'LL
concerning this application) CITY , STATE ZIP FAX
� .( 4/4te-._ WAS CI.C6-155/ lob 3co 33Y$" .
NAME .- ... ..-._._. --_ ...
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
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 t city as a part of this application.
SIGNATURE: z! I ��� —
(`� ATF 7 _
PRINT NAME: L"Gs te m! 15 —
Bulletin#100-October 26,2015 Page 1 of 3 k:\Handouts\Permit Application
• •
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.
AIN tiAIVVWLING UMTS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Cowmen-WI)
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_Jixture to be installed or relocated as part of this project.Do not include existing fvctures to remain.
BATHTUBS(or ms/shower combo) LAVS(Hand s nk,) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xicrhen/Ue1;ry) WATER HEATERS(Elecie)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Occas
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
=ASEMENT rr
FIRST FLOOR(or Mobile Home)
SECONDFLOOR
COVERED ENTRY
DECD
GARAGE 0 CARPORT 0 �—
OTHER(describe).;
Area Totals EXISTING
PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION Area is Occupancy Group(s) Construction #of
Square Feet � ) Additloaal Iaformatlon
y Type Stones
NEW BuiLDING
ADDITION
COMMERCIAL- REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of e.
Square FeetInformation
'Type ones
::TOTAL,BUILDING
TENANT AREA ONLY
_ ...
Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Pennit Application