15-106478 •
Suilding - Multi` `artily
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-106478-00-MF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: CLUB PALISADES APARTMENTS BLDG 49
Project Address: 2405 S STAR LAKE RD Bldg 49 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 Included9 No Number of Stories 2
Permit for Building Shell Only? No Plumbing to be Included? No
Proposed Structure Valuation 1000.00 New/Additional Sq.Feet-Total 0
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: Fl E Date:
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-106478-00-MF Address: 2405 S STAR LAKE RD Bldg 49
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.
ae l Erosion Control(4365) ❑ Footings/Setback(4110) Foundation Wall(4115)
Init
To bidone prior to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
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
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
El Roof Sheathing(4220) 0Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; 0 Framing(4120) 0 Insulation(4150)
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 e— ,-N Date 3-114_l Ik By Date
❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265) Final-SKF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
El Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date By !�A........ Date 3 -2-4-'1
4.
Q Rough Electrical Final Electrical _ _ Right of Way
Approved Approved Approved
By Date By Date By - Date
PA 4 1
• 1 k
CITY OF:A PERMIT IIPPLICATION
Federal Way
DEC 222015
PERMIT NUMBER G. _ c
CITY OF FEDERAL WAY
TARGET DATE CDs
SITE ADDRESS SUITE/UNIT B
LAC-ZONING
- JI �
O.55 CATI Ctr. ���ZOO•ING r-44"CW�1 kJ I JS A/C) yCEL CO3
$ 090a 2 Q E_ I_ Q - OW
TYPE OF PERMIT Uf BUILDING ❑PLUMBING ❑ MECHANICAL ❑'DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (I LA.L V ed',se, .e S /? t 1tL',(Ass gel
PROJECT DESCRIPTION
c)eck fq.Pt m a va d�k C -v 5 S
Detnclued ed on description of work toy U� ( � /D t
be included on this permit only !�
NAME PRIMARY PHONE
PROPERTY OWNER kw Gtut, ikl AIe L I-L 3 to-717-4z/7
MAILING ADDRESS E-MAIL
(P/11'(2. 9 70 I \►,1 i tSLkurc_ %t A Su$ 700
CITY RZIP
�uei u1Ilc I L64- 102.12—
,
NAME
PHONE
E.Vecuteve Coxf't45 a...A CourcrAcw.u5 L.Lc- ZOG-90Z-4e/2!0
NAILING ADDRESS E-MAIL
CONTRACTOR 1131 l'lu 1 Qr'.x, Lids 40 IGkPeyeew wccooluss.co...
CITY STATE ZIP FAX
-174 kwa.. wis, IVO' 363-300-3geie
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
F..YEC AcL1oo, J —i 31 i2.( 20-l' -t zz/y ao-gt:
oSIMARV PHONE
Z .U.td Fi5LES- :Zo6-cr -64%)4s
APPLICANT
MAILING ADDRESS E-MAIL
I 1 ST S�e.t(r3-Cry Of:vc 614 s�TE ZIP Olr�ueee elte ox,CITY
T kw:1#I. WA. °VT 1 W'r 30S406-3Sq/
NAME PRIMARY PHONE
PROJECT CONTACT .1-'41, / ,t,: Pvt., 206-2010 .-37101
MAILING ADDRESS
(The individual to receive and 113 E-MAIL
respond to all correspondence ‘,46.4StTy Dfax._ LI SIC) ie.i.@C:Xtcct-h:Jecoa'C:I+es 40.1.
concerning this application) CITY _. . STATE ZIP FAX
kwl4%. wA. atTliz ii 30'S 3x)33ti$"
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 flied 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 city as a part of this application.
. _
SICTNAI URE.: '.a I r .
—PRINT-NAME. !AAA. — — —
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.
AIR HANULUNC UNfIZ FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comorercia1)
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 fifixtures to remain.
BATHTUBS on Tub/Sin:mea Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(IGtebeu/utiuu WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
CC/1,S
EXISTING/PREVIOUS USE LOT SIZE(In 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
BASEMENT`
FIRST FLOOR(or Mobile Home)
4
SECOND FLOOR;
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
x»11TI�W.HOMES:ONLY t
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Construction #of
Square Feet mac'Group(s) Additional Information
Type Stones
7 EW BUILDING' } S
ADDITION
COMMERCIAL— REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION `rea is Occupancy Group(s) Construction #of
Square Feet P y P( 1 Additional Information
Type Stories
TOTAL BUILDEIE
TENANT AREA ONLY
.p R(I.IFl f,HKL.A I IALY k.. 4
Bulletin#100-October 26,2015 Page 2 of 3 k:\Handouts\Permit Application