15-106192 "sr • •uilding - Multi Family
City & FcWay Permit #: 15-106192-00-M F
CommunityEcon.0ev.Services
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 BUILDING 39 UNIT 105
Project Address: 2211 S STAR LAKE RD Bldg 39 Parcel Number: 720480 0095
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
Owner Applicant Contractor Lender
K W CLUB PALISADES LLC BRANDON BEILKE FENIX RESTORATION INC
800 IRON POINT PKWY RD SUITE FENIX RESTORATION INC FENIXRI889JW(4/16/16)
FOLSOM CA 95630 PO BOX 1405 PO BOX 1405
WOODINVILLE WA 98072 WOODINVILLE WA 98072
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
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, June 18, 2016
Permit Issued on Tuesday, December 8, 2015
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: Date: 12/z I /S
CITY OF � - PERMI (APPLICATION
Federal Way I 5
PERMIT NUMBER — I y'
,,,,, I 1' _ 1 A/
TARGET DATE liq
SITE ADDRESS SUITE/UNIT#
i2-11 S s Ut ro c_CA c--ecit Ar,,,l .J - _, s'i to s
PROJECT VALUATION ZONING ASSESSOR'ST a ARCEL# ! r - o e 9 s
TYPE OF PERMIT ',BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT C Jt.(.J ?r^-1 I s(x(/1 e M'111p� f is(t, (-e-S t7J 4:A— v,•)
i, (-Z ('e.Sra( Ii-('l� ?14,1 1 -�I erc\-CC,1( �.f j.GL e;1 I n •f6✓
PROJECT DESCRIPTION CI
Detailed description of work to \--;A i 5 eJ
be included on this permit only
NAME (6) PRIMARY PHONE
PROPERTY OWNER u 6 a ( ' s awe j
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME—, PHONE
i-eh; K j)-C•S c TOA. 45 Ctii (`lO)
MAILINGLADDRESS1 E-MAIL
CONTRACTOR 7)3.5 �l/ Lcjicn JL(/Jl `�-1CO
CITYSTAT ZIP FAX
wCvj IP.VII e_ W) 'l&I --
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME \--(1{C
PRIMARY PHONE
APPLICANT MAILING ADDRE4S x E-MAIL
.17L3 iv As dot . cV.,1 13-1ud
CITY STATE ZIP FAX
V4Cla� I n V, V I C ►,v/4- 6 1 2-
NAME 1 PRIMARY PHONE
PROJECT CONTACT �1 ►'t e, 1� 2�.-
���" 61'0
(The individual to receive and MAILING ADDRES ' E-MAIL
respond to all correspondence 1�fI
concerning this application) CITY ST TE ZIP FAX
w/ .i v: 11� wu-- '6- 72
NAME ❑
PROJECT FINANCING 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied the city as a part of this application.
SIGNATURE: � DATE �� �` )
PRINT NAME: -)1 --A� N i I lc p
Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
• S
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 HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
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(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
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(describe)
EXISTING PROPOSED TOTAL
Area Totals
*".NLD HOMES O1VLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING}
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application