16-100840 MeciPalical
1.
City ofFederal D Way Permit #• 16-100840-00-M E
Community&Econ. ev.Services •
33325 8th Ave SF ILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection RequestLine: (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: New exhaust fans to exterior
Owner Applicant Contractor
K W CLUB PALISADES LLC AARON KOHLER KOHLER HEATING&A/C(GENERAL)
800 IRON POINT PKWY RD SUITE 726 KOHLER HEATING&A/C INC KOHLEHA95001(9/22/17)
FOLSOM CA 95630 4602 WOLLOCHET DR NW 4508 76TH AVE CT NW
GIG HARBOR WA 98335 GIG HARBOR WA 98335
Additional Permit Information
Mechanical Work Valuation 1000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Fans
PERMIT EXPIRES Sunday, August 14, 2016
Permit Issued on Tuesday, February 16, 2016
I hereby certify that the above informafinn i. correct and that the construction on the above described property and
the occupancy and the use e in_aceerdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: -2/6/20/6
LO C.4.43o x Cob
THIS CARD IS TO REMAIN ON-SITE
CITY of
Construction Inspection Record
.. <.
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100840-00-ME Address: 2211 S STAR LAKE RD Bldg 39
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.
0 Mechanical Rough-in(4165) - ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By .) Date 3)glib .By Date By c Date S .— ..5 f E�
Rough Electrical . Final ElectricalCI Right of Way
® Approved • u Approved Approved
By Date By Date By Date
,.e �
lkilh, •CEIVED
CITY F PERMI' APPLICATION
eral WayFEB 16 2016 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(acityoffederalway.com
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER ( // j ) jc,
_ ) 0 V S (4 V(� M L- ' ( /�
TARGET DATE
I �iJ
SITE ADDRESS .27// SUITE/UNIT#
5.044 54 r iA/6 ii ,5,a/ 3 9 eiH,4 /Qs-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4 000 Z g_ Y a - APs . _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING IFI}MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (- l / 4,/;
PROJECT DESCRIPTION Ueh 01 e:rhnrc) 'LI n 1C) e k 4- -
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME P ONE
/�i/?.• #ea, t. /r/ C l S'�)krS'-89.21
MAILING�LADDRESS ` E-MAIL
CONTRACTOR '60� A/a'lto-did
0r. fro,/
C STATE ZIP FAX
Ar6c-,- 4,4 'ifJus''
WA TATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Ka/L.0M q50 / 4 i1-2 0
NAM PRIMARY PHONE
6�G� / w�tAs ac (
427, ) (zr-3) .2a2^S-o yy
APPLICANT /M`AILING ADDRESS E-MAIL n
160-2 <✓o//ac he,f A, %z)., 6671 ron&.A.01; v.-lias,. ,x4 �Grn
CITt / STATE ZIP FAX
,"y /7q r.r AAA '7,9-7)5- 6-s 3)9rk-,n25/NAME A J/ ,/ PRIMARY PHONE
_...%1PROJECT CONTACT S rc,, /4 4l e (2s-?) 2a2,S^U*'y
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 su laim),which may be made by any person, including the undersigned,and filed against the city,
but only where such clai ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e city as a part of this application.
SIGNATURE: '/'//� DATE o2MG 2076
PRINT NAME: //�rr=ri
�6tir /
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ //old®
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 )C FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
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 offixture 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(Eketric)
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
all yPl III aI
'r11 lPl�i7°"�1tl111� s.°a 6114".w lwy1 44,11114` 1 I1 1 1 11,,Z11-1-
-at:"
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE 0 CARPORT ❑
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EXISTING PROPOSEI. TOTAL
Area Totals
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rltlrp�lp(kn�. �'",�w� �s`ml` Ir ,'£+s�a""� �,..4+s.....��s» �'� ��tF � IIII k `� L,. _,p`�n'rsxt�; ��C�) _ '--u �,l
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION ISMS Occupancy Group(s) Construction #of
nes
e StonAdditional Information
7 cw^q H 11 m 19911u ;.,11111"7.107
111 P, ,; q,)�,. U sr,'V-7„; a° `: d`G Ba £11 °, lyr4�# 7t4W1
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sti r1 ` } 4 1 4 £uIIIUI'rI �1 uil 1 �"�P�LL �a���,1 °` 1 III��
11111, ,l�' �i�,:,. .,. dvl,{�� .a m"a .��"sb�.�l.l�� VIII"I 7al£ .� £. ,"r�''1�rd r .= ..,�s� „111
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
A
I`flRl� EwAq III IIP1 D
ELS.;CRIPTION , •' ...,., Occupancy Group(s)
#ofo
ur Additional
dditional Information
Stories
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TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application