17-106121 •
Building - Multi Family
City of Federal Way Permit #:17-106121-00-MF
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: CLUB PALISADES APARTMENTS BUILDG 31 UNIT 203
Project Address: 2211 S STAR LAKE RD 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 KURKOV CONSTRUCTION KURKOV CONSTRUCTION
C/O FPI MANAGEMENT INC PO BOX 833 PO BOX 833
0 IRON POINT PKWY RD SUITE 7 GRAHAM WA 98338 GRAHAM WA 98338
FOLSOM CA 95630
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.)
Additional Permit information
Mechanical to be Included? No Is this an Online or O.T.C.application? Yes
Permit for Building Shell Only? No Plumbing to be Included? No
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PERMIT EXPIRES Wednesday,27 June,2018
Permit Issued on Friday,December 29,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy a'. , e use will b- in accordance with the laws, rules and regulations of the State of
a ,'ington and the City of Federal Way.
Ail
Owner or agent: I i Date: /0q, -
/
�► PERMIT APPLICATION
CITY OF
PERMIT CENTER+33325 8th Avenue South +F ENS EI3IED03-6325
Federal Way 253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
� � [ � DEC 29201?
1mr
PERMIT NUMBER I — ( _ CITY OF FEDERAL WAY
_ TARGET DATE M t1 1A11T/DEVEo PM ►rim_
SITE ADDRESS SUITE/UNIT#
as H LL � V-24)
3
VALUATION ASSESSOR'S TAX/PARCEL
$C2J/O00 z O o0 cTb
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT CLU F • or.;C . :131 208
Ts1i, e r00vt I l� Gl Ovl.�4�-�z. e t a_C-e- A 17 in/r1,-66
PROJECT DESCRIPTION - / / }-
Detailed description of work to J�� On�J S S ��bn,.p C Ou. /l�p�, �-'L _ - .
be included on this permit only U
N PRIMARY PHONE
LLb JUSi-� 4 2s3-e3,-iso
PROPERTY OWNER MAILING ADDRESS
g ski 1A.
f -e c�-er � STATE ZIP 3
NAM voO PHONE il.. .
LING ADDRESS�� EL
CONTRACTOR &)- ' .L,l�- KU>°froti C.p.�,
C STATE ZIP FAX
�(-�amu, i 44
?SF
WA
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
KuRw,ciai-te ks i i
NOM PRIMARY PHONE
APPLICANT,
DING; DRESS �^ E,- L
(
!"f}al_ 016u R te✓,eou.
CJ Y STATE ZIP FAX
hto Lr)q 9r3.3 b'
N �% PRIMARY PHONE
PROJECT CONTACT Kt-tie 2 5 3'�7 3v7-'2-3 Y
(The individual to receive and LINGA^DRESS E-MAILy� �}
respond to all correspondence D �3 �/��G "'�� «�c
concerning this application) CI STATE ZIP FAX
C-)/ZZ et4ei4 ."2 3.3
PROJECT FINANCING NAME C 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 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 to t ty as a part of his application.
FO
SIGNATURE: DATE 2/2-1 /
,,__ / /
PRINT NAME: I KtA/e/"ol/
Bulletin#100-January 29,2016 Page 1 of 2 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 HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comm.].)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
- j A r UE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of 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(Ia 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
: .,. rF 'ry .r "�/'I ' 14,#),,,(J-4.-7042.,''.4.44 .7"///`0" ..V,�n r f Jf, ' ,, �r, „ stFfrr/4':t/,14' / ,rr///1-f' ,
FIRST FLOOR(or Mobile Home)
! /9 r ., ,^",J r.,^'fir`jr//','!p Ip 1 /". r 1///4 " jJ;��.
.','.:.'/;,15„$.1,;9/5',/,./././.11','
`,s I9 .4.40 r J� 1
COVERED ENTRY
GARAGE 0 CARPORT 0
/A z �/ J'/, ,;. /,i/:s.,f`J',,/�✓JJ /i /,', J Jr ,�. s ;”,..,.. %P ;"S/ ,r; ./n' �r''3,''..`
Area Totals
EXISTING PROPOSED TOTAL
.n. %; !',r" t7Jl%��€s�7'"a'1a ", r�; ,ffi:;',:/i'113
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area inConstruction #of
AREA DESCRIPTION Occupancy Group(s) I Additional Information
–nun FeetT Stories
,,,,,,42//,y, .,47 r, ;o,,, f®i/ /w �
/J �
1//,,,,,,,,,/,/ A/ r �j/f> � lil % �f%Y` ,' f-/f' + J:! `r ' /ff,�,,- , ; %' , s ,// ���//f / .,,,;00",,,,, /r / A% ' � i ,,,,,,,,,,,,,,,,,„e„' s r, ra 'i�/ „FAsf „+" i , ��, i,,,1/f" r. „', ,� ,
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.ware Feeta Stories
TENANT AREA ONLY
fa,' /? . % ' `' J ; '�
f f` � / %i ! � y' �i t ;r?J( � �!r '" " rr `Jr'y ,,,y. P , ,;„rJ.,r,. * i� 1, fr,S
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application