06-105849City of Federal Way Plumbing Perm #: 06- 105849 -00 -PL
Community Development Services b
P.O. Box 9718
Federal Way, WA 98063 -9718 SUBJECTM FIELD INSPECTION. inspection q
Ph: (253) 835 -2607 Fax: (253) 835 -2609 pection Re nest Line: 253 835 -3050
Project Name: LA FITNESS/NRGIZE
Project Address: 35009 ENCHANTED PKWY S Parcel Number: 185295 0010
Project Description: Install hand wash sink and coffee machine supply line at juice bar counter.
Owner
Applicant
Contractor
OPUS NORTHWEST LLC
DRAIN AWAY PLUMBING INC
DRAIN AWAY PLUMBING INC
OPUS NORTHWEST LLC
3401 C ST NE UNIT 14
DRAINAP944MO (7/20/08)
915 118TH AVE SE SUITE 300
AUBURN WA 98002
3401 C ST NE UNIT 14
BELLEVUE WA 98005
AUBURN WA 98002
Plumbing Fixtures
Lavatories ........ ............................... 1 Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Wednesday, November 12, 2008
THIS CARD IS TO I�'AIN ON -SITE
CITY OF ommunity Developm t Inspection Record 4
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 105849 -00 -PL
Owner: OPUS NORTHWEST LLC
Address: 35009 ENCHANTED PKWY S
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
❑ Final - Plumbing (4075)
Approved
By G \ \ Date . I S • Q (o
CirYOF 4P
Federal WayRECEIVED PERMIT
COMMUNITY DEVELOPMENT SERVICES _ SF MF CO ME EL ""PL E EN FP
33325 D AVENUE SOUTH • PO BOX 9 p p L I C A T I O N
FEDERAL WAY, WA 98063- 9711��V. 1. 3 app TD /
2S3- 835 -2607• FAX 253- 83S -2609
CIT`CLff FEb2SA
The following is reci�t4DjjQr®tft'(II - an incomplete application will not be accepted. Please print legibly (in ink) or type:
C PROPERTY INFORMATION
SITE ADDRESS �;,V -Adf7L n �� / SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # j— ?!� %� - j- 00 LOT SIZE (sj)
/
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) L.'/'• jC4r -CO -
(A« ach separate page jor lengthy !ego! descnpnon)
TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL
.❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this permit only)
j j _ 1 l -. n _ /m
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with Bach applicatlou
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
/4i^
NAME -
PRIMARY PHONE
OFFICE PHONE
(2 S3 ) N l I qW
MAILING ADDRE S
3401 C �'+ nip tt ( q(
(LINO ADDRESS ; µ C
CITY, STATE, ZIP
E -MAIL ADDRESS
f ! 8-� I¢v St 3b
UInR-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
COMPANY NAME
Dt-G'n �
APPLICANT NAME :
H o kt C
OFFICE PHONE
(2 S3 ) N l I qW
MAILING ADDRE S
3401 C �'+ nip tt ( q(
TY, STATE, ZIP
CELL PHONE
3 `I 0 1 Ce `" - AI f -q .
c n too,
_
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
K141 N A R 9` 1 00
7-20- ,Z.Od9
COMPANY NAME
�rt 'r Amu .
APPLICANT NAME
QDnj i,L K
OFFICE PHONE
's ) �1 1 - c;20
MAILING ADORES
CITY, STATE, ZIP
CELL PHONE
3 `I 0 1 Ce `" - AI f -q .
40k0fex 113coz.
-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent '-a Other
NAME vt knot C PRIMARY PHONE E -MAIL ADDRESS
NAME
der RCW 19.27.095:
Lender ir&rmation is required 'if project value exceeds $5,000
MAILING ADDRESS <, -'"
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? ❑ YES of
POSED USE
'VALUE OF PROPOSED WORK
FIRE.SUPPRESSION SYSTEM PROPOSED /REQUIRED? 0-YES ❑ NO
WATER SERVICE PROVIDER ❑ LA HAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESClTrPTION
EXISTIN
S . FT.
PROPOSED TOTAL
S . FT. S . FT.
BASEMENT
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
FIRST
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
SECOND
FIREPLACE INSERTS
HOODS (commercial(
COMPRESSORS
THIRD
RANGES
DUCTS
GAS LOG SETS
ADDITIONAL FLOORS (DESCRIBE)
HOSE BIBBS
SUMPS
DECK (❑ COVERED OR ❑ UNCOVERED ?)
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
GARAGE ❑ CARPORT ❑
UP /SEPA /SU?
❑ YES
NUMBER OF FLOORS
MSTING
PROPOSED
TOTAL
TOTAL ERlSTfNG EF
TOTAL PROPOSED 3f
TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
❑ Owner ❑ Agent
(Title(
Contractor ❑ Architect ❑ Othet
Value of Mechanical Work $
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercial(
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PLUMBING
❑ Owner ❑ Agent
(Title(
Contractor ❑ Architect ❑ Othet
BATHTUBS (orTGb /snow« combo(
LAVS (Bathroom sinksi
URINALS
1 MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
}�ZC: 5 Of17Ly i-1 a yic
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (Ton q
�C+V_ rC �Z M�LIIINt
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
❑ NO
HOSE BIBBS
SUMPS
CHANGE OF USE?
I certify under penalty of perfury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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 the city as a part of
this application. Z�7 ,
NAME /TITLE
(Signature)
RELATIONSHIP TO PROJECT
❑ Owner ❑ Agent
(Title(
Contractor ❑ Architect ❑ Othet
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES o NO
UP /SEPA /SU?
❑ YES
o NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
DYES
❑ NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k \Handouts\Permit Application