15-100694 wilding• - Corm iercial
of Federal Way Permit #: 15-100694-00-CO
Community&Econ.Dev.Services
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: POLE FITNESS
Project Address: 30315 PACIFIC IIWY S Unit B Parcel Number: 042104 9237
Project Description: TI-Convert existing tenant space into"Pole Fitness" business. Occupant load=35. Entire
tenant space=2,142 sq.ft. Exercise area=1,760 sq.ft. Convert one exising storage room
into men's restroom. Two restrooms are required per 2012 IBC WSA 2902.2. Interior
upgrades with no new walls;installation of washer& dryer,mop sink,2 toilets,2
lavatories. Includes plumbing and mechanical.
Owner Applicant Contractor Lender
DAVID OM DAVID OM 0 M S CONSTRUCTION OWNER IS LENDER
O M S CONSTRUCTION O M S CONSTRUCTION OMSCOCI881R7(12/27/16)
32840 41ST WAYS 32840 41ST WAY S 32840 41ST WAY S
FEDERAL WAY WA 98001 FEDERAL WAY WA 98001 FEDERAL WAY WA 98001
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit information
Existing Sprinkler System in Building`? No Mechanical to be Included? Yes
Plumbing Work Valuation 2200 Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Include& Yes
New/Additional Sq.Feet-Total 0 Zoning Designation. BC
Mechanical Fixtures
Ducting 1 Fans 2
Plumbing Fixtures
Drinking Fountains. 2 Laundry Washer Outlets. 1 Lavatories 2
Water Closets 2 Water Heaters 1
PERMIT EXPIRES Sunday, August 30, 2015
Permit Issued on Tuesday, March 3, 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 i• - ordance with the laws, rules and regulations of the State of Washington
e City of Federal Way.
Owner or agent: 0111It r Date: —?/3
1 4
• THIS CARD IS TO MAIN ON-SITE
I,
c Construction In ection Record
Federal Way ' INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-100694-00-CO Address: 30315 PACIFIC HWY S Unit B
Project: DAVID OM 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 SWM Precon Site Mtg(4400) n Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date ' By Date By Date
El Re-steel(4215) El Plumbing Groundwork(4190) Ei Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
.❑ Underfloor Framing(4285) 0Floor Sheathing(4105) Q Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
`Q Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date 3---t Z-(.S-- By Date By ft12 Date 3 r f2,_$s
❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 0
Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and �2,-. r
By Date approved. IBC 1093.4 By Date
El Insulation(4150) `El Gypsum Wallboard Nailing(4130) .❑ Suspended Ceiling Grid (4265)
Approved to install wall d Approved to install mud&tape Approved to drop tile
By Date By IA Date 3 lit, lir By Date
O Final-Fire Department(4060) Q Final-Planning 0 Final Erosion Control(4375)
Approved Approved Approved
By Date - By Date By Date
O Final-Mechanical(4065) ❑ Final-Plumbing(4075) Q Final-Building(4050)
Approved Approved Approved
By ��J j, Date "'--1 By O ‘44...` Date y 1 `1 By Date t,'—k,a—i A.
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
__._._.. .... . _..
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RE,CEI D PERMIT IPPLICATION
CITY of"A
' Federal Way FEB 1 S 2015
/ CITY OF FEDERAL WAY �j /
PERMIT NUMBER / C _ 7Y, 0 f 2 -/ y _ Le TARGET DATE () 71
SITE ADDRESS / !!! vvv YY�� ! !! SUITE/UNIT#
4b�/� E�Ci/ate
tel
�/!if/Ll S 4f
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# �j
$ 7 )_. 0 0 0 --. • C----- 0 ___V Ai ° -
_.,23 _
TYPE OF PERMIT .BUILDING PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT / de... SS
(,✓ov-1.0v1,t) r4-(4- f/0 /tie t4) wot,la S
PROJECT DESCRIPTION �. !'/ /
Detailed description of work to /?9- l( --' X+I'"e. / WA_<A�-e-✓ 4.. (.3y-e.
be included on this permit only 1� j
NAME Oak PRIMARY PHONE
PROPERTY OWNER
joivit21
MAILING '.9 S E-MAIL
CITY STATE ZIP
NAME/"�,%.�j/�$ /�✓/ T V�CSI` PHONE�GLJ���/ /�3
Com./J %ter,✓ T`�,�J
MAILING ADDRESS / , E-MAIL 4.::=6
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CONTRACTOR 3-1- ti° /S'/— t 01V S om.. .e.. /,-)_.5<g, i O a,cu--
CITY , iv e --
STATE ZIP^s b a 1 —31n
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WA STATE CONTRACTOR'S LIC NSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
cf jn//e0C -- CJI/"Z'7 /I /�� / /i / r
NAME I/
volt,'
e.- L 1 PRIMARY.`LDG 3,5-...c,„__/".
..3H,J �L'_/ 3
MAILING ADDRESSc17.--54-
` E-MAIL [
APPLICANT ✓-2 t it, r/s L L y/ S 0„/y. e0'o i ✓�®I
CI Lt...., STATE ZIP S• FAX
` G.� 4X bV/}-- } b Go 1
NAME / PRIMARY PHONE
PROJECT CONTACT 5"-''i•C- c5 ,4 l,S'�-�.'V.
--
MAILING individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME �` ;r'�� � OWNER-FINANCED
PROJECT FINANCING K C OA, 0`0 42 / 0
Required value of$5,000 or more MAILING ADDRESS,CITY,STAT ZIP Y 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 the city as a part o is application.
, -2,/ia/45--
SIGNATURE: dry DATE
PRINT NAME: }7l�-l/1 eve 6 A^--
Bulletin#1100-January 1,2013 Page 1 of 3 161landouts\Permit Application
• 4
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 7 t'/_o
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(Gas)
—7 COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT /a.) , /r/ z , $ d V
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.
t
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 I 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 S RI ER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
,4'2f 0011e4. l, 4X4:e. 9/4/0l%✓ :4 /:yefl'
/
FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE ❑ CARPORT 0
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area Construction #of
AREA DESCRIPTION Occupancy Group(s)
.,� ..r/ ^ Additional Information
ion
in Square Feet Type Stories
4, /, NEXF'BIDQG , /, 44 /'/' X/-/,;,4,4-,WY/;"/,,,,„2,2447' " /%r / 47 �', �/ f /
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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/J/..,,../.,/.r�.
TENANT AREA ONLY /i I
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application