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12-101803 9 •Building Commercial ` 'Ci of Federal Way • r • t Community&Econ.Dev.Services Permit #: 12-101}803-00-CO 33325 8th Ave S ` ,, Federal Way,WA 98003 , Ph:(253)835-2607 Fax:(253)835-2609 - Inspection Request Line: (253)835-3050 Project Name: FITNESS 19 Project Address: 33702 21ST AVE SW Suite C Parcel Number: 930100 0010 Project Description: TI-Improvements for new tenant,including partition walls and finishes. Restrooms and other work by landlord. Owner Applicant Contractor Lender FITNESS 19 SHINSTINE ASSOCIATES LLC SHINSTINE ASSOCIATES LLC OWNER IS LENDER 17215 SE WAX RD 122E STEWART AVE SHINSAL011PA(10/3/13) COVINGTON WA 98042 PUYALLUP WA 98372 122 E STEWART AVE \ PUYALLUP WA 98372 Census Category: 437-Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: A-3 A-3 Construction Type: Type V-B _ Occupancy Load 123 11 Floor Area(sq.ft.) 6,122 540 0 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? No Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1-Use Gymnasium Zoning Designation. BN No Fixtures Associated With This Permit Il CONDITIONS: Subject to field inspection with plans. - � C) lit/e4/1 e41� �ll a PERMIT EXPIRES Sunday, October 21, 2012 Permit Issued on Tuesday, April 24, 2012 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 4„,,...-_ and the_,. of Federal Way. Owner or agent: I Date: Y 2`V /2 It • fil*'City` of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: FITNESS 19 Permit#: 12-101803-00-CO Address: 33702 21ST AVE SW SuiteC Includes: #1 #2 #3 #4 Occupancy Class: A-3 A-3 Construction Type: Type V-B Occupancy Load 123 11 Floor Area(sq.ft.) 6,122 540 0 0 Owner Name: FITNESS 19 Owner Address: 17215 SE WAX RD COVINGTON WA 98042 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most seventy affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. • 4 THIS CARD IS TO MAIN ON-SITE i Construction In ection Record Federal Vtiay INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-101803-00-CO Address: 33702 21ST AVE SW Suite C Project: FITNESS 19 FEDERAL WAY, WA 98023 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. El SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) 0 Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date O Re-steel(4215) El Slab/Concrete Floor(4255) Underfloor Framing(4285) Approved to place concrete or gout Approved to place concrete Approved to sheath floor By Date By Date By Date O Floor Sheathing(4105) El Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Approved to install flooring Approved Approved By Date By Date By Date Prior to scheduling a Framing inspection; Framing(4120) 0 Insulation(4150) Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4 By e Date L Q t �l 0 B Date • El Gypsum Wallboard Nailing(4130)' ❑ Suspended Ceiling Grid(4265) '' 0 Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By (, ,ty .),..\ Date e-1 _ a_ 1 -L. , By 0...._ J,_ Date? ,.`i 2, By Date ❑ Final-Planning ❑ Final Erosion Control(4375) Q Final-Building(4050) Approved Approved Approved By Date By Date By 0 Date Ri.. _ay +7 ❑ Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date CITY OF '01A' PERMIT MF 0 ME PL DE EN FP Federal Way COMMUNITY DEVELOPMENT SERVICES APP L I CA'I r0\1- 253-835-2607•FAX 253-835-2609 0- C C,- wun rityoffederalunit corn „ o /9. - ivig03 SITE ADDRESS //) J (//(/) /yr�,(�/////� /��// Far �/{�/ SUITE/UNIT# 33 boa ?I sv;rV S.. Fla!' Ivan Gt_ q�,/;3 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 8'2,000 3 b ( 0 O - o O ( D TYPE OF PERMIT t BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT - / (Tenant Name/Homeowner Last Name) .-- B PROJECT DESCRIPTION Bu72V auc 06- ENG✓ L' ©d- G✓elts' of t/TT'f,' Detailed description of work to Ff e /CT1,VQ SS C g71 7-kW be included on this permit only NAME ,,nn ,�A '�r� PRIMARY PHONE PROPERTY OWNER F/C /MO/411e ec54era'`4 /77 1, 265 ,*6"P 01 CO MAILI G ADDRESS E-MAIL "337oa Pi s Av Ski. CITY(iiev c way STATE ZIPS 'O 3 NAME rf,/741.77'"`• 7 N `�'OC A h G PHONE 3 7?o , 5-18 MAILING ADDRESS d � E-MAIL oS CONTRACTOR I d9 e/+r�P� ST l,Or MI'ftU f,,SlormstnV( ,cot CITYp!'y,OCC W STATE Z 1 eS 7A FAX 72o k.5--?77 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDE- 1 WA�NESS LICENSE# SHS J3HL. ( 1/ ii-ii- /0 /03 //3 r' NAME • 0. /�•r/ /! JeOJ 886-53z../ APPLICANT MAILI/7 V s .. 449 ic deem z, E-MAIL qeSA NL PIM 0 Nal CEO VPV V Tat) seY/V-. ZIY p'©g'g FAX 6 3q R? PROJECT CONTACT NAME, r`��s ���� s � rr (The individual to receive and N35 20 5F519 respond to all correspondence MAILING&DDRESS iE-MAIL concerning this application) /aR C4Sr wTialA Two-SAI1MS1 7 4 C CITYFAX 7 a - p /TgZOA72 at 770 $OC 77 ALTE CONTACT NAME:O �v ( (..2.53it ass OK oy a Sf#ll st r coods PROJECT FINANCING NAME 7'AIErSS /9 eir OWNER-FINANCED Required value of$5,000 or more (RCW 19-27.095) MAILING ADDRESS,CITY STATE,ZIP PHONE /7 f'S SI.. WAK G'p(4)(6mbi' '''/ 60- eg6 - 5523 I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned,and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city p o SIGNATURE: "if" DATE 'r 02 r`. /g- PRINT NAME: f /7-Se cA7Wq Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application 'rl< ^ ^" ..;zf "�sa'-, '3;;;"-5: a• ='h-;'?m`s`"' ' ` 'k. ;;Y:;.� i•p'� i:w `"''a wY 'e, Nils; cz�.'s4.g:a'=, cu-� •-. - .>u�,>.--Vi: .1:71: ;;44, 517,,a�.,�..•r`y"+'; NT.-::": :,t;;' t >�,;Y' ,:,n - ' ';' ff; k,,p.„`,.•:n:_ 'n.:}�� �,. '".v �ty .{.. ;?T,.Jk..hn I", E,j.., ,��4 ki."..,f ' ,:.•:::‘;''',:;'''j-: Ff , � 3.4 M .`ht •` > .,t- _ � �.. 5 h `�t;. � '`" az ,«s x}i, ;'b, J';l "i' �;" �. -.•:_. z4„';...- ,.` >;' gF ":: ,_ ,.,u"€ es....".`:' :.r r... &a�t�x.,.,,•�" '�.r'.„r� '.x.;�,,,�i''�s$."'as v'�,: f �. . '''.'.r . „> ., s ..... ., -'`,x': .- >P' .. " ..� sem,•><,..r-s">r... _.kid::, x•.Yk.„1.Y,i°':':*`yam •... > VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type offixture to be installed or r ucated as part of this project. Do not i -,e existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUT OTHER(Describe) AIR CONDITIONER FIR'.'LAf E I kiS:RTS HOOD erciai) BOILERS . FU'l•C,S `I T WATER TANKS(Gas) COMPRESSORS I GA/ O SETS REFRIGERATION SYST DUCTING • i: • 'IPING - WOODSTOVES Indicate how many of each type of -•re to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or'rub/Shower Com. LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING Fe NTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric) HOSE : :BS SUMPS WASHING MACHINES rte , '."r'S ,'I'1Qn CRITICAL AREAS 0 PROPERTY? WATER PURVEYO' SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS A $ /11,frt Imo, � - EXI TING/PRE • S USE LOT SIZE(In Square Feet) EXISTING e `Fl SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes ❑ No ❑Yes No iE AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE FIRST FLOOR(or Mobile Home) %3 COVERED ENTRY c`"ar:';�•'.-'Nr. 3. < milimmuil GARAGE ❑ CARPORT ❑ j s, EGSTIaO PROPOSED TOTAti - _ Area T. _ . ^ a, ',:-. .,:_ ESTIMATED SELLING PRICE$ #OF BEDROOMS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in S•uare Feet •e Stories „ ADDITION .-- AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in S•uare Feet • •e Stories n«-i;�.�..3�n•�'s�,'.f.:,iaws,:1,-;,:;:�'?ws',✓•�•i..�aµ3:,:',�.<-.-f...,..�..,�•,...3te.;"L.,�d':..,•. ;,•3•�5,.: <;,%�.',v'<;;?;wa>: .`�fin%^.),�:"„�.�,<.''�"f'5.�'�i ✓��'>� =if'�tx,-J✓,'...�s.��:,.?'` y.�r..,<<'",:.,:>,:.�z ,�:>ti:.�•..�-s`:'.;-.:4':'*,'•1,": '5:,,?•'•,'';'••;"•P e f' ..,f -•,1�£ ::7y Tv :t +.'• ' 'x^,fx""'x:;.•.r„ 3.3"< .,„,1e5;-..-•-•,2„,..r :', Vii,W __'?7''`:.' y %8ri : '�:.•� 'r;•a;l' .. , >,..>a,�. ,f.,5 ,,;,,,,,,,,,,,,,,,,„,,,,,,,„,,,&,,,,'.k"• ,., .SF�. � � u ,<, �.7Ty..a .X ,i-,:-=-':',, :.,,..,..7•2,•:i.:. : .h, •., , iI' pp r ,,,,,,,,••,„;,...-,v,, f, f .z` � 7Sem�, 3: �..:�e �,;riu:%: ,.. n. .s<> >'7. -sm�� �„� : _ -.?c��a,S . '_k x,sd .r< .�c�::xdiss ,.. a...:3 ,%.;_ i ,.�> � -rte, s TENANT AREA ONLY -7GGGG5 1 fi'•r ` i rn "Nz,° ?;Iv' �',Ri ` � ,-.r^F,- y > � sr;�:, �3z .ixa ',2;.n/,^�� > ;:a" �f '; . x "�: �, , . Yw; r>''';7; ->€e:�„”':,„' ,Zr • ,'�i ” x� 'k ,Yrs ' .,£rr , � : �-'� b :”' ; ' , " , %:^v� i�frN:�_s� ,,��p� ,3 '�.�"�:a�f, />,3,i ��Y.�.F,i 'f,<n•:.r' r':�: 's ."'*�3 :�`ry.;� �F' f:,?-,.iaar,� Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application