16-101392City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Plumbing
Permit #: 16 -101392 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: VICTORY GET FIT CLUB
Project Address: 34303 PACIFIC HWY S Unit 116 Parcel Number: 202104 9068
Project Description: Install new water supply line, and drain for standard ADA rolling shower and relocate
existing kitchen sink as part of associated tenant improvement work.
Owner
Applicant
Contractor
YRV LLC
GOOD MEASURES CONSTRUCTION LLC
GOOD MEASURES CONSTRUCTION LLC
1830 Marion St
2719 8TH ST SE
'GOODMMC866P9 (10/29/16)
Enumclaw, WA. 98022-3109
FEDERAL WAY WA
2719 8TH ST SE
FEDERAL WAY WA
Plumbing Fixtures
Drains ............................................. 1 Other Plumbing Fixtures................ 1 Showers.......................................... 1
PERMIT EXPIRES Saturday, September 17, 2016
Permit Issued on Monday, March 21, 2016
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 ccordance with the laws, rules and regulations of the St to of W shington
nhe City of eder I W
Owner or a9 4 it t_.__ , —,Date -
Owner ZL
lam'
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CITY OFVAi
'
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record s
INSPECTION REQUESTS: (253) 835-3050
16 -101392 -00 -PL Address: 34303 PACIFIC HWY S Unit 116
Project: YRV 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.
Plumbing Groundwork (4190)
Rough Plumbing (4230)
13 Gas Piping (4125)
Approved test
Approved to cover
Approved
to release
By Date y k &
By 0,f Date y1(s`j(,Q
By Date
Final - Plumbing (4075)
Approved
By Date 4 _
Final Electrical
Approved
1:1Approved
Right of Way
Rough Electrical
Approved
By
Date
By
Date
By
Date
` PERM I1*APPLI ON
CITY OF
Federal Way
/ Dr MAR 21 2016
PERMIT NUMBER ' l n (—1 ; 7-1' TARGET DATE CITY OF FL'DERAL WAY
SITE ADDRESS --'--' 1���J / r
�'-L � F) G o - C— � E t l (41:1
SUITE/UNIT #
�
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL
TYPE OF PERMIT
❑ BUILDINGLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
'/�--1 Or f C c C- (
S
PROJECT DESCRIPTION
Detailed description of work to
tj
be included on this permit only
PRIMARY PHONE
PROPERTY OWNER`
E-MAIL
CITY
ST41kT&
N&ME PHONE
MAILING ADDRESSf - E-MAIL -
`4'Yi <E§( '
CONTRACTOR
ST TE�S�
FAX
Y
//WA' /SSfTfA NTRAC OR' LICENSE #
LJ`/ya"
EXPIRATION DATE FEDERAL pWAY
�BUSINESS LICENSE #
{ l ,LC/T/ ,
NAME PRIMARY PHONE
S
MAILING ADDRESS E -MAD
APPLICANT
CITY
STATE
ZIP FAX
PROJECT CONTACT
PRIMARY PHONE
MAILING ADDRESS E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP FAX
concerning this application)
PROJECT FINANCING
NAME ❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP PHONE
(RCW 19.28095)
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 accur of the
information supplied to the city as a part of this application
G
SIGN DATE
f
PRINT NAME: i u
Bulletin #100 - February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS 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
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
$ .2� Q D 0
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existir�q fixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAYS (Nana Sinks)
TOILETS
WATER PIPING
—7�— DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
V DRAINS
SHOWERS
VACUUM BREAKERS
Occupancy Groupls)
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
TOTAL BUILDING
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR "
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe) -
- -...... -.-.......... ........ ........................................ ------ ---- - --. ....--- -
Area Totals EXISTING PROPOSED TOTAL
"NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groupls)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application