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13-103405Plumbing City ofFaftEmn. sway Permit #: 13 -103405 -60 -PL Community & flcon. 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 4 Project Name: FITNESS EVOLUTION Project Address: 1211 S 320TH ST Parcel Number: 150050 0030 Project Description: Plumbing for new restrooms/locker rooms. Includes (2) gas hot water tanks. Owner A1212fican Contractor FITNESS EVOLUTION LOYAL MECHANICAL INC LOYAL MECHANICAL INC 2144 INDUSTRIAL PKWY 2400 NW 80TH ST PMB 286 LOYALMI141OK (1/7/15) SILVER SPRING MD 20904 SEATTLE WA 98040 2400 NW 80TH ST PMB 286 SEATTLE WA 98040 Plumbing Fixtures' Drains ................. 6 Drinking Fountains ........................ 1 Lavatories.... ......... 9 Showers......................................... 8 Sinks............................................... 2 Urinals............................................ 2 Water Closets ................................. 7 Water Heaters................................. 2 PERMIT EXPIRES Tuesday, January 28, 2014 Permit Issued on Thursday, August 1, 2013 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 , i and the City of Federal Way. Owner or agent: �7 CCS G l� I' Date: 1 FINALED OL CITY CW Federal Way PERMIT #: • THIS CARD IS TOIN ON-SITE Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 13 -103405 -00 -PL Address: 1211 S 320TH ST Project: FITNESS EVOLUTION FEDERAL WAY, WA 98003-5339 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 fb�, inspection sequence. On-going inspections are logged on the back of this card. Plumbing Groundwork (4190) ugh Plumbing ( 30) 1:1 Gas Piping (4125) Approved to cover Approved Approved to release test B Date yam- (3 By Date By Date 0 Final - Plumbi Approved Date [�f/-% FINALED Rough Electrical Approved Final Electrical Approved Right of Way_ Approved By Date By Date By Date a l CITY OF 'A Federal Way REC*VED AUG 01 2013 0 PERMIT APPLICATION CITY OF FEDERAL WA/Y, PERMIT NUMBER CD L— _ U _ ���LLL ✓✓✓ TARGET DATE G F I' 1 7, 1 n V '.Z O e) C O SITE ADDRESS SUITE/UNIT # 12.11 Sr 3ZOt(,, S,+ FEoERAL WA/ WA TE003'-5339 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 3%Doo I S 0 o S co - v 0 3 0 TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT F I TOUIES S EV OLLI Tl O T L PROJECT DESCRIPTION L (N T -b A-rgAoom S t" 4' xtSnoi erS(�A Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER f" ERL-wic GoCK FA2•rNERS MAILING ADDRESS E-MAIL CITY i3 t,1R I CA STATE I ZIP NAME LOYAL. MECW1M<A L Inc, PHONE Zo(e 7848029 MAILING ADDRESS 2400 a*., 'Si- # Z84 E-MAIL b' n"7 10 eer' ItAm!Ri 11 CONTRACTOR CITY S E A1r1rLJe STATE L -'A • ZIP 9i91)7-4'1Yq FAX Ipt. 78 811 S WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # Lo ALMZ 1141014. i / '7 11.5 20 -08 - 0 2162--40-SL NAME 6;Z\AaN L. LARSOIJ PRIMARY PHONE c Zob Sto-3887 MAILING ADDRESS SAME AS CoN'rJ'uo[--ro�2 E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT NAME SAME AS C0 )J-MAC.Tn PRIMARY PHONE MAILING ADDRESS EMAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME OWNER -FINANCED Required value of $5, 000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE 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 apart of this application. SIGNATURE: 3 DATE -7/ 31 /13 PRINT NAME: BA Np o L, LAP'SOA) Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Pelmit 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 BOILERS FURNACES Z HOT WATER TANKS Gas) COMPRESSORS GAS LOG SETS ----r DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF PLUMBING WORK $ Indicate how many of each type offixture Occupancy Group(s) Additional Information to be installed or relocated as part of this project. Dc not include existingfixtures to remain. BATHTUBS (or Tub/Shower combo) EXISTING/PREVIOUS USE LAVS (H—dSi„ks] TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS 2+ URINALS OTHER (Describe) DRAINS COMMERCIAL - REMODEL/TENANT IMPROVEMENTS SHOWERS VACUUM BREAKERS Construction # of DRINKING FOUNTAINS _Z SINKS (Kitchen/Utility) WATER HEATERS (et­triq HOSE BIBBS SUMPS WASHING MACHINES _&5_7 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS Occupancy Group(s) Additional Information in Square Feet EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No COMMERCIAL - NEW/ADDITION Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in Square Feet a Stories i i /iINS// /i% / ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in S uare Feet a Stories Ek"MRI/0 / / / /� i i///i� / TENANT AREA ONLY Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application RECEIVE _ l O F;;, 5- Z -5 - Federal Wav ---- Federalway PERMIT -------- IMMUNITY DEVELOPMENT SERvAU G 0 9 2013 SF MF CO ME EL PL DEE FP 25 81"FEDERAENUE SOA 98063 971 9718 APPLICATION FEDERAL WAY. OU 98063-9718 253-835-2607• FAX 253 CM90F FEDERAL www cituo((ederalmat.Com CDS Theollowin is re uired information - an incom tete a lication will not be acce ted. Please rint le ibl in ink) or M PROPERTY INFORMATION SITE ADDRESS t Z 1 I S ✓OT t I Z D T� ST SUITE/UNIT # ASSESSOR'S TAX/PARCEL # --L —D -0 —Y -0— - -0 -0 —3 -(2 LOT SIZE (sff) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separale page f r lenglhg kgal descriplioN PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul intZF 5PRiM1<1-Pry TFMAHT ThalPROVEKEN i L,LI t - t a Soo _ -- T,�/ PROJECT NAME (Name of Business or Owner Last Name) �` T I ` E ES -S VO L U I (/ a 6 Z PEOPLEi • • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE M &P � �Ures E r E(SUAUE LLCI( - MAILING ADDRESS CITY, STATE, ZIP COMPANY NAME LDLU MMA FRE APPLICANT NAME E RLAH -(5-,"HULZ-E'-(206 OFFICE PHONE Zia 3- MAILING ADDRESS CITY, STATE, ZIP lL/ / /� LE WA CELL PHONE WAY BUSINESS LICENSE NUMBER EXPIRATION DATE CITY OF/3 Dq- I ©U /4i2 /31 / t3 �D-57-B FAX NUMBS (206 340 ��c�o L CON'T'RACTORS REGISTRATION NUMBER (copy of card required with each application) CID LU M F1� S tH EXPIRATION DATE �2 /31 /2of RILAARY PHONE 70&_ IL ADDRESS •E, Per RCW 29.27.095: Lender information is NAME tl PROPOSED USE VEXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPREIKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) required (f project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE VEXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPREIKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT o NEW c ADDITION c ALTERATION c REPAIR c TENANT IMPROVEMENT FIRST EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS SECOND FANS HOODS(Commrr<i.d) WOODSTOVES THIRD FIREPLACE INSERTS RANGES MISC (Describe) FOURTH FURNACES GAS WATER HEATERS c NO ADDITIONAL FLOORS (DESCRIBE) GAS PIPE OUTLETS DEMO PERMIT REQUIRED? n YES DECK(COVERED?) GARAGE ❑ CARPORT ❑ SHOWERS WATER CLOSETS lTmurq MISC (Describe) NUMBER OF FLOORS Ex�sr¢vc PROPOSED rmv cora ExrsrnvcsP rmv PeoPosEDSP rorncsP **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 Value of Mechanical Work $ o NEW c ADDITION c ALTERATION c REPAIR c TENANT IMPROVEMENT AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS(Commrr<i.d) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS c NO DUCTS GAS PIPE OUTLETS DEMO PERMIT REQUIRED? n YES PLUMBING BATHTUBS (n nnBnn,r c,>n,o,) SHOWERS WATER CLOSETS lTmurq MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (B.,mr,nn, sink,) VACUUM BREAKERS ELECTRIC WATER HEATERS I certify under penalty of perjury 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. NAME/TITLES Z �L/(iYl (% �/ ��L.l�i��� DATE (Signature) -� (TKIc) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY' o NEW c ADDITION c ALTERATION c REPAIR c TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? o YES ❑ NO ZONING DESIGNATION CHANGE OF USE? c YES c NO NEW ADDRESS REQUIRED? ❑ YES c NO UP/SEPA/SU? o YES c NO PLATTED LOT? c YES o NO DEMO PERMIT REQUIRED? n YES c NO Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Permit Application