15-1037250 ` Mumbing
City of Federal Way .{{.�
Community & Econ. Dev. Services Permit #: 15 -103725 -00 -PL
33325 8th Ave S
Federal Way, WA 96003FILE Request Inspection Re Line: 253
Ph: (253) 835-2607 Fax: (253) 835-2609 p q ) 836-3050
Project Name: ELEV8 HOT YOGA
Project Address: 2000 S 314TH ST Parcel Number: 092104 9053
Project Description: Final inspection of accessible shower.
,Owner
I n
Contractor
KRISTINE BORDEN
KRISTINE BORDEN
OWNER IS CONTRACTOR
ELEV8 HOT YOGA
ELEV8 HOT YOGA
2000 S 314TH ST
2000 S 314TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Plumbing Fixtures
Showers .......................................... 1
PERMIT EXPIRES Sunday, January 24, 2016
Permit Issued on Tuesday, July 28, 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 in accordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way. p p
Owner or agent: Date: 2 Q I
FINgLED
w
. THIS CARD IS TOIN ON-SITE
C,rroF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT #: 15 -103725 -00 -PL Address: 2000 S 314TH ST
Project: KRISTINE BORDEN FEDERAL WAY, WA 98003-5475
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.
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Final Electrical
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF VA�
Federal Way
REVIVED
JUL 28 2015
CITY OF FEDERAL WAY
PERMIT NUMBER 5
a - —I t/ %� —,;z -Y - -P& TARGET DATE
SITE ADDRESS
d 000 --;? . 314 ST Feoorc i Oa. wA-
SUITE/UNIT #
$bo 3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
UA
$ / J l
—
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
G,
-f—V B "t D `
5h owe v
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER/
NAME /^
` 1' 1
PRIMARY PHONE 2�
24J5 ,�j' q�� �v ' —
MAILING ADDRESS ^ , r
E-MAIL
ffA TY UJSTATE,
ZIP
NAME
Q Y
PHONE
MAILING ADDRESS
E- L
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
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
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 taws 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 thiE7pZication.
SIGNATURE: DATE
1�+
PRINT NAME: Y r
Bulletin 4 100 - January 1, 2013 Page I of 3 k:\Handouts\Permit Application