13-103633City of Federal Way
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FITNESS EVOLUTION
Project Address: 1211 S 320TH ST
I s � Mechanical
Permit #: 13 -103633 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0030
Project Description: Ductwork and diffusers for tenant improvements. Split system HVAC by separate permit.
Ownr
AR12lican
Contractor
FITNESS EVOLUTION
BLUE FLAME HTG & A/C
BLUE FLAME HTG & A/C
2144 INDUSTRIAL PKWY
7116 220TH ST SW SUITE 1
BLUEFL*997R1(12/21/13)
SILVER SPRING MD 20904
MOUNTLAKE TERRACE WA 98043
7116 220TH ST SW SUITE 1
MOUNTLAKE TERRACE WA 98043
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Ducting........................................... 1
PERMIT EXPIRES Saturday, February 15, 2014
Permit Issued on Monday, August 19, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the e ' ccordance with the laws, rules and regulations of the State of Washington
d the City of Federal Way.
Owner or agent: e Date:—_i;-//
f INA&SID
THIS CARD IS TO MAIN ON-SITE
CIOF Construction In ection Record t
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -103633 -00 -ME 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 the inspection sequence. On-going inspections are logged on the back of this card.
Mechanical Rough -in (4165)
❑ Gas Piping (4125)
Fin echanical (4065)
Approved
Approved to release test
Approved
B Date (U �� 3
By Date
Date ) / Y
/ _r_7
rg%ALSID
Rough Electrical
Approved
11
Final Electrical
Approved
R
Right of Way
Approved
By
Date
By
Date
By
Date
�ACITY Of
Federal Way
RECEIVED
0AUG 19 2413
PERM I'10APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER
2-1�5 � `,_ 3 % o ' u (TARGET DATE /
- - �_ .
SITE ADDRESS
SUITE/UNIT #
S.
PROJECT VALUATION
ZONING
ASS OX'S TAR/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING (MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
' . U `r/ D
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
;MeZ,0V92
PRIMARY PHONE
MAILING ADDRESS/ �)7 Sad
E MAu.
NAME �� �
PHONE
-771- AS9
CONTRACTOR
MAILING ADDRESS
7l�
r
CITY /STAjTAE
r ✓
LAP
�/ '
ZIP
FAX �% % ° /�
'� - / / " 7///
WA STATE ONTRACTOR'S LICENSE N
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NPRIMARY
PHONE
MAILING ADDRESS
71
EMAIL
(The individual to receive and
respond to all correspondence
CITY _�•
49 r✓
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 c as of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
s
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
�
Indicate how many of each type o re to be installed or relocated as part of this project. Do not include existirkg lixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS . OTHER (Describe)
P/" 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
Area
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offixWre
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (HandSinko
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
i y A� x
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Area
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
�k�,.
ME
i y A� x
,. s••.
¢
.�. ., ,1
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
I
Occupancy Group(s)
Additional Information
in Sauare Feet
Tvve
Stories
TENANT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application