18-103553City of Federal Way
Community Development Dept.
33325 lith Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: TEMPLE FITNESS
Project Address: 35417 21ST AVE SW
Mechanical
Permit #:18 -103553 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 252103 9002
Project Description: Adding (3) bathroom fans for associated tenant improvement work,
Owner
Applicant
Contractor
WEST PRINCIPLES INVESTMENT
CRAFTSMAN CONSTRUCTION
CRAFTSMAN CONSTRUCTION
320 E MEEKER ST SUITE 102
8301 S AINSWORTH AVE
CRAFTC'846NU (8/31/18)
KENT WA 98056
TACOMA WA 98444
8301 S AINSWORTH AVE
TACOMA WA 98444
Additional Permit Information
Mechanical Work Valuations ............................... 10000 Is this an Online or O.T.C. application?.................. Yes
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Fans 3
CONDITIONS:
Electric service & Electrical permits by TACOMA POWER.
PERMIT EXPIRES Monday, 4 February, 2019
Permit Issued on Wednesday, August 8, 2018
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
ashington and the City of Federal Way.
Owner or agent: <X441 Date: �����
THIS CARD IS TO REMAIN ON-SITE
Wa Construction Inspection Record
FederalINSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18103553 00 Address: 35417 21ST AVE SW
Project: WEST PRINCIPLES INVESTMENT 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
Mechanical Rough -in (4165)
ID
Gas Piping (4125)
8❑
Final - Mechanical (4065)
Approved
Approved to release test
1By
Approved
By
Date
By
Date
By
#+J Date 4/ yL
n
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OFVA�A& PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + perm fy_ay.com
PERMIT NUMBER _ i (.J _ ME AUG 0 8 2018
TARGET DATE
CITY OF FEDERAL MY
SITE ADDRESS �( I �T : I ^ w
/ M
PROJECT VALUATION
$ /V ��
ZONING
ASSESSO�TL� TAX/PARCEL # � Q �
Z- —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING XMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
I�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
N n
PHONE _
CONTRACTOR
MAILING ADDRESS
G�� (S
-MAIL
TY ,STATJF
ZIP /�
F
WA STATE ONTRACTOR'S LICENSE #
V
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME((__ �__
M G av G.K1/L_
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT.
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
When value is $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 supplie as part of this application.
SIGNATURE: DATE
PRINT NAME: 71"t fLf 13c,
Bulletin #100 –January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application