18-1018054
7 7
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
y Y :�idYrig.-`Cori�l`menta
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Permit #:18-101805-00-00
Inspection Request Line: (253) 835-3050
Project Name: TEMPLE FITNESS
Project Address: 35417 21ST AVE SW Parcel Number: 252103 9002
Project Description: TI - Interior tenant improvement work to include demolition of non-structural walls,
construction of 8.5' height walls for new restrooms, showers, and offices. Plumbing and
mechanical by separate permits
Owner
Applicant
Contractor
Lender . .
WEST PRINCIPLES INVESTMENT
BRYNN ESBENSHADETEMPLE
CRAFTSMAN CONSTRUCTION
COLUMBIA BANK
320 E MEEKER ST SUITE 102
FITNESS
8301 S AINSWORTH AVE
33.515 9TH AVE S
KENT WA 98056
33020 10TH AVE SW APT#: A-302
TACOMA WA 98444
FEDERAL WAY WA 98003
Permit for Building Shell Only? ..............................
FEDERAL WAY WA 98023
Plumbing to be Included? ........................................
USA
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2 #3 #4
Occupancy Class:
A-3
B
Construction Type:
Type V- B
Type V- B
-Occupancy Load: 1
82.00 1
4.00
Floor Area (sq. ft.) 1
4,797.00 1
359.00
Additional Permit Information
Occupancy #1- Area (Sq. Feet) ..............................
4797
Occupancy #1 - Construction Type .........................
Type V - B
Mechanical to be Included? .....................................
No
Plumbing Work Valuation?.....................................
0
Mechanical Work Valuation? ..................................
0
Number of Stories...................................................
I
Occupancy 42 - Class ..............................................
B
Is this an Online or O.T.C. application?..................
No
Permit for Building Shell Only? ..............................
No
Plumbing to be Included? ........................................
No
Will Certificate of Occupancy be Issued? ...............
Yes
Occupancy #1 - Use................................................
Gymnasium
Comprehensive Plan Designation ...........................
Neighborhood Business Zoning Designation .................................................
BN
Total Valuation: 80,000.00
ICONDITIONS•.
Electric service & Electrical permits by TACOMA POWER.
PERMIT EXPIRES Sunday, 23 December, 2018
Permit Issued on Tuesday, June 26, 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
Washington and the City of Federal Way.
Owner or agent: d v , Date: U'' Su � 1
F,W
Y
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
11110 of the International Residential Code is certifying that at the time of issuance, this structure was in
compliance with the various ordinances of the City regulating building construction or use. This certificate is valid
ONLY when endorsed by City staff.
Tenant Name: TEMPLE FITNESS Permit # 18 -101805 -00 -CO
Address: 35417 21ST AVE SW
Includes: #1 #2 #3 #4
Occupancy Class: A-3 B
Construction Type: Type V - B Type V - B
Occupancy Load: 82.00 4.00
Floor Area (sq. ft.) 4,797.00 359.00
Owner Name: WEST PRINCIPLES INVESTMENT
Owner Address: 320 E MEEKER ST SUITE 102 -
KENT WA 98056
Building Official 6ate
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete
a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees
nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
` which itis situated. Such compliance is the responsibility of the owner and /or occupant of the premises. J
.r .
THIS CARD IS TO REMAIN ON-SITE
crneF Construction Ins ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18101805 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.
Q
Initial Erosion Control (4365)
2
Footings/Setback (4110)
FAI
Re -steel (4215)
To be done PRIOR to breaking ground
By
Approved to place concrete
By
Approved to place concrete or grout
By
Date
By
Date
By
Date
®
Slab/Concrete Floor (4255)
®
Underfloor Framing (4285)
®
Floor Sheathing (4105)
Approved to place concrete
By
Approved to sheath floor
By
Approved to install flooring
By
Date
By
Date
By
Date
Q
Fire/Draft Stops (4095)
®
Interim Erosion Control (4370)
Final Electrical
Prior to duling a Framing inspection;
Approved
By
Approved
By
Electrical, dt Mechanical Rough-io
:Plumbing
Approved
Approved
and FhvffiStop inspections must be sig•ed-
By
Date
By
Date
off approved. IBC 109.3.4
0
Framing (4120)
0
Insulation (4150)
El
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date iltflf
By
Date
By
A-^1 Date $ S
2
Suspended Ceiling Grid (4265)
0
Final - S K F & R (4060)
4
Final - Planning
Approved to drop tile
Approved
1By
Approved
By
Date
By
Date
Date
15
Final Erosion Control (4375)
Final - Building (4050)
Final Electrical
Approved
Approved
By
Date
By
Date
Approved
Approved
Rough Electrical
El
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
S.
CITY OF Building Division
33325 Eighth Avenue South
. � Federal Wa Federal Way, Fax
98003-6325
y Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 35e4! 7 215+ avL Sw PERMIT#: I - /o I X 05
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IF YOU HAVE QUESTIONS CALL (253) 835- ?G 35
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
11a611c'-
DATE
0
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF
*AL
Federal Way
Building Division '
33325 Eighth Avenue South,
Federal Way, WA 98003-6325
Phone 253-835-2607 Fox 253-835-2609
CORRECTION NOTICE
ADDRESS: 35 L-) ("1 2) S-� allt S►AJ PERMIT#: I g — ! o l S'o
N
w < t < C'k a--� iz \
id
C- i,Jq I
IF YOU HAVE QUESTIONS CALL Aqj ( (253) 835- 2,1e 3Z
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 83 -3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
$ 4 /' r -
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
.41
RECEIVED
All 2 6 2018
CITY OF .✓ CITY OF FEDERAL WAY
Federal Way co Z64N DEVELOPMENT
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterncirioffederalway.corn
PERMIT NUMBER 1 v _ 10 0 �3 C 1-0
— —. — _ — TARGET DATE
-5/3I /I g
BITE ADDRESS
sUI1E/UNIT #
85yI -7.- Z15i-Ave �5w "Tdde;vod Way qli�623
PROJECT VALUATION
ZONING
ASSESSOR'S TAWPARCEL# /} o /�
(�/)
TYPE OF PERMIT
Pq BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
0 Un c oL W3A%
Detailed description of work to
n GC i V tiLLVA iX.lV d
�� - _moi c: _.. _ •- h� ' -�c� J
be included on this permit only
NAMEPRIMARY
Wei t-'t� -nC:t pet. 1AN1 &5TWte'n-t C- YU* LLC
PHONE
2cx�
PROPERTY OWNER
MAILING ADDRESS
E -MAD,
320 ee D2_
CITY •STATE I
ZIP(
NDC-aiY1-h
705, 50 105
'til 2;t'' E a to wta 1ntA
tCc t
CONTRACTOR
C"i—aaron, STATS
' "gi4U
FA%
A STATE CONTRACTOR'8 LICENSE #
EXPIRATION DATE _
FEDERAL WAY BUSINESS LICENSE i
-
P Y PHONE
APPLICANT
KAILI G ADDRESS
"L U` • fC3t��
EMAIL
1p` t n ess rC5
CITY
— erL-0
STATE
ZII'
FAX
PROJECT CONTACT
NAME CA,,�Li I n W 'I -n c�
PRIMARY "! r)t
253
(Tile individual to receive and
respond to all correspondence
MAILING ADDRESS M
n
N l (W'J �1 �v 6 f � 01U't
E-MAIL
Chari +n w ,�r-+r ,tlrej
C'!
acvWVx
iVWVr/t'1f
n
'r- :�L
FAx
concerning this application)STATE
PROJECT FINANCINGCUltt
NAME
UvlDi Q ban k . 5 A
❑ OWNER -FINANCED
%Wen value is $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
3.3 515 � .4 five 5 •�edcyou � Vat q l>;a,6
PHONE
213 x'25 `1� 2 3
I cerUb under penalty of perjury that I am the property owner or authorized agent of the properly owner. I certt that to the best
of my knowledge, the injbrmation submitted in support of this permit application is true and correct. I certVy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the
issuance of this permit does not remove the owners 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 eiaimo, which may be made by any person, including the undersigned, and flied 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 a part of this application.
8IGNATIIRE: DATE
PRINTNAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 kAl-landoutsTermit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how man_q of each type of fkWre to be installed or relocated as part of this project Do not include exist' res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commenw)
BOILERS FURNACES HOT WATER TANKS (Qaa(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OFPLUMBNG WORK
d' w fvcjwr&4Q be 'vistaUed or relocated as part of this project Do not include exist' res to remain.
BA HTUBS for /show rco bo) t✓ VS (g �_IE
n TOILE WATER PIPING
DI HWASHE NWA URI S HER Desch )Z D INS % WE VACUUR AR1 DR FO TAINS _� SINKS hen/uw<y( WA R H A E
HOSE BIBBS SUMPS WASHI G MA HINES AL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EMSTING IMPROVEMENTS
IVv
Additional Information
NEW Rv1I v0G
EXISTING/PREVIOUS USE
LOT SIZE an Square Fee"
WASTING FIRE SPRIMUSR SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
VarA ,�.n �-
❑ Yes/ No
El Yes x No
wev iT� i e, chX t
Occupancy Group(s) Construction
a
# of
Stories
Additional Information
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW Rv1I v0G
ADDmoN
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s) Construction
a
# of
Stories
Additional Information
TOTAL surt,Dz
R0-+1 C)
2tiv l Itcwra
t
TENANT AREA ONLY
b D
M'r1M C) -.e :Zr t)p FMi y C 1Se
PROJ=T AREA *KLY
Yee W1 YrL`1(!Sj 4`1SC
y`
Bulletin #100 — January 29, 2016 Page 2 of 2 kAiandoutsTetmit Application
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