08-102208 4.
r .
City of Federal Way Bu ing - Commercial Per #: 08-102208-00-Co
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: YOGA OF FEDERAL WAY
Project Address: 31839 GATEWAY CENTER BLVD S F Parcel Number: 092104 9137
Project Description: Soft Demo- includes interior walls,carpet, inyl`flooring
Owner Applicant Contractor Lender
AN S LLC PACIFIC LIVING HOMES(PLH) PACIFIC LIVING HOMES(PLH)
PO BOX 1941 8554 122ND AVE NE PACIFLH941Q1 (11/21/08)
AUBURN WA 98071 KIRKLAND WA 98033 8554 122ND AVE NE
KIRKLAND WA 98033
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
iti• Information
Mechanical to be Included? No Number of Stories....,.,, 0,. ,0 „ .,....1
Permit for Building Shell Only? ,.No Plumbing to be bultucted9 .No
New/Additional Sq.Feet-Total 0
s
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, November 2, 2008
Permit Issued on Tuesday, May 6, 2008
I hereby certify that the abo forma ► is correct and that the construction on the above described property and
the occupancy and the a will be inacco rdance with the laws, rules and regulations of the Sta of ashington
nd the City of Federal Way. C
Owner or agent: �� �- Date: &'..-."
V Me g
—
Jt FINAL -
� ch 'YE®
THIS CARD IS TO R .MAIN ON-SITE
y
CITY OF 0 ommunity DevelopmPlit Inspection Recoi d
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-102208-00-CO
Owner: A N S LLC
Address: 31839 GATEWAY CENTER BLVD S
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
0❑ Footings/Setback(4110) ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
— 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ? ❑ Framing(4120) •❑ Insulation (4150)
_1
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date By Date
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
,❑ Final-Building(4050)
�
� Approved /
By/`/ i Date (�C f 4
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
A.
initscoNt a �PERMIT OUYAR/MIYDSVS►A � SF MF O ME EL PL DE EN FP
33345 Ery AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 gyp`( Q 1 APIJCATION TD
253-835-2607.FAX 253-835-2609 / /yuna.dtuo/Fedemhuau.con! Ep A
The followi , . ,(i d Ei{�o- on-an incomplete application will not be accepted. Please print legibly(in ink)or type.
III PROPERTY INFORMATION
Ilk
SITE ADDRESS :1- 31 �3
ci CSA• LAJ/!,L( c_--1-e_ $C.V 0 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL 9 ,`- —— —_. LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(m rro ftwkseeirWard.loiye.,q
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
O DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) .
De 04 ) YJrea-k 0(L 4-. )Arc.L,S 4 -P T . V'1 Ni Li L El_A 0 Li NIG--
.
PROJECT NAME(Name of Business or Owner Last Name) "(bGA p F �OL-ria ._ WAru / et j ttc
IN PEOPLE INFORMATION •
\
PROPERTY NAME 1PRIMARY PHONE
OWNER AOS , 4e-LZ (lG�jw�l -
/��� CITY, ATE, P E-MAIL ADDRESS
MAlr0 / 6 ,4 _ At/ Cretr7?
CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE
7)1. 4 _ ;43TAI ZIPIt 1D Y\K4A JIJ 6ZS) 8 mid -32.4 I
t6f D "`.0 awe. NE
CELL PHONE
"7J-i '�ic.N F/ (v R144.Aa0 wAgto203 (42.51 Yyo - 3 2.41 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(Jtzyi gzz -a 1 a •3-
CONTRACTOR'S TION NUMBER EXPW.ATIoNpATE E ADDRESS
7 TsAc 15- c141 & 1 1 ) 24/o 47'�i .4 V
APPLICANT COMPAIlY NAME APPLICANT NAME OFFICE PHONE
.. (skt-fe-- �s� ( ) _
MAILING ADDRESS OH'Y,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT ( )
RAX NUMBER
o Architect o Tenant o Agent VOther &P T7r24C 7V 7 Z. ( ) -
JECT
CONTACT N ! i4l/t° 0/W6—a-�1V / (�2J7 �o - gulfPRIMARY PHOIC , ,)DRESS� Q c�.al�,o
LENDER NAME Per RCW 19.27.0911: -citA4
Lender information is required if project value exceeds#5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK I� c25a)
SPRINKLERED BUILDING? O YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES o NO•
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE a TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAIiEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
a PROJECT rLooi:ARRAS
•
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND,
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
•
DECK(0 COVERED OR 0 UNCOVERED?)
•
GARAGE 0 CARPORT 0
•
•
NUMBER OF FLOORS 1102111f0 PROM= TOTAL TOTAL sXLISTI Ger TOTAL PROPOSED AT TOTAL fl'
•
•
"!NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
(� FIXTUR.ES
Indicate.number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MEC TANICAL ••
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
• BOILERS FIREPLACE INSERTS HOODS tcemmora.q
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
•
BATHTUBS pie ub/slwwrComLol LAVS(s.sv.omSinks) URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS maul •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES .
HOSE BIBBS SlIMPS •
•
SIGNATURE
I certify underpenai4l of perjury that I air the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge,the in formation 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 authorised by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's - compliance with load,state,or federal laws regulating construction or environmental laws.
I further agree to hold .,I
s the City -. Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense • such claim), which •t be made by any person, including the undersigned, and filed against the city,but only
where such claim arises of the re, ., - of the ty,including its officers and employees,upon the accuracy of the'Information supplied to
the city as a part of applcatio
SIGNATURE: 11111.
DATE 614/Z6 (.0
Pro. , .• . and/or Authorised Agent
•
o NEW a ADDITION . a ALTERATION a REPAIR a.TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o.YES o NO
•ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES o NO
•
•
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application