05-100018City of Federal Way Plumbing Permit #: '05 - 100018 - 00 - PI
Community Development Sevices
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: DESERT SUN TANNING SALON
Project Address: 34024 HOYT SW SuiteC Parcel Number: 308900 0320
Project Description: Installing a new washing machine (washer box) in laundry room & a new hose bibb in mystic room.
Owner
Applicant
Contractor
TOO HOYTIE TOYTIE LLC
SKILCRAFT PLUMBING INC. *DOUGLAS M
SKILCRAFT PLUMBING INC. *DOUGLAS M
TOO HOYTIE TOYTIE LLC
4730 S 318TH ST
4730 S 318TH ST
2333 CARILLON POINT
AUBURN WA 98001
AUBURN WA 98001
KIRKLAND WA 98033
(253) 931 -1282
Plumbing Fixtures
Description Qua _ Description Quantity Description Quantity
Laundry Washer Outlets COther Plumbing Fixtures
PERMIT EXPIRES July 17, 2005.
Permit issued on January 18, 2005
I hereby -cer* d0t*e'above inforr
the occupant d,tiie uk ill be in
the City of Federa}' I ft.
Owner or agent:
Date
THIS CARD IS TO &MAIN ON -SITE
CITY of Itommunit Development inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253)'$35 -3050
PERMIT #: 05- 100018 -00 -PL
Owner: TOO HOYTIE TOYTIE LLC
Address: 34024 HOYT RD SW Suite C
FEDERAL WAY, WA 98023
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.
Plumbing Groundwork (4190) Rough Plumbing (4230) Gas Piping (4125)
Approved to cover Approved Approved to release test
By Date 1 \C' By Date By Date
Final - Plumbing (4075)
Oft Approved Av'—
By` Date
C�� o t -:4ECE
Federal Way �
PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 8TH AVENUE • PO BOX 9718 y a 4 2005
FEDERAL WAY, WA 9 8063 -9718
253- 835 -2607• FAX 253 -835 -2609 ARyPLICATION
unvur.ciluofederahuau.co Y OF FE)ERA
BUILDING DEPT.
The following is required information - an incomplete application will not be
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SF MF CO ME si %` S EN
D
Iccepted. Please print legibly (in ink) or tune_
SUITE /UNIT # -
LOT SIZE (sj)
(Attach separafe pagef lengthy legal des iption)
TYPE OF PERMIT ❑ BUILDING O/PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRI
7ti ON
0
PROJECT NAME (Name of Business or Owner Last Name) _ ll
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME ,� PRIMARY PHONE
Q
i LLL �✓1 1'l o �a enf Cy rr/ t LL 10 7 ) Oo2 p -O a'P
MAILING ADD SS CITY, STA E, ZIP
x �� -* C rJ� '&33-)3§3
COMPANY NAME
APPLICANT NAME
PHONE
MAILING ADDRESS
SAC /C /1� /
w m r h 1d
(�S3 ) qP
- �,z 5�
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
(19 1 `i e--
W3 )?(l (
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
-- -
(as3) -731
-y`l
- -
--- - - --BL
CONTRACTOR'S REGISTRATION NUMBER (copy of card regained with each applications
EXP IRATION
DATE
9- LL- C� 1 -1 �cL
l
l
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
(CELL PHONE
l ) —
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) _
NAME PRIMARY PHONE E -MAIL ADDRESS
Per RCW 19.27.095: Lender information Is
required if project value exceeds $5, 000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
HOODS )co— i i) WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS .
ZONING DESIGNATION
THIRD
CHANGE OF USE?
❑ YES
o NO
FOURTH
UP /SEPA /SU?
o YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
DECK (COVERED ?)
o NO
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL msTmG
TOTAL PROPOSED
TOTAL mSTMG AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
NEW M—
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS REFRIG. SYSTEMS
BBQS
FANS
HOODS )co— i i) WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS .
ZONING DESIGNATION
BATHTUBS (or rub /sho..<rCombo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS Bathroom si k.
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER CLOSETS (roth) MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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.
NAME /TITLE �/ DATE
ignaturpr (Title)
RELATIONSHIP TO PROJECT ❑ O,,vner ❑ Agent ❑ Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
a NEW o ADDITION
o ALTERATION
o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin tl 100 — March 30, 2004
Page 2of4
k\Handouts — Revised\Permit Application