05-101693City of Federal Way Plumbing Permit #: 05 - 101693 - 00 - PL
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3054
Project Name: SAFARI TAN
Project Address: 34029 HOYT SW SuiteB Parcel Number: 308900 0385
Project Description: Plumbing associated with TI to create initial tenant space, including new lighting and new walls for day
spa use, which will include tanning, hair, nails, and an espresso bar.
Owner
Applicant
Contractor
SPEARMAN DEV GROUP LLC
MAPLE VALLEY PLUMBING
MAPLE VALLEY PLUMBING
Laundry Washer Outlets
PO BOX 903
PO BOX 903
RAVENSDALE WA 98051
RAVENSDALE WA 98051
Water Heaters
(425) 432 -7599
Plumbing Fixtures
[—Description
Quant�ty�
Description
Quantity
Description J06—antity
Laundry Washer Outlets
Other Plumbing Fixtures
�[5
L—�
Water Heaters
Owner or agent: Date:
DATE INSPECTOR AIZEA AND TYPE (-Pic INSPECTION
i
' __& THIS CARD IS TO MAIN ON -SfTE
CITY OF ?ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 101693 -00 -PL
Owner:
Address: 34029 HOYT RD SW Suite B
FEDERAL WAY, WA 98023 -3208
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 L C Date' ?1Z By Date p O By Date *_::� 4
% ❑ Final - Plumbing (4075)
Approved
Q
By /� Date �
Fede I F
ra W �C-IVF -D*
PERMIT
COMMURITY DEVELOPMENT SERVICES
'S BE " ^Y W 3 2005 APPLICATION
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The following �Slr0&tAflQ9 ia- IQW,nTfiAY _ ,,,, �,,.,.�e...>r .e ......r ......:......an .
SITE ADDRESS
SF MF CO ME EL L E EN FP
D � /
SUITE /UNIT # ins
-"E ASSESSOR'S TAX /PARCEL # -1 -1- C1 -! - (Y 3- T -!i�- LOT SIZE (sj)
LEGAL DESCRIPTION fe.g. Acme Estates, Lot 1)
sepmateP -Wf- k -shy 1e9W d --pb-V
TYPE OF PERMIT ❑ BUILDING Jd PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (^Provide detailed description of work included on this permit onlu) 1
FI Wins, 'A 4% -j B 1'P -- I 1 l'IN n ill C I C k" .4 - .�
PROJECT NAME (Name of Business or Owner Last
C0*1kke1OR Si
6
APPLICANT
CONTACT
LENDER
EXISTING USE
COMPANY NAME Aw ._, � a 1 � P1" 1 �
hs
• APPLICANT NAME
OFFICE PHONE
g ITI I S C C i T CCC
P . e..I o,: �ICNt�.•
f),vi_ �
( 72.5 ) ln-
R`
-*594)
MAILING ADDRESS
p
l I$Ls,
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTORS REGISTRATION NUMBER (copy of cud required with each applicatiosl
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
g ITI I S C C i T CCC
( ) -
MAILING ADDRESS
CITY, STATE, ZIP -
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( -
NAME PRIMARY PHONE EMAIL ADDRESS
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKRHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. SO. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED'?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS E°a"RO PROPOSED Toret � •rorncs�usTm�sr fiTOru rROrosEDSr torwc
� aq
.. 9
"NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (or Tub /Shower Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (BathmomSm"
VACUUM BREAKERS
GAS LOGS
HOODS (commemiaq
RANGES
GAS WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
WATER CLOSETS goile) 1,.% MISC (Describe)
DRINKING FOUNTAINS u ��,6� S.� n
RAINWATER SYST 1
HOSE BIBBS I �01 u I -< 4 n k
ELECTRIC WATER HEATER )-1
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 claw, 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.
XM[E /TITLE �'w�N r_ DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT WOwner ❑ Agent IVContractor ❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 MHandoutsTermit Application