04-104383a
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835-7000 Fax: (253) 835 -2609
Building - Commercial Permit #: 04 - 104383 - 00 - Co
Inspection request line: (253) 835 -3050
Project Name: SAFARI TAN
Project Address: 34029 HOYT RD SW SuiteB Parcel Number: 308900 0385
Project Description: TI - Interior work 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. NO PLUMBING OR MECHANICAL.
Owner
�,, ' Applicant
Contractor
Lender
SPEARMAN Dli't GROUP LLC
SAFARI TAN *DEREK MILLER *
OLYMPIC GENERAL CONTRACTO
SAFARI TAN *DEREK MILLER
,.�
1916 SW 352ND ST
OLYMPCG975PZ 10/09/05
1916 SW 352ND ST
FEDERAL WAY WA 98023
PO BOX 5427
FEDERAL WAY WA 98023
EVERETT WA 98206
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
Occupancy Group:
M
Construction T.. e:
Type V - N
i
Occupancy Load:
Floor Area (S q Ft)-
1483
1 st FloorP rp osed Sq. Feet...., 1483 Census Category .: ...... .......... ...... .. 437 - - ommercial altladd
Fire Sprinklers-., . ......: ......................... No Mechanical ......................... . — ..........••••. No
Number of Stories .........: ......- ............. 1 Permit fir Building Shell Oily. ..... ....No
Plumbing........... No Will Certificate of Occupancy be Issued ?...........Yes
Zoning Designation .............. ............................... BN
CONDITIONS:
1. King County Health department approval must be submitted with plumbing permit.
2. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPIRES May 15, 2005.
Permit issued on November 16, 2004
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 a g ent: V2/2/'� Date:
0
v:INALED
s c
4
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform Building Code 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 Cjjy staff.
Tenant Name: SAFARI TAN
Address: 34029 HOYT SW SuiteB
Permit number: 04 - 104383 - 00
Occupancy Group:
Construction Type:
#1
M
Type V - N
#2
#3
#4
Occupancy Load:
Floor Area (Sq. Ft.):
1483
Owner SPEARMAN DEV GROUP LLC
Name:
Address:
. 1W 1160mok J,
Building Official
Date
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 ofsaid structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
DATE INSPECTOR AREA AND TYPE INSPECTION
cS
THIS CARD IS TO MAIN ON -SITE -
4CITY OF tommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 104383 -00 -CO
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.
Approved to install mud & tape
By
❑
Footings /Setback (4110)
❑
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Final -Fire Department (4060)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
Date
By
Date
By Date
❑
Re -steel (4215)
❑
Plumbing Groundwork (4190)
❑ Slab /Concrete Floor (4255)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
Floor Sheathing (4105)
❑
Underfloor Framing (4285)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑
Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
By
Date
signed -off and approved. IBC 109.3.4 /UBC 108.5.4
Framing (4120)
Approved to insulate
Date►
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
❑ Final - Public Works (4 80)
Approved
By Date
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to install wallboard
Approved to install mud & tape
By
Date
Date - G
❑
Final -Fire Department (4060)
❑ Final - Planning (4070)
Approved
Approved
By
Date
By Date
❑ Final - Building (4050)
Approved
By Dat ;,ls
CITY all 0
Federal Way O,T 2 6 ZN4 PERMIT
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH • PO BC 18 Amp L I C AT I O N
FEDERAL WAY, WA 98063- Y OF �F^p�F{�
253- 661 -4115• FAX 253 -661- 9 6U)LDINQ p
www.cittlofiederalway.com
The following is
�- 5
SF MF CO E EL PL DE EN FP
TD �
- an incomplete application will not be accented. Please
or
SITE ADDRESS 2109-1
Va
t�t{
T ► 1>
SUITEjUNIT #
M ING ADDRESS
ASSESSOR'S TAX /PARCEL # D
- V °
LOT SIZE (sj)
�J!'
?i%O
''
"Od s HAL9 - ac/�
s ftt�o
-Vv
100
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
COMPANY NAME
1 .
(Attach separate
page for lengthy legal description)
MAILING ADDRESS
PROJECT
• •
CELL PHONE
(
TYPE OF PERMIT BUILDING
❑ PLUMBING ❑ MECHANICAL
B L EXPIRATION DANE �
Q
FAX NUMBER
❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑
FIRE PREVENTION
SYSTEM
PROJECT DESCRIPTION (Provide detail d description of work included on this permit onlu)
T.T. - TV" Qb , I bClOdl s 114U hi. &AY.
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME.
S
Va
MAILING ADDRESS
t�lb �w ri'9 ST
---
T-PRIMARY PH
-
M ING ADDRESS
CITY, STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
(
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
(
CI�'Y OF FEDERAL WAY BUSINESS LICENSE NUMBER
B L EXPIRATION DANE �
Q
FAX NUMBER
-
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
COMPANY NAME
►ZL /Vr2c
APPLICANT NAME
��/
OFFICE PHONE
(2v�)3s' -f
- 2-p-4-2—
MAILING ADDRESS
/` / 6 9W "L
CITY, STATE, ZIP 61SOZ3
4-1,74y,
�„�
CELL PHONE
( 2-06),3s
RELATIONSHIP TO PROJECT t
❑ Architect Tenant ❑ Agent ❑ Other (Describe)
FAX Z, NUMBER` 3
( 3) 9'7 !s-
- 0014
NA PRIMARY PHONE E -MAIL ADDRESS
C c
Per RCW 19.27.095: Lender information is
required if project value exceeds $5,000
NAME
�G� j-� LZ �- ✓L
MAILING ADDRESS
t�lb �w ri'9 ST
CITY, STATE, ZIP
-, � � 9 4
EXISTING ASSESSED /APPRAISED VALUE $ Ay
SPRINKLERED BUILDING? KYES ❑ NO
WATER SERVICE PROVIDER `�41,AKEHAVEN
SEWER SERVICE PROVIDER `)(LAKEHAVEN
PROPOSED USE 71-11'IFi
] r�c�
VALUE OF PROPOSED WORK $ 1 2 s-ZaCi ` 0
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
• HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY?
{ r
�J
` '
f�
FIRST
�
O
ZONING DESIGNATION
�
2
�J
SECOND
NEW ADDRESS REQUIRED?
^
K
f-IJ 1A
THIRD
�
I
PLATTED LOT?
FOURTH
h
Y*
DEMO PERMIT REQUIRED?
o YES
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE /CARPORT
/'I
HOW MANY FLOORS?
TOT SRISTUFO
TOTALPROPOSED
TOTAL WaSTIN6 OPROPOSED
* *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.
MECHAMCAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE CO LERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS eresl) WOODSTOVES
BOILERS FIREPLACE INSE S MISC (Describe)
COMPRESSORS FURNACES AGAWATER HEATERS
DUCTS GAS PIPE OUTLET
PLUMBING
BATHTUBS (or Tub /Shoarercombo) SHOWERS WATER CLOSETS (Toilet) MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTL SUMPS RAINWATER SYST
WASHI CHINES URINALS HOSE BIBBS
LAVS (Bathroom Sinks) VACUUM BREAKERS 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 clairN, 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 /✓ 4 DATE ( 0 ( GCS( o IT
(Signature (Title)
RELATIONSHIP TO PROJECT K Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
U Lv w.. U -"Aa LW11
u A a X%.ft a avn
U aViflaaaC
EL' a\L31\ a 1111r11V ]P.-
BUILDING SHELL ONLY?
❑'YES O
BASIC PLAN?
o YES
O
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
NO
NEW ADDRESS REQUIRED?
❑ YES KNO
UP /,SEPA /SU?
o YES
AO
PLATTED LOT?
o YES XJqO
DEMO PERMIT REQUIRED?
o YES
"0
Bulletin #100 — March 30, 2004 Page 2 of 4 k\Handouts — Revised\Permit Application