04-104540 • %
Ci:y of Federal Way a Pettit #: 04 - 104540 - 00 - Pt
Community Development Services s 9� �" . I g t b
P.Q.Box 9718 _ P
Federal Way,WA 98063-9718
Pic(253)835-7000 —Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: MOA HAIR STUDIO
Project Address: 2020 S 320TH SuiteH Parcel Number: 092104 9297
Project Description: Relocate(2)shampoo sinks.
Owner Applicant Contractor
CRATSENBERG COMPANIES P C I PERSONAL CONSTRUCTION P C I PERSONAL CONSTRUCTION
2020 S 320TH ST 21440 NW NICHOLES CT SUITE L 21440 NW NICHOLES CT SUITE L
FEDERAL WAY WA 98003 HILLSBORO OR 97123 HILLSBORO OR 97123
(206)391-7905
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Sinks 2
PERMIT EXPIRES May 4,2005.
Permit issued on November 5,2004
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 agent: f��- _ C Date: %//-..,/et V
w ,. 4111k, THIS CARD IS TO :MAIN ON-SITE-
CITY OF t;ommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PEROI wer: CRATSENBERG COMPANIES SUBJECT �� ���°� � `� � �
Address: 2020 S 320TH ST Suite H
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.
e❑ Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By TA/j Date 0/5/I': By -71'71 Date VI/ e By Date
0 Final-Plumbing(4075)
Approved
By �/�* =
�/ Date /'2" A .,!
�rnor o 5c(Federal Way RECE•D PER �� 4 0
COMMUNITY DEVELOPMENT SERVICES MIT SF MF CO ME EL L E EN FP
3332FEDEAV WAYSWA 980 9044 r 0 5 zoo
PPLI CATI O N
253-835-2607•FAX 253-835-2609 — /
wow tat4otjederalu,ay.col f
LY OF FEDERAL WAY
The following is reU& W. fifm Ton-an incomplete ap.lication will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS -2.-02.-05 3't-" S 1 H SUITE/UNIT#
/X
ASSESSOR'S TAX/PARCEL# o 7.:).-- / Q if - 7 .1— 7 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /
(Attach separate page for lengthy legal descnpnoo)
' ■ PROJECT INFORMATION .
TYPE OF PERMIT ❑ BUILDING PLUMBINGMECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this sermit .nl
/14.17e-A1/
�* 57 /IV
PROJECT NAME(Name of Business or Owner Last Name) /Ya4 ,,t j .57-1,11)./iJ
U PEOPLE INFORMATION
PROPERTY NAME /
OWNER G e4_ / ~VA6.-.0'
y PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP
Q
CONTRACTOR COMPANY NAME
APPLICANT NAME'� OFFICE PHONE
1 CI ,L' ..i Cr ,�. e ( -a6 �--J'3`.
AILING ADDASS CII,STATE, ' CELL PHONE
) -ne-- /2�`A'e, s _6,-7.47,>0.1.4s Gaa-ra ) w9 - 3 c,g
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
G 2-Z . - 3 9 '_ __ B L ) 2--- / 5/ I °V ( ) -
CONTRACTOR5 REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME
APPLICAAME OFFICE PHONE
5
MAILIVNG A RES ( -�5,<
C Y, TATE,Z CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) _
CONTACT NAME zr PRIMARY PHONE E-MAIL ADDRESS
�" ( 6' )i,9,p - 3.t)
C2
LENDER Per RCW 19.2'7.095.• Lender info:,. tion is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
-- ■ DETAILED BUII,DING INFORMATION •EXISTING USE a I , C PROPOSED USE c� c .e,
EXISTING ASSESSED/APPRAISED VALUE $ „/\ VALUE OF PROPOSED WORK $I _ i
SPRINKLERED BUILDING? ❑YES
' ! NO FIRE SUPPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑rNO
WATER SERVICE PROVIDER [YLAKEHAVEN o HIGIILINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER [HAKEIIAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
. :. PROJECT FLOOR AREAS "
AREA DESCRIPTIONEXISTING SQ.FT. PROPO. SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH _
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
TOTAL ETOSTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $__
•
: s
? -gii `ms s. ` Wit; a fiig,' " *4 xw ` - :<rt-L i`rarZtt :. rte::
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING Describe
BATHTUBS)or-n,btshow<rcomb.) 4102„,,,
SHOWERS WATER CLOSETS irmin) MISC(Describe)
f+
DISHWASRS _v SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
f _ 4 =, 4$fW4. "r' .- ; :DISCLAtMERISIGNATQREBLODB i --
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 /7/1—",//0(Signature) [title)
•
• RELATIONSHIP TO PROJECT 0 O er 0 Agent 0 Co actor o Architect 0 Other
1
t
t FOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION ❑REPAIR b TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
L ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
s
Bulletin#100 March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application