08-104927 CITY OF A ECFV.
Federal Way PERMIT — —
COMMUNITY DEVELOPMENT SERVICES_ SF MF�QE EL PL DE EN FP
333258wAVENUE SOU77!•POBOX 9718 T 17 20 APPLICATION TD S
FEDERAL WAY,WA 98063.9718 ,�r1 ��w
253-835-2607•FAX 253-835-2609 1
wwwati"ffedemlwaU cam FEDERAL WAY
The following is requirednreation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
V.J7 • PROPERTY INFORMATION
SITE ADDRESS_ 7o L.76 s/? JC C4` C �` U SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / CQ e2-- i 0 ,.‘m(- 9 0 d (1 J LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Att.*pep ate page for lengthy Joao'desviatlon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
C.%'r / i`�.%^ -_ �/iL/ its =/1 LL /1. t.() c3 S fit 1 (/1 7
bee Cas )I
PROJECT NAME(Name of Business or Owner Last Name) .80612' /2, °4 X , 77,--`�j24/Z
II PEOPLE INFORMATION
PROPERTY 21 NAME /p �(�
OWNER �1J y� `_ t-- e Vera)r,.� s 1 (i S . " rPRIMARY PHONE _
i MAILINQ ® E O odalio CITY,STATE,ZIP `
(� p pi, , cit E- ADDRESS
,,
H>CONTRACTOR COMPANY NAME APPLICANT NAME ,-
MICE PHONE
k-af ,d- "Teed' , , .. t� (3(0q rQ Sa - 73 7S
e G ADDRESCITY,STAT,ZIP
r' � CELLPHONE
33 �0� - �,� /ice , ' / . �%I .P0 ' ( ) -
CITY OF FEDERAL WAY RI rarnrvaa T rrvuerr nn UMBER EXPIRATION DATE FAX NUMBER
�{// (
T CONTRACTOR'S REGISTRI►TION NQE YR EXPIRA OH DA E-MAIL ADDRESS
8
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE _
(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other ( ) _
PROJECT NAME �/}, PRIMARY PHONE MAIL ADDRESS
CONTACT �' U dor ( foo) (o S - --1:. 7.
LENDER NAME Per ROW 19.47.095:
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 WO ��t}i dti
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQFI i . YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
I
•
PROJECT FLOOR AREAS -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?).,
GARAGE 0 CARPORT 0
EaSTIEO PROPOSED TOTAL TOTAL WESTING Sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
" EW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
•
MECHANICAL
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(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS nate)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my
knowledge, the information 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 responsibility for compliance with local,state,or federal laws regulating construction oenvironmental�lawsed in the
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, attorneys'f
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, 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.
SIGNATURE: ( /J/' rte'" DATE . V"/7 41
Superb!owner and/or Authorized Agent
•
a NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o.YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pernrit Application
A
City of Federal Way • •Building - Commercial
Q
Community Development Services Permit #: 08-104927-00-CO
P.O.Box 9718
Federal Way,WA 9863-9718 Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p Q 835-3050
Project Name: BATH BRUSH& BEYOND
Project Address: 32700 PACIFIC HWY S Suite 3 Parcel Number: 162104 9024
Project Description: TI-Construction of non-bearing walls for(2)tub enclosures.No mechanical or plumbing
on this permit
Owner Applicant Contractor Lender
GRETCHEN MORRIS DYNA TECH CONSTRUCTION DYNA TECH CONSTRUCTION
4635 90TH AVE SE CORP CORP
MERCER ISLAND WA 98040 18291 88TH NE DYNATCC088CR(6/18/10)
ARLINGTON WA 98233 18291 88TH NE
ARLINGTON WA 98233
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
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
4!'" M. *.. ., ti ., ...... � %3;. ' fi
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Wednesday, April 15, 2009
Permit Issued on Friday, October 17, 2008
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_ ty of Federal Way.
Owner or agent: Date: -"-<%` /' .(1'
ocfror)to
eft.,‘# t:)1
r
THIS CARD IS TO WAIN ON-SITE ,
. 41111416,
CITY OF Community p Inspection ment Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104927-00-CO
Owner: GRETCHEN MORRIS
Address: 32700 PACIFIC HWY S Suite 3.
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.
❑ Footings/Setback(4110) ❑ Re-steel(4215) 0 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)
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 % y eDate . ! By Date
,❑Gypsum Wallboard Nailing(4130) �❑ Suspended Ceiling Grid (4265) Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile oved
By M"' �j
0% Date io/7� , By Date By ( _ Date /o/3//ci
0 Final-Building(4050)
Approved
By c. Date /0. 3(—.vim
•. i.
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date