10-102957City of Federal Way
Community Development Services
P.O. Box 9718 J
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: BARBER SHOP
Project Address: 30315 PACIFIC HWY S
• Building - Commercial
Permit #: 10 -102957 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9237
Project Description: TI - Landlord portion of tenant improvements including suspended ceiling. Mechanical for
ductwork; no plumbing.
Owner
Applicant
Contractor
Lender
VAN WONG
PRIME CONSTRUCTION &
PRIME CONSTRUCTION &
VC INVESTMENTS LLC
DEVELOPMENT
DEVELOPMENT
2101 SE 2ND PL
7728 228TH ST SW
PRIMECD925RK (12/12/10)
RENTON WA 98056-8864
EDMONDS WA 98026
7728 228TH ST SW
EDMONDS WA 98026
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
_ Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
Floor Areas . ft.
1,415 1 0 1 0 1 0
Existing Sprinkler System in Building?.................No Mechanical to be Included ......... .......::.........Yes
Number of Stories.................................................1 Permit for Building Shell Only? .............................. No
Plumbing to be Included?.......................................No New / Additional Sq. Feet - Total.......................... 0
Occupancy # 1 -Use ............................................... Barber/Beauty Shop Zoning Designation ..................................... :.......... BC
1NWfixtures Assn+ lai dtt� l
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Sunday, January 9, 2011
Permit Issued on Tuesday, July 13, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and ft use wilt be its aocordanoe with the laws, rules and reguietions of the State of Washington
an�the ty of Federal Way.
Owner or agent: — Date: C�
Cn-r OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction Inction Record
INSPECTION REQ S: (253) 835-3050
10 -102957 -00 -CO Address: 30315 PACIFIC HM S
VAN VUONG FEDERAL WAY, WA 98003-4124
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.
❑
SWM Precon Site Mtg (4400)
El
Initial Erosion Control (4365)
❑
Footings/Setback (4110)
Approved to insulate
Approved
Approved to install wallboard
To be done prior to breaking ground
Approved to install mud & tape
Approved to place concrete
By
Date
By
Date
By
Date
❑
Re -steel (4215)
El
El
Slab/Concrete Floor (4255)
Date
Approved to insulate
Underfloor Framing (4285)
Approved to install wallboard
Approved to place concrete or grout
Approved to install mud & tape
Approved
Approved to place concrete
Date
Date
Approved to sheath floor
By
Date
By
Date
❑
By
Date
❑ Mechanical Rough -in (4165)
Approved
By _25�' Date ;/r/,
Interim Erosion Control (4370)
Approved
By - Date
Gas Piping (4125)
Approved to release test
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Floor Sheathing (4105)
El
Approved to install flooring
By
Date
Approved to insulate
Approved to install wallboard
Fire/Draft Stops (4095)
Approved to install mud & tape
Approved
By
Date
❑ Mechanical Rough -in (4165)
Approved
By _25�' Date ;/r/,
Interim Erosion Control (4370)
Approved
By - Date
Gas Piping (4125)
Approved to release test
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Framing (4120)
El
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By
Date
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Final - Planning (4070)
Approved to drop tile
Approved
Approved
By
Date rz ^
By
Date
By
Date
E]
Final Erosion Control (4375)
Final - Mechanical (4065)
Final - Building (4050)
Approved
Approved
Approved
By
Date
ByW'j
Dat _ .1
By
Date Q
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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SITE ADDRESS CD5 4
SUITE/UNIT #
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RECEIVEOPERM IT
COMWWITY DEVELOPMENT SERVICES '& 1)PLICATION
2.5:3-835-2607• FAX 253-835-2609
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$
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SITE ADDRESS CD5 4
SUITE/UNIT #
'3 c �4 i �-
PROJECT VALUATION
ZONINd
dSSESSOR'S TAX/PARCEL #
$
a, j -
TYPE OF PERMIT
XBUILDING El PLUMBING 2'MECHANICAL
0 DEMOLITION L1 ENGINEERING D FIRE PREVENTION
NAME OF PROJECT
(Terimir Natoelliorwow7wr Lost Nari2e)
12 C L
PROJECT DESCRIPTION
f
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
�2-"C'
CITY�
STATE!
I
Z71-
�1, " (-.-.
NAME
PHONE
MAILING ADDRESS
11-1L4 6c
E-MAIL
CONTRACTOR
I.LA-ve
CITY! 1
STA?l
4ZEP
`7
/FAX
WA S*TE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
44
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
ao_ aL loc V-0
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
E] OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW19.27095)
I certify under penalty of perjury that I am the property owner or authorized 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. r certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized 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 or environmental laws.
rfurther 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,
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 apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — April 14, 2010 Pagel of k:\Handouts\Perrnit Application
e (54 -1
VALUE OF MECHANICAL WORK $ D, V
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS
GAS PIPE OUTLETS QTHER (Describ�)�
AIR CONDITIONER FIREPLACE INSERTS
HOODS (commercmq
BOILERS FURNACES
HOT WATER TANKS Ices)
COMPRESSORS GAS LOG SETS
REFRIGERATION SYST
DUCTING GAS PIPING
WOODSTOVES
In how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Ii—dSmk.)
TOILETS WATER PIPING
DISHrBIBBS
URINALS OTHER (Describe)
DRAI
SHOWERS
VACUUM BREAKERS
DRINFOUNTAINS
SINKS (kitchen/Utility)
WATER HEATERS (mectne)
HOS_
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY? WATERPURVE SEWER PURVEYOR VALUE OF EXISTING IMPROVEME
NTS
EXISTING (PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESS N SYSTEM?
i-, Yes Ei ,No El Yes G3�
FOR OFFICE USE
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AREA DESCRIPTION Area Occupancy Groups) Construction # of Additional Information
c ..,.e ase+ TvDe Stories
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\-Iandouts\Pemut Application