04-101274City of Federal Way
Community Development Services Building - Commercial Permit #: 04 -101274 - 00 - co
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: SALON SKONTRA
Project Address: 30390 PACIFIC HWY S Suite210 Parcel Number: 042104 9106
Project Description: Install 6' x 5' vinyl frame window in north wall of existing building.
Owner
Applicant
Contractor
Lender
Sang D & Young S Park
SALON SKONTRA
B Q HOME *JIM NAN *
NONE
5912 NAHANE WEST NE
SALON SKONTRA
BQHOM**044MT (6/22/05)
TACOMA WA
PO BOX 3815
208 96TH ST E
98422-4201
FEDERAL WAY WA 98063-3815
TACOMA WA 98445
NONE
Includes:
Census category: 1r
g rY� 437 - Comm F #1� #2 #3 #4_
Occupancy Group: B
Construction Type: Type V - N
Occupancy Load: -
Floor Area (Sq.`Ft.): 594 --JL J
Census Category ........................................... 437 - Commercial alt/add Mechanical.......................... ................. No
Number of Stories................................................1 Permit for Building Shell Only........... ........... No
Plumbing ......... No Zoning Designation .......... . ......... ........... BC
PERMIT EXPIRES October 31, 2004.
Permit issued on May 4, 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.
See Application s _ A
Owner or agent: Date: _
41k
o�
10';:tSP
Federal Way
PERMIT #: OA - I o i Z
f
THIS CARD IS TO REMAIN ON SITE
COMMUNITY DEVELOPMENT INSPECTION
RECORD
IVR INSPECTION REQUEST PHONE # (253) 835-3050
- 00- Lo PROJECT NAME: Sn L c) ►\=
❑ TEMP. EROSION CONTROL (4365)
E]FOOTING/SETBACKS (4110)
❑ FOUNDATION WALLS (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
B
Date
By
Date
By Date
❑ DRAINAGE/DOWNSPOUT (4040)
❑ RE -STEEL M=ff c{{
❑ GROUNDWORK PLUMBING (4190)
Approved to backfill
Approved to place concrete or grout
Approved to cover
B
Date
By
Date
By Date
❑ SLAB ON -GRADE (4255)
❑ UNDERFLOOR (4285)
❑ FLOOR SHEATHING (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
B
Date
BI Date
❑ SHEAR WALLS (4245)
❑ ROOF SHEATHING (4220)
❑ ELECTRICAL ROUGH -IN (4225)
Approved to install siding
Approved to install roofing
Approved
By
Date
B
Date
By Date
❑ PLUMBING ROUGH -IN (4230)
❑ MECHANICAL ROUGH -IN (4165)
❑ GAS PIPING ROUGH -IN (4125)
Approved
Approved
Approved to release test
By
Date
By
Date
By Date
❑ FIRE STOPPING (4095)
Approved
NOTE:
Prior to framing inspection, all rough -in
FRAMING (4120)
Approved to insulate
By
Date
firestopping sign-off's must be approved.
IBC 109.3.4 / UBC 108.5.4
D U�
g Date 0
❑ INSULATION (4150)
❑ GYP. WALLBOARD NAILING (4130)
❑ SUSPENDED CEILING H) (4265)
Approved to install wallboard
Approved to mud & tape
Approved to drop tile
By
Date
By
Date
By Date
❑ FINAL- FIRE (4060)
❑ FINAL- PLANNING (4070)
❑ FINAL- PUBLIC WORKS (4080)
Approved
Approved
Approved
By
Date
By
Date
By Date
❑ FINAL- S.W.M (4375)
❑ FINAL- ELECTRICAL (4090)
❑ FINAL- BUILDING (4050)
Approved
Approved
Approved
B
Date
B
Date
. 1
B C— w Date '10 </
RECEIVED
COMMUNITY DEVELOPMENT SERVICES
33530 PIRST WAY SOUTH • PO BOX 9718
"TM 0f APR 0 6 2 0 �+ 66141W5• FAX: 2.53-661-41299718
Federa� way PERMIT APPLICATION
www. divoffrAeraluxiv mm
CITY OF FEDERAL WAY
For 06«u9ro�y: FW File Number: O - 1 �" - C (JU�L 1f4G .
�!
The following is required information -an incomplete application will not he accepted. Please print IegiUm (in inkl or tune
SITEADDRESS: 30390 Pcific Hwy So, Federal Way. WA 98003 SUITE/ABX#_ 210
ASSESSOR'S TAX/PARCEL #: 0421 0491 06_ - _ SQUARE FOOTAGE OF LOT: 32,835 sq f t .
W 165 ft of S 230 ft of POR of SW
LEGAL DESCRIPTION (eg: Acme Estates, Lot 1) Of St Rd # 1 less Steel Lake Rd
(Attach separate page for lengthy legal description)
PROJECT•• •
TYPE OF PERMIT (This application):] BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onluh. _ T n c t a 1 1 a R f t b y 5 f t
window - vinyl frame, solid one piece plate glass picture window, on the north side
of property.
PROJECT NAME
PROPERTY
OWNER
CONTRACTOR
UBI # 601-636040
LENDER
(If Pr P-4 Vdae > =5,0001
APPLICANT.
Last
NAME: PRIMARY PHONE:
Sang D. Park (253 ) 661 -0036
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
30390 Pacific Hwy So, Suite 210 Federal Way, WA 98003
NAME
COMPANY
OFFICE PHONE:
B.Q.HOME
B.Q.HOME
(253 )370-3472
MAILING ADDRESS (STREET ADDRESS;):
CITY, STATE, ZIP
CELL PHONE:
208 96th St E
Tacoma, WA 98445-2004
(253 )370-3472
BUSINESS LICENSE NUMBER:
EXPIRATION DATE:
FAX NUMBER:
�DE
NEW 12 / 31 / 2004
( 253 ) 537-3561
CONTRACTORS REG RATION NUMBER: f
EXPIRATION DATE:
(copy of card regained with each applieatioai _0 Q E(0 P L * Q_4 4T1T _
06 / 22 /2005
NAME: DAYTIME PHONE:
Not applicable ( ) -
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE:
Sang D. Park as above)
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
( )
RELATIONSHIP TO PROJECT:
FAX NUMBER:
❑ Architect ❑ Tenant 0j)0ther (Describer n,,, n a r
CONTACT PERSON FOR THIS PROJECT: XIX Property Owner ❑ Contractor ❑ Applicant E-MAIL ADDRESS:
DETAILED BuILDING INFORMATION
EXISTINGUSE: Commercial rental property PROPOSED USE: SamP
EXISTING ASSESSED/APPRAISED VALUE $ 1 mil . VALUE OF PROPOSED WORK: $ 500.00#
SPRINKLERED BUILDING? ❑ YES XX NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES )fX NO
WATER SERVICE PROVIDER kLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER atLAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION—
EXISTING SQ. FT.
PROMSED SQ. FT.
TOTAL
BASEMENT
OYES o NO
BASIC PLAN?
OYES—
FIRST Salon ( north side of bldg)
594 sq ft
594 sq ft.
594 sq ft
SECOND
Add window only.
NEW ADDRESS REQUIRED?
❑ YES o NO
THIRD
o YES
o NO
PLATTED LOT?.:
FOURTH
DEMO PERMIT REQUIRED? '
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL EXISTING
TOTAL PROPOSED
TOTAL EXISTING AND PROPOSED
••NEW HOMES ONLY"` NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ALGAL N / A
Value of Mechanical Work $
AIR HANDLING UNITS
""—BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
_ BATHTUBS (or Tub/Sno—rcombo)
_ DISHWASHERS
_ GAS PIPE OUTLETS
_ WASHING MACHINES
_ LAVS (Bathroom Sink
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS REFRIG. SYSTEMS
HOODS (comme:cat) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (roaeq MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
7T8CL.AIMF.R / STGNATITRF BLC
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 thp7aty of Federal Way as to any claim (including costs, expenses, and
attorneys' fees incurred in the investigation and de f such clai ich may be made by any person, including the
undersigned, and filed against the City of Federal Wa t on where sucRb4im arises out of the reliance of the city,
including its officers and employees, upon the ac oft information sup lied to the city as a part of this application.
NAME/TITLE: S A`N (C DATE: April 6, 2004
(Signature)itle)
RELATIONSHIP TO PROJECT: )](Property Owne ❑ Appli ❑ Co tractor ❑ Architect ❑
a NEW o ADDITION
o ALTERATION0
REPAIR oTENANT IMPROVEMENT.
BUILDINGSHELL_ONLY? ;:
OYES o NO
BASIC PLAN?
OYES—
ONO
ZOPRNG DESIGNATION:
CHANGE OF USE?
o .XES
o NO
NEW ADDRESS REQUIRED?
❑ YES o NO
UP/SEPA/SII?
o YES
o NO
PLATTED LOT?.:
o YES o NO
DEMO PERMIT REQUIRED? '
o YES
o NO
( usa i I Pagc 2