11-101852Project Name: DESERT SUN TANNING SALON
Project Address: 31427 PACIFIC HWY S sig G
0' " ' Plumbing
Permit #: 11 -101852 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9216
Project Description: Installation of plumbing fixtures for associated tenant improvement
caner
Annlicant
City of Federal Way
•
Community Development Services
REYNOLDS CUSTOM PLUMBING LLC
P.O. Box 9718
12621 230TH ST E
Federal Way, WA 98063-9718
3333 NEW HYDE PARK RD SUITE 100
Ph: (253) 835-2607 Fax: (253) 835-2609
12621 230TH ST E
Project Name: DESERT SUN TANNING SALON
Project Address: 31427 PACIFIC HWY S sig G
0' " ' Plumbing
Permit #: 11 -101852 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9216
Project Description: Installation of plumbing fixtures for associated tenant improvement
caner
Annlicant
Contractor
PAVILION CENTER ASSOCIATES
REYNOLDS CUSTOM PLUMBING LLC
REYNOLDS CUSTOM PLUMBING LLC
C/O KIMCO REALTY CORPORATION
12621 230TH ST E
REYNOCP972B1 (2/3/13)
3333 NEW HYDE PARK RD SUITE 100
GRAHAM WA 98338
12621 230TH ST E
NEW HYDE PARK NY 11042
GRAHAM WA 98338
, am W -
Drains ............................................. 4 Laundry Washer Outlets................ 2 Sinks............................................... 1
PERMIT EXPIRES Wednesday, November 9, 2011
Permit Issued on Friday, May 13, 2011
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 F deral Way- t
Owner or agent:' r Date: 13 z-1
FINAU*mb of/S/%/
CMY OF 4Alto,
Federal Way
PERMIT #:
11 -101852 -00 -PL
THIS CARD IST MAIN ON-SITE
Construction I Iection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 31427 PACIFIC HWY S
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY, WA 98003
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.
Plumbing Groundwork (4190)
Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
B Dates 1G_
y Dates y
By Date
Final - Plumbing (4075)
Approved
By Date -7 S ��
El
Rough Electrical
Approved
E]Final
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
/Ve�leral Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
_umu .rrRUj(e�ierc',_.aL
4PERMIT
APPLICATION
U 0 (2—
DE
t fft PL DDE
S EN FP
MAY 13 2'u:
SITE ADDRESS CITY OFFE AY
3 14 �A c t t w �% So . 1 C ars _
c s �-
PROJECT VALUATION
$ s-�C___>a_
ZONING
ASSESSOR'S TAX/PARCEL 3
Cg 2( d -1_ 921&
TYPE OF PERMIT
❑ BUILDING �LUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)D
lT
J
DESCRIPTION
1 n3 STAL PC_ f� , l.) / *IJPROJECT
Detailed description of work to
Ke5rz
be included on this permit only
I /
PROPERTY OWNER
NAME FA4IvO AC45W X1/J '/,1/ �
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
IMIGLING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
75 C- OS—T— tJ f
PHONE
2 -- O % 1
APPLICANT
MAILING ADDRESS
)MIG Z-) dam- 5 T e
E-MAIL
1 tt h -e Mi VTN_r_aJft2LQ
CITY
STATE ZIP
FAX
-- X 9 3 3 t
PROJECT CONTACT
(The individual to receive and
NAME
A t �►
PHONE
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
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
IRCW 19.27.0951
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. I 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.
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 f led 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: (_ _ DATE — I
PRINT NAME: Chi I I t- ` JD ► ^� '�''7 nI C> C ��
Bulletin #100 -January 1, 2011 Page I of k:\Handouts\Permit Application
Cor.
0
VALUE OF MECHANICAL WORK
Indicate how many of each type off
AIR HANDLING UNITS _
AIR CONDITIONER _
BOILERS _
_ COMPRESSORS _
DUCTING
Indicate how many of each typ(
BATHTUBS for Tub/shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
GAS PIPING
to be installed or relocated as
LAVS )Hand Sb*h) _
RAINWATER SYSTEMS _
SHOWERS _
SINKS )Kitchen/Ut;sty) _
SUMPS
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR
EXISTING/ PREVIOUS USE I LOT SIZE IIn Square Feet)
•
bid or estimate must be prouidea
art of this project. Do not include
GAS PIPE OUTLETS _
HOODS )commercial)
HOT WATER TANKS )Gas)
REFRIGERATION SYST
WOODSTOVES
7 fixtures to remain.
OTHER (Describe)
Do not include existing fixtures to remain.
TOILETS
URINALS
VACUUM BREAKERS
WATER HEATERS (Eleouic)
WASHING MACHINES
WATER PIPING
OTHER (Describe)
"In e -_-S IN tL
SEWER PURVEYOR I VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM?
D Yes D No D Yes D No
Bulletin #100 - January 1, 2011 Page 2 of 3 kMandoutsTermit Application