11-101879I
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: DESERT SUN TANNING SALON
Project Address: 31427 PACIFIC HWY S Suite C
Project Description: Installation of vents for tanning beds.
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Permit #: 11 -101879 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9216
Owner
Applicant
Contractor
PAVILION CENTER ASSOCIATES
PERFECT CLIMATE INC (GENERAL)
PERFECT CLIMATE INC (GENERAL)
C/O KIMCO REALTY CORPORATION
4426 221ST PL NE
PERFECI022D5 (3/11/12)
3333 NEW HYDE PARK RD SUITE 100
REDMOND WA 98053
4426 221ST PL NE
NEW HYDE PARK NY 11042
REDMOND WA 98053
Mechanical Valuation............................................7800
Ducting........................................... 8
Subject to field inspection without plans.
CONDITIONS:
PERMIT EXPIRES Saturday, November 12, 2011
Permit Issued on Monday, May 16, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and e e will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: !� Date: 5L-- ) 6, ('
FINAUA> ;9 15111
Is this an Online or O.T.C. application?.................Yes
CONDITIONS:
PERMIT EXPIRES Saturday, November 12, 2011
Permit Issued on Monday, May 16, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and e e will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: !� Date: 5L-- ) 6, ('
FINAUA> ;9 15111
crrY OF . A&
Federal Way
PERMIT #:
•
.
THIS CAIS T
RD MAIN ON-SITE
Construction I3fection Record
INSPECTION REQUTS: (253) 835-3050
11 -101879 -00 -ME
Address: 31427 PACIFIC HWY S Suite C
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.
Mechanical Rough -in (4165)Gas
Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date
By Date
By �z44 Date % -I- �/
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
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SITE ADDRESS
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SUITE/UNIT N
PROJECT
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/VALUATION
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING P(NIECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)���Z��
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PROJECT DESCRIPTION
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Detailed description of work to
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be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS s , . `
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E-MAIL
CITY STATE
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ZIP
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NAME
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MAILING ADDRESS
E-MAIL
APPLICANT
CITY
STATE
L4 -A-
ZIP
FAX
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PROJECT CONTACT
(The indiuidual to receive and
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PHONE '
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MAILING ADDRESS
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E-MAIL
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respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 79.27095)
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. 1 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 filed against the city,
but only where sucharises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to _X_city as a�p%art�of this application.
SIGNATURE: ' / DATE 5 —
PRINT NAME:
Bulletin #100 - January 1, 2011 Page I of 3 k:\HandoutsTermit Application
�0 \1_
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain_
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
AL DUCTING GAS PIPING WOODSTOVES
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.
BATHTUBS (or Tub/shower combo)
LAVS (H—dsvilca)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
JfT:`
n
Area Construction # of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
ADDITION
GO
f
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin #100 - January 1, 2011 Paee 2 of 3 k:\Handouts\Permit Application
,;,
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
D Yes ❑ No
❑ Yes ❑ No
n
Area Construction # of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
ADDITION
GO
f
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TENANT AREA ONLY
Bulletin #100 - January 1, 2011 Paee 2 of 3 k:\Handouts\Permit Application