10-101653 • Plumbing
City of Federal Way •
Community Development Services Permit #: 10-101653-00-PL
P.O.Box 9718 F, LE,
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax'(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GREAT CUTS HAIR SALON
Project Address: 35415 21ST AVE SW Suite C Parcel Number: 252103 9002
Project Description: Cut concrete& modify existing pipes to tenant requirements-trim out same
Owner Applicant Contractor
DAVID HOEK DAVID HOEK DAVID'S FEDERAL WAY LLC
DAVID'S FEDERAL WAY LLC DAVID'S FEDERAL WAY LLC PO BOX 8164
PO BOX 8164 PO BOX 8164 TACOMA WA 98418
TACOMA WA 98418 TACOMA WA 98418
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Laundry Washer Outlets 1 Lavatories 4 Water Closets 1
Water Heaters 1
PERMIT EXPIRES Wednesday, October 20, 2010
Permit Issued on Friday, April 23, 2010
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
rid the ty of Federal
�Wa .
Owner or agent: (/ / t/5 1—4' i,[,Cr Date: l��3—/e)
( N#cUb 1ft //b
• THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-101653-00-PL Address: 35415 21ST AVE SW Suite C
Owner: DAVID HOEK FEDERAL WAY, WA 98023-3058
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.
0 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By �)3 Date 4- 2q- (O♦ .By ADate, ` ,By Date .
0 Final-Plumbing(4075)
Approved
By 7/1 /bate 7/210
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4•41P c....4.04........
E C E IV EERM IT g,..Gok
AP CO ME EL galP DE EN FP
Federal R19P
APPLICATION
1 .1
CalefLINITY DEVELOIMENT SERVICES .
253-835-2607.PAX 253-835-2609
www.617"frederahm41°°M APR 2 3 2010
Wmpoelpgronwprortiviiirmalgomrsprommearmslamprommigoinguning
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SITE ADD
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SUITE/UNIT• ZONING ASSESSOR'S TAX/PARCEL F
C- 25 7 2, / 03 _ OOz..
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NAME OF PROJECT
(Tenant or Homeowner Name) 6 korr ciu-i-- HAW SA LON
0 BUILDING )4 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
C crr co tvc-a,e,il 4 mon,ry a's-77 Arc, To
PROJECT DESCRIPTION
-7 t rf 47,-)--i- le-e-Ause_E-frierv, 1 - 7-2/ot ou--7- Sts1141c—.
Detailed description of work to
be included on this permit only
Elinliattarla BO MINNERSON :NEVEMENEMPREMBEEM11111
NAME %. ( PRIMARY PHONE
PROPERTY OWNER14131111(10 S PL.-4?-124U i -'11-1 CL(---- (96t4 )674/ - S.-lt(0 /
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
?6 eQV 1-7-73c- S-er,145 (-4'ff 990?
OWNER IS ALSO: 0 CONTRACTOR Et APPLICANT 0 PROJECT CONTACT
-
PRIMARY PRONE
CONTRACTOR
NAME s200107 c.....
MAILING ADDRESS,CITY,STATE,ZIP FAX
WA STATE CONTRACTOR'S LICENSE I , (
( )
) _
4.
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
/ /
c
NAME ,", PRIMARY PHONE
J.)/1470 _5 Fe() ieJItti (....,L...0
( ) -
APPLICANT .
MAILING ADDRESS,CITY,STATE,ZIP FAX
5/)ør AS /1436V8- ( ) -
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and (1514Va3 ii0E ( ) _
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) PO 662o "7773 c' -ec, 1-i 4- ?Ro) ( ) -
l
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
Cf/ije Ze1
( J( )c7 - 5-6-61
PROJECT FINANCING NAME
C310/kie-g 0 OWNER-FINANCZD
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
pcw 19.27.0951
( ) _
I cert4fy under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct I cert(fy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and jiled against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to thei • asi•part this application.
SIGNATURE.' 4 :.0' DATE t--?'3--io
PRINT NAME: 211,11 40 A-
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts Tennit Applicaticm
4•11111S#
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Value of Mechanical Work$ -- OPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of:fixture to be installed or rel.-,!ed as part of this project Do not include existing fixtures to remain.
— _ —
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
— —
AIR CONDITIONER FIREP E INSERTS HOODS(commerci4
„
— —
BOILERS --NACES HOT WATER TANKS(o..)
_ COMPRESSORS GAS LOG SETS ___ _ REFRIGERATION SYST
DUCTING GAS PIPING
— — — WOODSTOVES
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, . , •••• - •••- -.— .......... .. . . .....,. .. ..... . ... .. .. ....
Indicate number 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(Hand Sinks) / TOILETS WATER PIPING
— — _ __
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
—
DRAINS SHOWERS VACUUM BREAKERS
____ DRINKING FOUNTAINS SINKS orit.h../usisty) I WATER HEATERS(mark)
—
HOSE SIMS
SUMPS / WASHING MACHINES 7 IOTAL.rixnThiss
, GENERAL INFORMATION ' •
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF IMUSTNIO IMPROVEMENTS
$ 1 ,4/(etikveri /-4111 ,7-i4v EN
$
EXISTUIG/PREVIOUS USE LOT SIZE(Ia Square Feet) =STING FIRS SPRDUCLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
0 Yes 0 No 0 Yes 0 No
. .. .
-...
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
. ...-..... ... . ..
13.0144XNT..-:i --::...- . ..
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.. -- .-.: - .. : --: .:: • • ::
. . .. .-:• .: .. - ::• :.: •:.:: :::- . -•:.. :. . . . . .. . . ..
FIRST FLOOR(or Mobile Home)
:iW.COWFLOPI't •:•:: : i:::-: ::. :* .. .:::-*- . i • -:"- -- :: :':- :. •:!-I -•:- -H.:: :
.:. •• ..-: - ::•. .-. :: , . ... ... . . .
• COVERED ENTRY
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GARAGE 0 CARPORT 0
OTHERIcreScf104:::.::I:- •:•:: :-.--:.•-I- i --. :. !:' :III..:: I.. .i:-::-•:1.:. . . :: I
• • , ZIGITOPI PROPOSE> TOTAL
Area Totals
'MEW HOMES ONE - - -
ESTIMATED SELLING PRICE$ #OF BEDROOMS
• - .*:-:I •'*:.• . ..I. I.-.:U. .::::•*.:. -:•.•-•':*:..' -.- .-:'.*:tOMMERC/AL;-.;iiINEWIADDITION- :::,a- - :-
. ... . . . . . . .. , .
AREA DESCRIPTION Area Construction
Occupancy Group(s) _ — AdditiDnal Information
in Square Feet ' BStories
-- ::•. -- •.. •. . .. . . . . .. .... ....
COMMERCIAL !REMOIUILITENANTAttikkait4ENTS
AREA DESCRIPTION Area Construction #of
Occupancy Gr. • Additional Information
in Square Feet Type Stories
. ...... . ... . ..... . ... .
TENANT AREA ONLY
*:- -- - -*
:-- :-- -: tRAMe....iltARi :.
Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application