01-103737City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Project Name: AILEEN'S SALON
Project Address: 32028 23RD $ Ve— S
Plumbing Permit #:01 - 103737 - 00 - PL
Project Description: PLUMB - Installing 2 new sinks and 1 new water heater
Inspection request line: 253.835.3050
Parcel Number: 162104 9028
Owner
Applicant
Contractor
FW TOWNE SQUARE LLC
EXACTA PLUMBING & CONST INC
EXACTA PLUMBING & CONST INC
PO BOX 88259
PO BOX 88259
STEILACOOM WA 98388-0359
STEILACOOM WA 98388-0359
(253)584-7353
Plumbing Fixtures
Description Quanfi Description Quantity Description Quanfif
Sinks 2 Water Heaters 1
PERMIT EXPIRES March 24, 2002, IF NO WORK IS STARTED.
Permit issued on September 25, 2001
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 accorda1withnhe laws, rules and regulations of the State of Washington and
the City of Federal Wa ]�-��Owner or agent: J Date:
Ice « t l<
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-
x i- Ll121
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: - 01 , _ 6
APPLICATION NUMBER:-
PPLICATTON NUMBER: -
The following is required information — Please print (in ink) or type**
Please note: ElectricaI.. Fire Prevention Systems and Engineering permits may require a separate application.
ul SV,
SITE ADDRESS: _ _7 05 T r] !7 r� ASSESSOR'S TAX/PARCEL #: l rvT
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
7
TYPE OF PROJECT (This application): ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION (Provide detailed description): l J f(� /Cs ' C7 % 1 j�•r '�
r `
PROJECT NAME: 40
s
:�. R:;, _ _ - .. _ ■ PoPLE INFORMATION:. -
PROPERTYOWNER:
CONTRACTOR:
wS
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; QIY, STATE, ZIP):
NAME: '
�5'y
DAYTIME PHONE:
r— 2 fIH ,L 60 nS'%
) -
MAILING ADDRM ((STREET ADDRESS; CITY, STATE, ZIP)-.
EVENING PHONE:
c/ ,0" -9 I e J + O W cZ �] �j +� +,1
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER-
EXPIRATION DATE:
(mpy;of-rd--quired)
NAME:
Is -e %Y 6-7 c %e
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT
❑ OTHER ( DESCRIBE).
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE: _
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
DAYTIME PHONE:
c )
/EVENING PHONE:
)
FAX NUMBER:
)
E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION -.
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
_ FLOOR
BASEMENT
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
_FIUUR65 '.
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. { )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S) _ WATER HEATER(S)
VACUUM BREAKER(S) ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) _ MISC. [- )
7TQCI ATMFR /Crf.FJALTIIRr- RI C
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 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 of
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informations plied to the ci as a prt
a# is ap(pli tion.
NAME, TITLE: DATE:
❑ PROPERTY OWNER APPLICANT NTRACTOR
FOR OFFICE USE ONLY: -
-❑ NEW '- ❑ ADDITION ❑ ALTERATION ❑.REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE: .
ZONING DESIGNATION.
BUILDING SHELL ONLY? _ ❑ YES ❑ NO
-COMP.,PLAN DESIGNATION
BASIC PLAN? _ ❑ YES ❑ NO -
SECTION :':;;:_ `. TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX_ 253-661-4129