01-101307City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129
Plumbing Permit #:01 - 101307 - 00 - PL
Project Name: NICOLE HAIR SALON
Project Address: 31849 PACIFIC HW S
Project Description: PLUMB - Install (3) hair sinks and (2) hand lavatories.
Inspection request line: 253.835.3050
Parcel Number: 082104 9206
Owner
Applicant
Contractor
John J & Lisa Y Sohn
NONE
NICOLE HAIR SALON
16603 SE 57TH PL
31849 PACIFIC HWY S
BELLEVUE WA
FEDERAL WAY WA
98006-5539
NONE
(253) 529-4247
Plumbing Fixtures
t Description Quanti ` F Description Quantit Description Quarifit
Lavatories 2 11 Sinks
PERMIT EXPIRES October 1, 2001, IF NO WORK IS STARTED.
Permit issued on April 4, 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 accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agen . Date:
CA—+
Z' V
�yo' CONSTRUCTION PERMIT APPLICATION
w t E PPLICATION NUMBER: d 1 1
APPLICATION NUMBER: -
Ulf OF FEDERAL WA) APPLICATION NUMBER: -
BUILDING DEPT.—
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: - 3 S49 (�V t"C[ T' C KW l S ASSESSOR'S TAX/PARCEL #: 0 a
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• ■
TYPE OF PROJECT (This application): ❑ BUILDING A PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Z :�'j S"-! E� 'S 1 n1 l< S C okQ'r lcof'b
PROJECTCOLE K# rr
■ PEOPLE INFORMATION
•. •
NAME: DAYTIME PHONE:
(q2s)
MAILING ADDRESS (STREET ,4aD ; Cl'iY', STATE, ZIP): ,
I (�o� s G �? �� ��/lv�iw ( 9�47�(0
CONTRACTOR: NAME: 'l
S E�E
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
APPLICANT: NAME:
W-
MAILING ADDRESS (STREET ADDRESS, C
❑ ARCHITECT
DAYTIME PHONE:
EVENING PHONE:
( )
FAX NUMBER:
EXPIRATION DATE:
DAYTIME PHONE:
(z )�5-?
EVENING PHONE:
( )
FAX NUMBER:
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
p DETAIUD ■ r ■ ■
EXISTING USE: i6 fj'q 'Fxa s .\ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:A& S� I LtJ'y _ PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
TENANT
ZIP):
❑ OTHER ( DESCRIBE):
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $.
PROJECT■■
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
_ RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
V' SINK(S)
WATER CLOSET(S)
- misc.(. }
INTERCEPTOR(S)
_ SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK ,
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 information supplied to the city as a part of this application.
NAME/TITLE: JO 5 �PI-� 21�.r(al 1L
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
it r
❑ 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 • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129