11-100338r
Mechanical
City Development Way Permit #: 11- 100338 -00 -ME
Community Develo ment Services
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p Q
Project Name: CORTIVA INSTITUTE
Project Address: 2030 S 314TH ST Parcel Number: 092104 9053
Project Description: Adding new grills and duct work, adding (2) restroom fans.
Owner
Applicant
Contractor
HILLSIDE PLAZA ASSOCIATES
ALL STAR HEATING & A/C
ALL STAR HEATING & A/C
PO BOX 5003
PO BOX 70
ALLSTHA044JK (4/12/11)
BELLEVUE WA 98009 -5003
FALL CITY WA 98024
PO BOX 70
FALL CITY WA 98024
Mechanical Valuation .................. ..........................11828
Is this an Online or O.T.C. application ? .................Yes
Ducting........ ............................... 1 Fans................. ............................... 2
PERMIT EXPIRES Monday, July 25, 2011
on Wednesday. January 25,20
I here
the o
Owner or agent:
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will in accor ncewittl the ,h
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CITY OF '
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Federal Way
PERMIT #:
11- 100338 -00 -ME
THIS CARD IS TO AIN ON -SITE
Construction Ins tion Record
INSPECTION REQU TS: (253) 835 -3050
Address: 2030 S 314TH ST
Project: HILLSIDE PLAZA ASSOCIATES FEDERAL WAY, WA 98003 -5475
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
Date l ��
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
arr or /&
ED, 0 PERMIT
COMMUIELOPMENT SERVICES
253- 835-2607• FAX 253 -835- 09„ �- ,, APPLICATION
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeoumer Last Name)
`' t � �� 14 ck
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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STATE CONTRACTOR'S LICENSE #
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FEDERAL WAY BUSDIESS LICENSE #
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APPLICANT
IIYG ADDRESS
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PROJECT CONTACT
NAME
PHONIC
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
Z
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAase
O OWNER FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONIC
(RCW 19.27.095)
I certify 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 certify 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 ho ha nl the ty of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation such cl , which may be made by any person, including the undersigned, and filed against the city,
but only where su claim as out #f the reliance of the city, including its gptcers and employees, upon the
information suppl to the as a pa. ft of this application. accuracy of the
SIGNATURE: DATE /
PRINT NAME: CI
Bulletin # 100 — April 14, 2010 Pagel of 3 k:\Handouts\Permit Application
VALUE OF MSECSAMCAL WORK $ (a copg of bid or estimate must be provided)
Indicate how many of each type o re 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
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower combo( LAVS (Hand Sink) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /ou7iry) WATER HEATERS (Blectric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
EBISTING /PREVIOUS USE LOT SIZE (In Square Feet)
SEWER PURVEYOR VALUE OF EIISTINO IMPROVEMENTS
EIQSTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in uare Feet
Type
Stories
NRW'BZtILD1NQ
ADDITION
r c a t ALM
AREA DESCRIPTION
Area
In Square
Occupancy Group(s)
Construction
# of
Additional Information
Feet
f
a
17
Stories
TENANT AREA ONLY
Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application