12-102385q
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BELMOR HOLDINGS
Project Address: 2101 S 324TH ST
Mechanical
Permit #: 12- 102385 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Description: Installing a mini ductless system in the main office.
Parcel Number: 162104 9037
Owner
Al2RIican
Contractor
BELMOR HOLDINGS LTD
HAYES HEATING & COOLING LLC
HAYES HEATING & COOLING LLC
1571 BELLEVUE AVE W SUITE 210
19219 68TH AVE S SUITE M109
HAYESH *886BD (1/4/14)
VANCOUVER CN
KENT WA 98032
19219 68TH AVE S SUITE M109
KENT WA 98032
Additional Permit Information
Mechanical Valuation ................. ...........................7304 Is this an Online or O.T.C. application? ................. Yes
Air Handling Units ......................... 1
PERMIT EXPIRES Sunday, November 25, 2012
Permit Issued on Tuesday, May 29, 2012
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, agent: Date:--- Z
l n1 "
V'
U`
2 J
�/1/19
MY C
Federal Way
THIS CARD IS TO MAIN ON -SITE
Construction I ection Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 12- 102385 -00 -ME Address: 2101 S 324TH ST
Project: BELMOR HOLDINGS LTD 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 Date 1- I r)
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal Way
C )MMANITY DEVELOPMENT SERVICES
253- 835-2607• FAX 253 -835 -2609
*PERMIT RECEIVED•MF
APPLICATION
MAY 2 9 2012
r-,r,
- LLB
C05 PL DE EN FP
SITE ADDRESS
CDS
SUITE /UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
$ % y-
f 6 -,1 l v �V-- 51 :3
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING M MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
ge./ ooy -
i l/ m io -f l r s err It,, 144 c, G'rA re.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
C1kWV' - hatej-i l 1. •r-O
PRIMARY PHONE
:7-53 63 & bL;-l7
BLAMING ADDRESS
�lC? 32' y-ly "T
E -MAIL
lip' h rsitC+. C'0&lf
CI3X
STATE
ZIP
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b
NA7/
PHONE
�LlK it -&
mAmmd ADDRESS y
E -MAIL /
CONTRACTOR
CITY
6
STATE
d
ZIP
e32-
FAX
�z7 5 !
YC' 3
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
J;'401 6,1 ' I'P-wc'TTW�
PHONE
e- '
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP -
FAX
PROJECT CONTACT
NAME ,
PHONE
(7he individual to receive and
MAILING ADDRESS
5% Z 6 f yq
EMAIL
h
n of .
respond to all correspondence
concerning this application)
CITY
14r,4-
STATE
1 � "(
ZIP
�'f o32
FAX
#2-5--797 gC31
CONTACT NAME:
'I
PHONE
E -MAIL
rcRNATE
Get L-4r.l re
.Zv4� U 5---;Zc1 %
(eW 4,, IC law &2 h 4,.
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. I 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 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 apart of this application.
SIGNATURE: DATE Z �Z-
PRINT NAME: vy! ! ✓! I rl S r
Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Pelmit Application
70147
v.-17
VALUE OF MZCHAIVZCAL WORK '7-3&q —(a
copy of bid or estimate must beprovided
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include
WATER PIPING �
AIR CONDITIONER FIREPLACE INSERTS
x0000(c.~me"*w
no/Lono ronmxouo
HOT WATER TANKS pas)
cowpmmonono oxaLOG SETS
----
nupn/oopmzomoYor
DUCTING GAS PIPING
w0000rovmu
7fixtures to remain.
OTHER (Describe)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fuctures to remain.
-----BATHTUBS (or n*^uo�combo)
uevu(H.uo*o;)
roILoro
WATER PIPING �
omovwAannma
RAINWATER SYSTEMS
URINALS
OTHER (Describe) �
onmmo
oanWoms
VACUUM BREAKERS
VALUE OF EXISTING IMPROVEMENTS
DRINKING FOUNTAINS
SINKS (xit�hm/ubj"
WATER HEATERS (mectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
PROPOSED FIRE SUPPRSSSION SYSTEM?
gym
EXISTING
CgITICAr AREAS ON PROPERTY?
WATERPURVEYOR
SEVVERPURVEYOR,
VALUE OF EXISTING IMPROVEMENTS
ZZ
Area
Occupancy Group(s)
EXISTING/PREVIOUS USE
LOT SIZE (In Sqmve Feet)
rMSTING FIRE SPRMMZR SYSTEM?
PROPOSED FIRE SUPPRSSSION SYSTEM?
gym
EXISTING
TOTAL
FOR OFFICE USE
AREA DESCREMON fin square feet)
al Information
ZZ
Area
Occupancy Group(s)
in Ssuare Feet
Uge
Stories
FIRST FLOOR (or Mobile Home)
MO
COVERED ENTRY
ADDITION
GARAGE 0 CARPORT 0
Construction
# of
Area
R.
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
In Square Feet
EMT=
PROPOWD
TOTAL
Area Totats
ESTIMATED SELLING PRICE $
#OF BEDROOMS
Bulletin #1Oo— April 14, 2010 Page 2of 3 Application
Construction
# of
al Information
AREA DESCRIPTION
Area
Occupancy Group(s)
in Ssuare Feet
Uge
Stories
MO
ADDITION
Construction
# of
Area
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
In Square Feet
Type
stories
TENANT AREA ONLY
Bulletin #1Oo— April 14, 2010 Page 2of 3 Application