10-103987 Mechanical
Y City of Federal Way
Community Development Services Permit #. 10-103987-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 rt t+
it- Aft Project Name: BROADCOM 114
Project Address: 32001 32ND AVE S Suite 400 Parcel Number: 162104 9001
Project Description: Install(1)fan in restroom shower and relocate grilles and associated ductwork.
. ,
Owner Applicant Contractor
FRC FEDERAL WAY LLC HERMANSON COMPANY LLP(GENERAL) HERMANSON COMPANY LLP(GENERAL)
PO BOX 94449 1221 2ND AVE N HERMACLOO5BJ(8/25/12)
SEATTLE,WA 98124 KENT WA 98032 1221 2ND AVE N
KENT WA 98032
Mechanical Valuation 6406 Is this an Online or O.T.C.application? Yes
Ducting 1 Fans 1
PERMIT EXPIRES Saturday, March 19, 2011
Permit Issued on Monday, September 20,2010
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 acco i.nce with the laws, rules and regulations of the State of Washington
a • the s of Federal Way.
Owner or agent: it. — �► ,� Date: '7� I C)
Piit
-4�E 10/13/10
D
r
THIS CARD IS TO 7 AIN ON-SITE
CITY OF • Construction Ins ction Record . .
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 10-103987-00-ME Address: 32001 32ND AVE S Suite 400
Owner: FRC FEDERAL WAY LLC FEDERAL WAY, WA 98001
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 Mechanical Rough-in (4165) ❑ Gas Piping(4125) - "0 Final-Mechanical(4065)
Approved Approved to release test Approved
.By .71/'Gate IA.�. )® " 'By Date " 'B .1 Dater / 3.-�y�(
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date 1 By Date By Date
1 It
10 — I 03 gg- 7
cn.$aj3E1M1T SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES sE� ` 0 Al p L C AT I O N
253-835-2607•FAX 253-835-2609 w RAO a:a-a.cif.,u!te[ie,ai;rat,.cone. H
SITE ADDRESS C C SUITE UNIT 8
2.6 01 • ' . '�-:ed,�►Cd) tfr�()
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL S
$ 2 L 5 i- 1 5 - C0_ _i-- 0
TYPE OF PERMIT ❑ BUILDING Ar PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT (t()
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION I D y C
Detailed description of work to l 'C 1. J
be included on this permit only y.p VOQ t L my liS anci ()SWIM,
ry
NAME PRIMARY PHONE
PROPERTY OWNER FQ_C �t LLL� W
C"
2756 3 v.�444 f .S . E-MAIL
eir.Aeta tin iltki Sig i.5r- 2,„crisws NF p
*yvocivNyn •MAILING ADDRESS E-MAIL rift
CONTRACTOR 1?7-1 1 • c �)
Cl nt I STAB • ZIP(t`'0 �+ L..J��a ty 5
,xsl 1 1 11 11 5_ CX JE c ).M.7-- / 1 5 /DATE. FEDERAL WAy 11___211-VlT'11 C
NAME�m\c% h�JJ _i cAV-5 r "il
APPLICANT MAILING ADDRESS E MAC
3 2.
��•22.-1� rm
rya a .
CiZknt A zs F N\ l m
PROJECT CONTACT NAME PHONE
(The individual to receive and 5 M r • - (NE, ftcy\QC(11.\--
respond to all correspondence MAIL MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME \ 0 OWNER-FINANCED
Required value of$5,000 or more
(RCW I0.27.0951 MAILING ADD ,CITY.STATE,ZIP PHONE
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 -• ■ the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city • a part • this application.
_W f !��
SIGNATURE: � ���r�� i DATE
PRINT NAME: o eS` $ • O• ' ND
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
• I
MEctIANIcAL;.FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not inclurdP existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercml)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIcTURES
Ali �, ,.,. . .. .... -�. /.. '
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(tuna Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(Etecmct
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(ddScrib
Area Totals TOTAL
**NEW HOMES ONLY"*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
''f , �,'f yyam]✓ �7 ) {� %
< r1,1.s'si4% „",-A%4%,.;r,.%%l...% ,%%;% /4, � ,, �i,° EW/An �Ol\J
AREA DESCRIPTION Area Occupancy Group(s)
l Construction #of Additional Information
in Square Feet Type Stories
NEW MELDING
ADDITION
t'7, jr- ' ��1f Mfr ( ¢1`ii�Yr„ -:�r ,, _ 1 f �y y�q
/ ,,i„yr J." yj "'�,•�..Fr � % ! Arm k Mi E ANT RO��IVI N
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
TOT
TENANT AREA ONLY
PR X/Ec'}'ARZA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application