10-103986 • Plumbing
City of Federal Way Permit #: 10-103986-00-P L
Community Development Services ,
P.O.Box 9718
Federal Way,WA 98063-9718 " Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax (253)835-2609 *
Project Name: BROADCOM
Project Address: 32001 32ND AVE S Suite 400 Parcel Number: 162104 9001
Project Description: Install(1)shower and (1)sink
Owner Applicant Contractor
HERMANSON COMPANY LLP(GENERAL) HERMANSON COMPANY LLP(GENERAL)
FRC FEDERAL WAY LLC ( )
PO BOX 94449
1221 2ND AVE N HERMACLOO5BJ(8/25/12)
SEATTLE,WA 98124
KENT WA 98032 1221 2ND AVE N
KENT WA 98032
•
Showers 1 Sinks 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 itfidC011ance with th s, rules and regulations of the State of Washington
nd the C. oferal Way.
■Owner or agent: . )1� _ Date: Lei 7 I
j
_ o ZZ w
' : THIS CARD IS TO R 'LAIN ON-SITE , .
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-103986-00-PL 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 Plumbing Groundwork(4190) - 0 Rough Plumbing(4230) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By.15 Date 9— —lb By Date
.
El Final-Plumbing(4075)
Approved
Bye l Date t9�a,. —v
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF PERMIT SF MF CO ME PL DE EN FP
Federal Way SEP 2 0 kpp
QCOMMUNITYDEVEIAPMENTSERVICES CATION
253-835-2607•FAX 253-835-2609 ERAL
mu�u,.ciluoffedE r uhir OF FED
GL' y1 CDS
SITE ADDRESS SUITE/UNIT#
3 •6 U 1 S • 32_1 PtNt I Vt atr011 LL193"9 Inn ' 9C°
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 2. 1— � A10- 5- - C2 (3- - 0
TYPE OF PERMIT ❑ BUILDING APLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) 0 , i .
PROJECT DESCRIPTION •
Detailed description of work to il 1_
•, _ J _ • is
be included on this permit only
II .. /Ipli=r111M1IFTM11111r111111111.. ak iii )i
PRIMARY PHONE
PROPERTY OWNER
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•eat ► - . . _21 Z l
PHO J' _
I . 1&610 1 . • -+,. lcIV5
MAILING ADDRESS E-MAIL rci CONTRACTOR 12 !mot ? . h
Clnt ST ZIP `lay_S 2 F � N./' 1�
". -TATE CONTRACTO"S CE,SE ono,I`J DA E FEDERAL WAY BUS. ''r- - M
■ I. $ ` I 213-CZ-.fit ` •_C)
nmeA ...2.0
APPLICANT MAILING ADDRESS rci .. E- -
tL � � _ 10.1Ag �.�al I 1
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CVtnt cm. ZIP/' T:e F — ,to-50114
PROJECT CONTACT NAME _^ ,� `^ _ \\ Q/� \k PHONE
(The individual to receive and "`J� `�`��°' `�''1y/ 1 �J�,
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME IQ 0
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 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 r. , the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the nn city • a part • this application. 1
VP
SIGNATURE: \ i \I���R`„r i_�b DATE CA 2 • IT)
PRINT NAME: r S ��� •.•"1/11•
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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�7
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture 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
Pi- * 'I' ES
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(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWAT ER SYSTEMS URINALS OTHER(Describe)
e
)
DRAINS T SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 7 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE[hi Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
NEW OR DO UN
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(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
Area Construction #of
AREA DESCRIPTION
in Square Feet Occupancy Group(s) Type Stories
s) Additional Information
NEW IiIIILDING
ADDITION
@ J
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
• TOTA.BIULDING
TENANT AREA ONLY
AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application