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16-102965r City of Federal Way Connnunity, & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: VOGUE NAIL SPA Project Address: 34910 ENCHANTED PKWY S Unit 130 Building - Comifiv clFil Permit #: 16 -102965 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Nunlber: 219260 0570 Project Description: TI - Interior alterations to include adding (2) partition walls, (7) sinks, and (2) exhaust fans. Plumbing and Mechanical included. Owner DELANDRIA PROPERTIES INC ARRlicant LANH NGUYEN Contractor T -CONSTRUCTION INC Lender OWNER IS LENDER 2010156TH AVE NE SUITE 100 T -CONSTRUCTION INC TCONSI'892J8 (04/29/2017) 14 BELLEVUE WA 98007 8402 S AINSWORTH AVE 8402 S AINSWORTH AVE TACOMA WA 98444 TACOMAWA 98444 Census Category: 437 - Commercial alt / add / conversion Includes: # 1 #2 #3 #4 Occupancy Class: B Construction Type: Type II - B Occupancy Load 14 Floor Areas . ft. 1,540 0 0 0 Additional Permit Information Building Pre -con. Meeting Required?...................No Existing Sprinkler System in Building? ................. Yes Mechanical to be Included?...................................Yes Plumbing Work Valuation? ................................... 3000 Mechanical Work Valuation?.................................1000 Number of Stories. ................................................. 1 Permit for Building Shell Only?............................No Plumbing to be Included? ....................................... Yes Proposed Structure Valuation ............................... 20000 Special Inspection(s) Required?............................No New / Additional Sq. Feet - Total .......................... 0 Occupancy #I - Use ............................................... Barber/Beauty Shoff Mechanical Fixtures Ducting........................................... 1 Fans................................................ 2 Plumbing Fixtures Sinks............................................... 7 PERMIT EXPIRES Sunday, January 29, 2017 Permit Issued on Tuesday, August 2, 2016 1 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: GDate: H. -A) -a bity of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by CMy staff. Tenant Name: VOGUE NAIL SPA Address: 34910 ENCHANTED PKWY S Unit130 Permit #: 16 -102965 -00 -CO Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type II - B Occupancy Load 14 Floor Area (sq. ft.) 1 1,540 1 0 1 0 1 0 Owner Name: DELANDRIA PROPERTIES INC Owner Address: 2010 156TH AVE NE SUITE 100 BELLEVUE WA 98007 Building Official 3T Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severiy affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner / occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises. Oil Federal Way PERMIT #: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record r. INSPECTION REQUESTS: (253) 835-3050 16 -102965 -00 -CO Address: 34910 ENCHANTED PKWY S Unit 131 Project: DELANDRIA PROPERTIES INC 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. 11 Initial Erosion Control (436 Plumbing Groundwork (4190) Footings/Setback)Re-steel Slab/Concrete Floor (4255) Interim Erosion Control (4370) To be done prior to breaking ground Underfloor Framing (4285) Approved to place concrete Approved to cover Approved to place concrete or grout By Date By Date By Date 0 Floor Sheathing (4105) Approved to install flooring By Date Rough Plumbing (4230) Approved Bye Date W MechanicalRo ugh -in (4165) By Date Gas Piping (4125) Plumbing Groundwork (4190) Fire/Draft Stops (4095) Slab/Concrete Floor (4255) Interim Erosion Control (4370) 0 Underfloor Framing (4285) Approved Approved to cover Approved Approved to place concrete By Date Approved to sheath floor By Date b By Date -q_, By Date 0 Floor Sheathing (4105) Approved to install flooring By Date Rough Plumbing (4230) Approved Bye Date W MechanicalRo ugh -in (4165) By Date Gas Piping (4125) Rough Electrical Approved Fire/Draft Stops (4095) 1:1Approved Interim Erosion Control (4370) Approved to release test 1:1Approved Approved By Approved By Date By Date By Date Date Framing (4120) ior to sciedniing a Framing inspection; Insulation (4150) cal, Plumbing & Mechanical Roagh-ia and E Approved to insulate Approved to install wallboard aft Stop inspections must be signed -off and IBC By Date By Date approved. 1693.4 0 Gypsum Wallboard Nailing (4130) [3 Suspended Ceiling Grid (4265) Final - S K F & R (4060) Approved to install mud do tape Approved to drop file Approved By Date By Date By Date Final - Planning 0 Final Erosion Control (4375)11 Final - Mechanical (4065) Approved Approved Approved By Date By Date By #rJ Date 'r)a j Final - Plumbing (4075) 0 Final - Building (4050) Approved Approved By Date By J¢kf Date a f Rough Electrical Approved 1:1Approved Final Electrical 1:1Approved Right of Way By Date By Date By Date CITY OF Federal Way Name `/ 06t wtv- N A t t,. 119 - 102q1�4--00-G12 Site Address 344110 ISO Buildhig Division 33325 Eighth Avenue South PO Box 9718 Federal Way, WA 98063-9718 Phone 253-835-2607 Fax 253-835-2609 Case # Wo k&{i" 6V -AA&- 16- ID WRITTEN NOTICE OF ORDER TO CEASE ACTIVITY It is unlawful for any person with actual or constructive knowledge of the order to conduct the activity or perform the work covered by this order, even if this order to cease activity has been appealed, until the enforcement officer has removed f the order, if posted, and issued written authorization for the activity or work to be resumed. Description of Violation: I-bAG(I k W uw A v140%v►A oe foskSwiloe Pmt t' Of yVeA So- i *6V w ' - Corrective Action Required: AVV I i CA i"1" •A S 1 Rx. 1 ' 1�"ti L o �✓ use 8�i d.' w�;� Govs�,.t.��•,,•, o►r T- Nf Described action to be completed within 1 �M.�e b �w� K oft to of this notice. Date Staff CE Site address 3 4" t -D THE ACTIVITY OF V--(~) DUE TO THE FOLLOWING CO CITY OF FED L WAY BUILDING DI ION ORDER TO T IV ITY �awk-,c A FV #130 Case # Via1Aj;4 to Acv, - / VIOLATIONS: IS HEREBY ORDERED TO CEASE ,1 1 n- - VIOLATION OF AN ORDER CONSTITUTES A MISDEMEANER PUNISHABLE BY A FINE OF UP TO $1,000.00 OR IMPRISONMENT FOR UP TO NINETY (90) DAYS OR BOTH. IF YOU HAVE ANY QUESTIONS CALL PW'K4. Cf'` (253) 835 l0 1 t b DTE STAFF 11 Lo c'] ANY UNAUTHORIZED PERSON REMOVING THIS SIGN MAY BE PROSECUTED MacDonald -Miller FACILITY SOLUTIONS ENGINEER: MACDONALD MILLER HVAC CONTRACTOR: MACDONALD MILLER THE DATA PRESENTED IN THIS REPORT IS A RECORD OF SYSTEM MEASUREMENTS AND FINAL ADJUSTMENTSTHAT HAVE BEEN OBTAINED IN ACCORDANCE WITH THE CURRENT EDITION OF THE NEBB PROCEDURAL STANDARDS FOR TESTING, ADJUSTING, AND BALANCING OF ENVIRONMENTAL SYSTEMS. ANY VARIANCES FROM DESIGN QUANTITIES, WHICH EXCEED NEBB TOLERANCES, ARE NOTED IN THE TEST -ADJUST- BALANCE REPORT PROJECT SUMMARY. SUBMITTED & CERTIFIED BY: MR RONALD LANDBERG, NEBB SUPERVISOR REPORT DATE: 8-23-16 FIELD FOREMAN: RON LANDBE;G FIELD TECHNICIAN: DANIEL FARRINGTON MACDONALD-MILLER FACILITY SOLUTIONS MECHANICAL SE'MICES #2661 7717 DETROIT AVENUE SW SEATTLE, WASHINGTON 98106 PHONE: (206) 763-9400 FAX: (206) 767-6773 Page 1 of 7 MacDonald -Miller FACILITY SOLUTIONS COVE PAGE ABBREVIATIONS EQUIPMENT CALIBRATION CHART TAB SUMMARY FAN DATA 3 4 5 D DRAWINGS 7 Page 2 of 7 if=o MacDonald-Miller FACILITY SOLUTIONS AC AIR CONDITIONING UNIT HP HORSEPOWER BDD BACK DRAFT DAMPER HP HEAT PUMP AIR CONDITIONING L BHP BRAKE HORSEPOWER HWM HEATING WATER RETURN B.S. BIRD SCREEN HWS HEATING WATER SUPPLY CEG CEILING EXHAUST GRILLE INAC INACCESSIBLE CRG CEILING RETURN GRILLE LAT (DB) LEAVING AIR TEMP. (DRY BULB) CFM CUBIC FEET PER MINUTE LAT (WB) LEAVING AIR TEMP. (WET BULB) CHWR CHILLED WATER RETURN LD LINEAR DIFFUSER CHWS CHILLED WATER SUPPLY LWT LEAVING WATER TEMPERATURE CSD CEILING SUPPLY DIFFUSER MAX MAXIMUM CWR CONDENSER WATER RETURN MIN MINIMUM CWS CONDENSER WATER SUPPLY O WIDE OPEN DAMPER / AIR PATH DD DIRECT DRIVE OBD OPPOSED BLADE DAMPER DP DIFFERENTIAL PRESSURE OD OUTSIDE DIAMETER DIFF DIFFUSER OSA OUTSIDE AIR DMPR DAMPER RA RETURN AIR DNA DATA NOT AVAILABLE REQ'D REQUIRED DNL DATA NOT LISTED RH RELATIVE HUMIDITY DNT DATA NOT TAKEN RTU ROOFTOP UNIT DWDI DOUBLE WIDTH DOUBLE INLET SA SUPPLY AIR EAT (DB) ENTERING AIR TEMP. (DRY BULB) SP STATIC PRESSURE EAT (WB) ENTERING AIR TEMP. (WET BULB) SWG SIDE WALL GRILLE EC EGG CRATE RETURN SWR SIDE WALL REGISTER EF EXHAUST FAN SWSI SINGLE WIDTH SINGLE INLET EG EXHAUST GmLE T OUTLET NEAREST THERMOSTAT ESP ExTERNAL STATIC PRESSURE TSP TOTAL STATIC PRESSURE EWT ENTERING WATER TEMPERATURE T.P. THERMALLY PROTECTED FPM FEET PER MINUTE T -STAT THERMOSTAT OR SENSOR FH FUME HOOD TYP TYPICAL GPM GALLONS PER MINUTE 0 VOLTAGE PHASE / DUCT DIAMETI HF HEPA FILTER V.D. VOLUME DAMPER Page 3 of 7 MacDonald -Miller FACILITY SOLUTIONS r5 ri F01# y , Rotational Measurement 10to5000RPM 1±2% of reading Extech - 461895 Tachometer ±2 RPM 1 RPM Z341111 07/12/16 Temperature Measurement Thermometer Fluke -52 Series II 26090483WS 02/19/16 Air Prnhp Omega - 794 Probe -40 to 240°F ±5% of reading + 1.47 0.2°F Unknown/26090483WS-8 02/19/16 Prnhp Immersion Omega - 794 Probe Unknown/26090483WS-B 02/19/16 Contact Omega -792 Probe Unknown/26090483WS-C 02/19/16 Electrical Measurement ±2%of reading Fluke -374 Volts 0to600VAC ± 5 digits 1.0 Volts 29310312WS 12/03/15 +2%of reading Fluke -374 Amperes 0 to 100 Amps 5 digits 0.1 Ampere 29310312WS 12/03/15 Air Pressure Oto 10.00 ±2% of reading +0.001 in w.g. Alnor - EBT731 Air Pressure in w.. ±0.001 in w.g. <_ 1 in w.g. EBT731627007 07/27/16 Air Velocity ±5% of reading Al nor - EBT731 Pitot Tube 50 to 3900 FPM not less than 7 1.0 FPM EBT731627007 07/27/16 AirVelocity ±2% of reading TSI / Alnor - RVA501 RVA 50 to 2500 FPM ±4 FPM 1.0 FPM RVA501613003 03/24/16 Alnor -EBT731 Humidity 10 to90%RH ±3%RH 1.000/0 EBT731627007 07/27/16 Hydronic Measurement Hydronic Oto 200 in w.g. 2% of reading TSI/Alnore - HM685 Differential ±0.2 ft w.g. 1.0 ft w.g. 71550137 02/11/16 x 7/25/2016 Page 4 of 7 MacDonald-Miller 1=ACILITY SOLUTIONS VOGUE NAIL SPA 34910 ENCHANTED PWKY, FEDERAL WAY, WA JOB # 160822-0067 1) General Notes a) HVAC balancing was completed 8/23/16 b) Design information was obtained from mechanical drawings, submittals, specifications, or shop drawings as available c) TAB work was in accordance with NEBB procedural standards. d) Outlet volumetric flow rates were measured by use of a calibrated Flow Hood. 2) Scope of work a) Test, Adjust and Balance of 1 inline exhaust fan and 1 inline make-up air fan. 3) Description of the System a) Terminal Units i) Inline fans (1) Fantech and Ipower fans 4) TAB Procedures Summarized a) Terminal Units i) Exhaust fan (1) Verified full open system (a) Documented fan nameplate data (2) Read inlets with calibrated Flow hood (a) RVA was used to read nail stations exhaust flow (3) Exhaust ductwork was not installed with proportioning dampers or fan speed adjustment ii) Make-up Air fan (1) Verified full open system (2) Read supply outlet with calibrated Flow hood (3) Fan was not installed with speed adjustment Field Technician: Daniel Farrington Page 5 of 7 macDonawmiller FACIA MY SOWTIONS Test and Balance Report PROJECT: Vogue Nail Spa LOCATION: Federal Way, WA PROJECT #: 160822-0067 SYSTEMIUNIT: EF -01 EF -01 Return Inlet Summary DATE: 8/23/2016 CONTACT: Daniel Farrington Tested By: Daniel Farrington Date: 8/23/2016 Fan Manufacturer Fantech Fan Model Number FG10 Fan Serial Number 40410 Motor Phase 1 Motor Hertz 60 Hz Total Airflow Design 560 CFM Total Airflow Actual 730 CFM EF -01 Return Inlet Summary DATE: 8/23/2016 CONTACT: Daniel Farrington Tested By: Daniel Farrington Date: 8/23/2016 SYSTEMIUNIT: MUA-01 NESIVERM Motor HP 10 Watts Motor RPM 750 RPM Motor Rated Volts 110 Volts Motor Phase 1 Motor Hertz 60 Hz SYSTEMIUNIT: MUA-01 NESIVERM Fan Manufacturer (Power Motor RPM 750 RPM Motor Rated Volts 110 Volts Total Airflow Design 505 CFM Total Airflow Actual 490 CFM MUA-01 Supply Outlet Summary Tested By: Daniel Farrington Date: 8/23/2016 MacDonald -Miller Page 6 of 7 Motor HP 10 Watts Motor RPM 750 RPM Motor Rated Volts 110 Volts Motor Phase 1 Motor Hertz 60 Hz MacDonald -Miller Page 6 of 7 77r'LIG V 11 LIGHT 40 l 0 N Inline fans f (_._ EXISTING 12" PIPE MAKE UP AIR r INEWl— .F 15TING TYPE I HOOD PIPE 16"X16" t m > a> f � R m s > EXISTING HYAG o o d ul n ' � }nr mft orlon exeh axil uxfia,� +fte#f h .. r- a-bie of-xh-*.W.e nat fr., than NO - LIM ner sution. ( ro ) } hCA+ RC PoGi [ 4" pvc pipe ftCtatt*,A !eT T114AL, of.,cturer'% literatut instruetinns on site 21 • andi.0911aeeordin t! i, is gpff' t ka field ins cetar's do 4 00 axs� di�'fiaroe -- —• moc#,an I exhaust A M dis[har40d Ntftl�rffi at a ootnt 3 ., �rzmr«_' �tynce a� not 1e5� tL�ff i( ' �� ft dr�txn in t2v a vpnki{aefna > afl.r�4�be ext#auxt Into an attic ar "_'�.�, uarrf spate. (I G, Via% talEDG.. � avS% ��agramExhaust fan system iE i?tto W nq �enxxx br R' ke M all ditrarcoms, caii"ailusuf ' CITY OF Building Divis)on *A,161 Phone Federa I Way33325 Eighth 253-83 South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE -OP 136 A DRESS: %o ��c,��+c� ��`I PERMIT#: �% — 14 ZS % 5 Cab tg; A FP . otr,M;t 4�cow. C c�F w aknd nr-,s5 �, �A1 ;.,sne.Ct0 IN "'Jj;✓lQ �j INC A 5,'cic. iJal l C-cc,b 1 r, r- -fn o� bacV_ wall �►n,r�,rvt��w. C'_IeAcanC,� �covh 5. � watt b� -f -o i le+ -Eo vier- cv.5-j- ;Lx+,. ce - <\- . n bC -f-o0 close - IF YOU HAVE QUESTIONS CALL A4 (253) 835- WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. g ) 7 (4 DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of TO SCHEDULE OR CANCEL AN INSPECTION, OR TO OBTAIN INSPECTION RESULTS CALL: (253) 835-3050 Be prepared to provide: 10 -Digit Permit Number 4 -Digit Inspection Code (see below) Preferred Date of Inspection Phone Number where you can be reached between 7:00 and 4:00 You will receive a confirmation number at the end of the call. Make a note of the number for reference if a problem occurs with scheduling. If you do not receive a confirmation number, the inspection was not successfully scheduled. The correct inspection code must be used to schedule, cancel or obtain inspection results. The system will only accept codes that are associated with your permit. Please verify that the inspection is included on the card attached to the permit before attempting to schedule. Every effort will be made to perform inspections on the requested day, but it may take up to 48 hours, depending on workload. INSPECTIONS WILL NOT BE PERFORMED (AND YOU MAY BE ASSESSED REINSPECTION FEES) IF: o The work is not complete and ready to be inspected o Approved site copy of permit/plans/inspection card are not on site, available to inspector o Site address is not clearly posted o Inspector does not have access to the site or project. It is the responsibility of whoever is requesting an inspection to provide any special equipment—such as ladders—required to access any aspect of the project. BUILDING INSPECTIONS ELECTRICAL INSPECTIONS Drainage/Downspout/Footing 4040 Ceiling Cover 4020 Fire Stopping/Draft Stops 4095 Ditch Cover 4030 Floor Sheathing 4105 Feeders/Sub-Panels 4045 Footing/Setbacks 4110 Final Electrical 4055 Foundation Wall 4115 Pool Bonding 4295 Framing 4120 Rough Electrical 4225 Gypsum Wallboard Nailing 4130 Service 4235 Insulation 4150 Temporary Power 4275 Reinforcing Steel 4215 Roof Sheathing 4220 SIGN INSPECTIONS Shear Walls 4245 Attachment 4010 Slab/Concrete Floor 4255 Final Sign 4085 Suspended Ceiling Grid 4265 Final Electrical for Signage 4055 Under -floor Framing 4285 Footing/Setback 4110 Under -Slab Groundwork 4295 FINAL INSPECTIONS MANUFACTURED HOME INSPECTIONS Building 4050 Blocking /Tie Downs 4015 Final SWM 4375 Skirting/Final 4250 Fire Department call (253) 946-7318 to schedule Planning call project planner to schedule SURFACE WATER MANAGEMENT INSPECTIONS Public Works call project inspector to schedule Temp Erosion/Sediment Control 4365 Final SWM 4375 MECHANICAL INSPECTIONS PLUMBING INSPECTIONS Final Mechanical 4065 Final Plumbing 4075 Gas Piping 4125 Plumbing Groundwork 4190 Mechanical Rough -In 4165 Rough Plumbing 4230 f Water Purveyor: ,New Existing I-1 Replacement ! l DM Backflow Testing P.O. Box 11082 • Tacoma, WA 98411 Backflow Prevention Assembly Test Report 253-227-8858 NAME: /._/C FI L E N O: SERVICE ADDRESS: Streetcdy —L P LOCATION: . y t a } t CROSS CONNECTI0N&TR(YL FOR:" t �: " L" f 12 C' K CkI ,• TYPE ASSEMBLY: ' f — MANUFACTURER: MODEL: ?" SIZE: SERIAL NO: 1-12 No 1 Check Closed tight ... psid No, 1 Check Closed tight ._....................... ❑ Leaked l Leaked .... No. 2 Check: Closed tight psid No. 2 Check Closed tight ......... ❑ Leaked .. ....- Leaked............................... ❑ Passed Test: Yes No Passed Test Yes No 3F Minimum Separation: Yes NoAN IS THIS A PROPER INSTALLATION? Yes 1"'4'— No Water Service Found: On Off REMARKS: Assembly Tested: Satisfactorily �< I CERTIFY THE ABOVE REPORT TO BE TRUE Num, - Initial Test By: Repaired By:"'____ Repair Test By Opened Failed to Open ..................... ❑ Leaked................................ ❑ Yes No Water Service Left: On Model ?-445'73 Serial # r Z. ; Accuracy Verification Date Failed Phone No Cert No. = Date _ ----- --- Date Cert No Date r- psid psid psid psid Off /X. Line Pressure Pressure Drop Across No 1 Check Pressure Drop Across Valve (A) psid No. 1 Check Valve (A) _— psid Relief Valve Opened (B) '$uffer psid Relief Valve Opened (B) — psid (C) _ (A -B) psid Buffer C = (A -B) —__ psid We /No. 1 Check: Closed tight No.1 Check Closed tight ...... _ ❑ Leaked ..... .... Leaked.... ........... ❑ No 2 Check: Closed tight _ .. it.. No. 2 Check Closed tight .❑ .... Leaked ........ _ .. .... Cl Leaked .,.. ........ ...... ❑ Minimum AG Separation: Yes _'7" No Minimum AG Separation Yes No Passed Test: Yes No Passed Test: Yes No Line Pressure No 1 Check Closed tight ... psid No, 1 Check Closed tight ._....................... ❑ Leaked l Leaked .... No. 2 Check: Closed tight psid No. 2 Check Closed tight ......... ❑ Leaked .. ....- Leaked............................... ❑ Passed Test: Yes No Passed Test Yes No 3F Minimum Separation: Yes NoAN IS THIS A PROPER INSTALLATION? Yes 1"'4'— No Water Service Found: On Off REMARKS: Assembly Tested: Satisfactorily �< I CERTIFY THE ABOVE REPORT TO BE TRUE Num, - Initial Test By: Repaired By:"'____ Repair Test By Opened Failed to Open ..................... ❑ Leaked................................ ❑ Yes No Water Service Left: On Model ?-445'73 Serial # r Z. ; Accuracy Verification Date Failed Phone No Cert No. = Date _ ----- --- Date Cert No Date r- psid psid psid psid Off /X. Water Purveyor: r\�^� New I� Existing I I Replacement I1 DM Backflow Testing P.O. Box 11082 • Tacoma, WA 98411 Backflow Prevention Assembly Test Report 253-227-8858 NAME: AJCt t ( `) P Q _ FILE NO: SERVICE ADDRESS: '1'-) 9 jD 6 r`1 hAti Led Pq f kc , Street LOCATION: arty Zip CROSS CONNECTION CONTAL FOR: r f C (� C hO It% _ TYPE ASSEMBLY: MANUFACTURER: MODEL: 6 T SIZE: SERIAL NO: q2_0 ® �_ :t''i:'t'' '1'EB'I A'1'R4Jtt Line Pressure .. Pressure Drop Across Pressure Drop Across No 1 Check Valve (A) Relief Valve Opened psid No 1 Check Valve (A) _ psid (B) psid Relief Valve Opened (B) — Y Buffer (C) _ (A -B) _ _— psid psid Buffer C = (A -B) No. 1 Check: Closed tight _. _._.. —_ psid No. 1 Check Closed tight ........ ........ ......._❑ Leaked ..... ..... _ _ ..... Leaked .... ........ ......... ❑ No 2 Check Closed tight.. _ _ No. 2 Check Closed . tight .. ...... ...... E] Leaked __ .. Leaked .... -...... Minimum AG Separation: Yes No Minimum AG Separation Yes No Passed Test: Yes No Passed Test. Yes No Line Pressure No 1 Check Closed tight C? psid No. 1 Check Closed tight ❑ psid Leaked L i Leaked ...... ❑ No. 2 Check: Closed tight _ .._ [ i psid No. 2 Check Closed tight ❑ psid Leaked .. ..__ .. _ . i 1 Leaked ....,. Passed Test: Yes No —__ Passed Test Yes No Line Pressure _ Air Inlet Opened — — psid Air Inlet. Opened psid Failed to Open . Faded to O _.._ E]: pen ........ .... Check Valve: --- ---psid Check Valve psid Leaked ... .......... Leaked ......... ....... O Passed Test Yes No _— Passed Test: Yes No >` Minimum Separation: Yes No -- • - . - - - • -RNA • - • • • IS THIS A PROPER INSTALLATION? Yes No Water Service Found: On Off_ Water Service Left: On Off REMARKS Test Equipment: Make 0 r , Model W5_' ISerial # al&2_76 Accuracy Verification Date ! Assembly Tested: Satisfactorily Failed I CERTIFY THE ABOVE REPORT TO BE TRUE Initial Test By _ Repaired By: Repair Test By s"„ nate ", Name Phone No Cert No. 6, 2—!F Date ------ _--- Date Cert No — _- ___ Date eral Way ERMIT NUMBER R.JJEIVED PERMIT *PPLICATION , U'UN 17 2015 Ury. OF FEDERAL WAY - 02 qS _ co TARGET DATE SITE ADDRESS 3 i0 �Nn� i �r� l� �D SUITE/UNIT N o PROJECT VALUATION $ 2506)0' v ZONING ASS � TAR/PARCEL M (0 O O � _ 1 1 - -- TYPE OF PERMIT ::*UILDING VPLUMBINGXM13CHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT V D � PROJECT DESCRIPTION Detailed description of work to r r be included on this permit only NAME (n qu r\ V PRIMARY PHONE 42-J-- �— PROPERTY OWNER MAILING ADDRESS %% �] V i �p Y ElayfU E-MAIL r L CITYSTAT//�,E ZIP 1 /7 NAMEPHONE 1-- MAILING ADDRESS � IZ E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE 8 EXPI]W30d DATE FEDERAL WAY BUSINESS LICENSE N C i2 i NAME (�� 1`H PRIMARY PHONE f _ MAILING ADDRESS41 m &ed 9-MA APPLICANT 17671&lile I La CITY STATE ZIP FAX PROJECT CONTACT NAME / r- / Y PRIMARY PHONE 'I� ? MAILING ADDRESS AVC EMAIL fThe individual to receive and respond to all correspondence CITY STATE ZIP FA% concerning this application) WAJ PROJECT FINANCING NAME OWNER -FINANCED When value is $5,000 or more (RCW 19.27. 09S) MAILING ADDRESS, CITY, STATE, ZIP PHONE 3 :A) 2Z 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 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 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 a part of this application. SIGNATURE: DATE ZZ 6 (� PRINT NAME: T1 i Bulletin #100 — February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application FL yn (on-) MECHANICAL PERMIT AIR HANDLING UN AIR CONDITIONER BOILERS COMPRESSORS DUCTING to be installed or rei FANS FIREPLACE INSERTS FURNACES GAS LOG SETS GAS PIPING ZM VALUE OF MECHANICAL WORK $ 1z ow f this project. Do not include existing fixtures to rem GAS PIPE OUTLETS OTHER (Describe) HOODS (Commercial) HOT WATER TANKS (cas) REFRIGERATION SYST WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT 1-3 L k�k T) i Lt D. $ a EXISTING/PREM US USE LOT SIZE (In Square Feet) $ 3 Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain. BATHTUBS (or Tub/shower Combo) LAVS (Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS TOTAL BUILDING DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS 1-3 L k�k T) i Lt D. $ a EXISTING/PREM US USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? Yes ❑ No PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes )(No .., ( RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER (describe) Area Totals P SMG PROPOSED TOTAL **IZW HOMES ONLY" ESTIMATED SELLING PRICE $ # OF BEDROOMS FOR OFFICE USE COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Square Feet Occupancy Group(s) Construction a # Stories Additional Information TOTAL BUILDING TENANT AREA ONLY ' ZO I •— 6 I PROJECT AREA ONLY Bulletin #100 — February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application No 46• REQUEST FOR CHAWE OF USE ANALYSIS CITY OF � DEPARTMENT OF COMMUNITY DEVELOPMENT Federal Way 333258 1h Avenue South •i Federal Way, WA 98003-6325 253-835-2607; Fax 253-835-2609 w ityoffederalway.com env', 0,A 5 i�iCU 1 SOLA o � l - NO+ (RM a'ww 1 ' : FILE NUMBER �I Date Applicant NAME PRIMARY PHONE / / Z4?, — BUSINESS/ORGANIZATION ALTERNATE PH NE MAILING ADDRESS E-MAIL 46 e CITYIA'Z,6 STATE ZIP FAX ', ! n,,,,�'� �/ Site Address: TeW l Parcel #• Proposed Use: A-1 L Current/Previous Uses: (',fX of&A l2 evi'n �rm LC I ,vm _� ot_ CZj )/A1L j 281 Proposed Modifications to Site or Building Exterior: � 1 Pl( G1 ,° P t S2elU2 Y)gj (� Iu lel fall S ji � GI ��IAA) Ge, % VV (� L L� r1 i � 1 eG�l �f�YP � n/.t,(,lZ i — �I�l �t�n,� n t (rL1 ' S I�C�L(� �C—� ► —i=�1_S �( P� Mani For Staff Use Use -Specific Notes/Regulations Parking Setbacks Surface Water Bulletin # 168 — October 5, 2015 Page 1 of 1 k:\Handouts\Change of Use Analysis Form rolaery HeT. $ In ume issuea Walus r'olaer IVame roiaer yescrl Zion ' 2016 102624 000 00 BL 05/31/2016 Readyto Issue VOGUE NAIL SPA NAILS,PEDICURE, MANICURE, WAXING, F .2004101439 000 00 BL 04/19/2004 04/2212004 Closed MATTRESS FAIR RETAIL MATTRESS STORE. CLOSED NE' 1,2005103707 000 00 BL 07/27/2005 03/01/2006 Closed MY NAIL PLACE NAIL SERVICES & NOMINAL RETAIL. CLO' 1999 107408 000 00 BL 8205 01/31/2000 Open SPRINGLEAF FINANCIAL SEF SUPERVISED LENDER PREVIOUS BL#21 1998 105493 000 00 BL 7175 01/12/2000 Closed GREAT CLIPS HAIR SALON. CLOSED PER 09 RENEWAL 2006101614 000 00 BL 04/03/2006 06/02/2006 Closed MY NAIL PLACE ACRYLIC NAIL SALON. NEW OWNER OF C' 12008101792 000 00 BL 04/15/2008 04/18/2008 Closed PHAMILY NAILS NAIL BEAUTY SERVICES. NEW OWNERS 12003104873 000 00 BL 10/27/2003 11/06/2003 Closed SOUND SLEEP PRODUCTS RETAIL MATTRESS 12008100949 000 00 BL 02/22/2008 02/29/2008 Closed PHAMILY NAILS NAIL SUPPY RETAILS, NAIL BEAUTY SEP 12003103054 000 00 BL 07/24/2003 07/31/2003 Closed CBK FINANCIAL LLC DBA JAC'PREPARE FEDERAL & OUT OF STATE Tf 1999107049 000 00 BL 7859 01/21/2000 Closed CHECKMATE #140 CHECK CASHING AND PAY DAY LOANS. ( • 12006103308 000 00 BL 07/05/2006 07/21/2006 Open MATTRESS DEPOT RETAIL SALES OF MATTRESS SETS ANG, 11999107710 000 00 BL 8750 01/19/2000 Closed 4 CORNERS TERIYAKI TERIYAKI DUPLICATE LIC. SEE 1999-1073; 12007100387 000 00 BL 01/24/2007 01/26/2007 Closed FIONA'S NAIL SALON NAILS, PEDICURE, MANICURE, ACRYLLIC 1,1998105774 000 00 BL 7490 02/2611999 Closed 4 CORNERS TERIYAKI II RESTURANT SOLD PER NEW OWNER 6/ 1999 107370 000 00 BL 8169 09/14/1999 Closed 4 CORNERS TERIYAKI II RESTAURANT RENEWED 6/21/00. CLOSE 1999 107195 000 00 BL 7998 12/19/2000 12/29/2000 Closed MATTRESS OUTLET RETAIL (MATTRESS OUTLJOHN LARSOP 12004102534 000 00 BL 06/25/2004 10/15/2004 Closed FANCY NAILS & TANNING CLOSED PER 05 RENEWAL NOTICE 2/16/1 12016102965 000 00 CO 06/17/2016 Technical RevieVOGUE NAIL SPA TI - Interior alterations and change of use fro 11999102564 000 00 CO BLD99-0414 07/02/1999 07/02/1999 Finalled AMERICAN GENERAL FINAN(TI - Moving/adding walls, no plumbing or me 11999101942 000 00 CO BLD99-0312 05/19/1999 05119/1999 Finalled MATTRESS COMPANY TI - Including plumbing & mechanical. 12'x 8 11998 103779 000 00 CO BLD98-0658 10/02/1998 11/24/1998 Finalled 4 CORNER TERIYAKI TI -Addinq walls & 2 bathrooms is