10-102465 Mechanical
City of Federal Way •
Community Development ServicesF ILE Pert it #: 10-102465-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p p
Project Name: GREAT CUTS
Project Address: 35415 21ST AVE SW Suite C Parcel Number: 252103 9002
Project Description: Relocate existing RTUs and associated gas piping and ducting to serve new space.
Owner Applicant Contractor
DAVID HOEK BALANCE POINT SERVICES INC BALANCE POINT SERVICES INC
DAVID'S FEDERAL WAY LLC P O BOX 1455 BALANPS912DP(10/29/11)
PO BOX 8164 MARYSVILLE WA 98270 P 0 BOX 1455
TACOMA WA 98418 MARYSVILLE WA 98270
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Mechanical Valuation 4500 Is this an Online or O.T.C.application? No
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Air Handling Units 1 Ducting 1 Fans 3
Gas Pipe Outlets 1
PERMIT EXPIRES Saturday, December 18, 2010
Permit Issued on Monday, June 21, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and he 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: J � Date: e:76/61
FIN At/AM PO a
.f
'1,& THIS CARD IS TO ON-SITE
CITY OF
• Construction In ection Record .
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-102465-00-ME Address: 35415 21ST AVE SW Suite C
Owner: DAVID HOEK FEDERAL WAY, WA 98023-3058
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) 0 Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test i Approved
By Date 'By // L�Date 00AQ . 'By ��'Date0,,,A ,
. .
0 Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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ZECEIVE f -° t z4 �
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eM Way COQ ME PL DE EN FP
cow.R'12DEVELOPMENT 52609�� 1 1 2°APPLICATION � 4. / 5 ,//O
CITY OF FEDERAL WAY
SITE ADDRESS/ CDS SUITE/UNIT#
3 / /c- 2)5 Awe Su- fc- C C
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
/5-OC Z 5 Z / 0 _ �l 0 ° 2—'
TYPEOF PERMIT 0 BUILDING 0 PLUMBING •f("M
iECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT �<7 f c fl
i.6
(Tenant Name/Homeowner Last Name) 2 Cst 4 ufD cC I kt k c r/ tl, � I`r y F / 15. i
PROJECT DESCRIPTION e 1°C /- 4... K 1 U dm4.4 ,)u4- i, v,) )4• 5,-,c.' c v)r L. .7.1.,i r t•
Detailed description of work to V'v 0F ( ? \J F.0 iii n N )i •a ,,2 5
be included on this permit only
NAME (C 14 \PHONE
PROPERTY OWNER � J(V,f 6 •e k 7O7 J G ---i9 -Sc G
G 1 G i10 ADDRESSx / `/ E-MAIL
CITY 1 STATEZIP
•-�- L.�,A- `�
QAPHONE IA. v,ce pd:,t4- s��' ✓,(t-'5 /rC , %rs'�, v/2 r/
e MAILING DRESS J E-MAIL
.NTRACTOR �� x /�1 Ccn-{i.c} Cal V:i'l.,c r 'Jo'h / Pis,'(ri,co..,
CITY 1 STATE ZIP FAX
4 ), e,r y5 'I e W,� `��5�� JO
WA STA CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
KALA NPC 9q4/M ( -7 / 1 ( /,rice 2c) —/C, - iv))a3 cic •$L
AME PHONE
APPLICANT MAILING ADDIAA E-MAIL.
CITY LI vt ei FAX
PROJECT CONTACT NAME '^SSuvl PHO)
��`iv,•tr, /1i )S 5 DE 6i.<2(1
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) PCS P3o x /6/5 -.)‘-'.'",,,i- ' I0-, 1', '<F6. +_ fJ-c�, c„a
CITY STATE ZIP FAX
A.;,/,J. (I e .p •�,, + t e>= C}
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5 000 or more
(RCW 1927095) MAILING ADDRESS,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 out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied the city as a part of this application.
SIGNATURE: Int. ,;7,7,/UwS- ' DATE 5 ` )`3- J' O
PRINT NAME: , ! J u ✓"1!s /1/44.--,,;,.., ''
Bulletin#100—April 14,2J/10 Page 1 of 3 k:\Handouts\Permit Application
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VALvt or Mscawr►cAz.WORD $ (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.
I - AIR HANDLING UNITS 3 FANS ( GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS IcommeroM)
BOILERS FURNACES HOT WATER TANKS(cos)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING GAS PIPING WOODSTOVES
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Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existin res to remain.
BATHTUBS(or Tub/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWER VACUU ' •KERS
DRINKING FOUNTAINS SINK`(..tch.n/Ut,hty) R HEATERS(Electric)
HOSE BIBBS SUM'- WASHING MACHINES •::::!i•#?:.::#::$.' ..,.' +i <'i:::•::::::::::
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CRITICAL AREAS ON PROPERTY? WATER PURVEY•- SE'• -P.• TO• VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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GARAGE 0 CARPORT 0 '
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Area Totals
ESTIMATED SELLIN RICE$ #OF BEDROOMS
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Construction #of
AREA DESCRIPTION Area • Additional Information
in S nese Feet e Stories
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AREA DESCRIPTION Area Occupancy Group(s) Construction Sof Additional Information
in Square Feet Type Stories
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TENANT AREA ONLY 4,() G lb T T I
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Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Pennit Application