24-101015r
City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: EAST CAMPUS MEDICAL BUILDING B
Project Address: 34704 11TH PL S
Project Description: Pressure test on gas line only.
Mechanical
Permit #:24-101015-00-ME
Inspection Request Line: (253) 835-3050
Parcel Number: 21547000')0
Owner
_Applicant
Contractor
VAN VUONGVC INVESTMENTS LLC
VAN VUONGVC INVESTMENTS LLC
BOB LARSON PLUMBING LLC
2101 SE 2ND PL
2101 SE 2ND PL
(PLUMBING)
RENTON WA 98056-8864
RENTON WA 98056-8864
BOBLALP795MG (7/19/25)
4320 128TH ST E
TACOMA WA 98446
Additional Permit Information
Mechanical Work Valuation? .................................. 800 Is this an Online or O.T.C. application?.................. Yes
Mechanical Fixtures
Gas Piping 1
PERMIT EXPIRES Tuesday, 3 September, 2024
Permit Issued on Thursday, March 7, 2024
it
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
Washin on and the City of Federal Way.
Owner or agent: Date: S--7-
�k
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 24 101015 00 Address: 34704 11TH PL S
Project: VAN VUONG FEDERAL WAY WA 98003-6715
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) Q Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By i f Date 3 81?+ By Date
L
❑
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RE(3�EIVED
PERMIT APPLICATION
CITY OF MAR 0 7 2024
Federal Way CITY
CENTER + 33325 8t' Avenue South +Federal Way, WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcentercicityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER -� I _ I , O I - TARGET DATE
SUITE/UNIT #
SITE ADDRESS L L
34-1 o L l `J
PROJECT VALUATION ZONING
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
TYPE OF PERMIT
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
CONTRACTOR
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this'application)
PROJECT FINANCING
When value is $5, 000 or more
(RCW 19.27.095)
NAME
ASSESSOR'S TAX/PARCEL #
NAME (3 1 �Q
MAILING ADDRESS(Jlu
�/ f 3aM
CITY
Erna.
NAME 0
MAILING ADDRESS
CITY
MAILING ADDRESS
CITY
HAM
MAILING ADDRESS, CITY, 9AIIE,ZIP
u
SV I I A A ZIP 6f7
ii DOS
t-'lo 10 n
9,2A S - E
PRIMARY P��H}}O��NjjEjj /
_ L`Lj IOS�S
E-MAIL - —
- Lo;
A ZIP�3
/] 1'1 � FAX - �rU�I � .
` N,DAA
UBI# 13501
PRIMARY PHONE
E-MAIL
STATE ZIP FAX
PRIMARY PHONE
E-MAIL
STATE I ZIP I FAX
❑ OWNER -FINANCED
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 to the city as apart of this application. DATE 3 +�
SIGNATURE:
PRINT NAME:
0
Bulletin #100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
MECNANICAL PERMIT
Indicate how many of each
_ AIR HANDLING UNITS
_ AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
re to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
GAS PIPING
of this pro ect. Do not include
GAS PIPE OUTLETS _
HOODS (commercial(
HOT WATER TANKS (Gas(
REFRIGERATION SYST
WOODSTOVES
fvctures to remain.
OTHER (Describe)
VA LUE OFPLUNIBING WORK
PLUMBING PERMIT
$
Indicate how many o each type offwture
to be installed or relocated as part o this project. Do not include existin UCtures to remain.
BATHTUBS (orTub/Shower combo(
LAVS (HandSiaks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /ULilicy)
WATER HEATERS (Elm trio)
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 Squaze Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes. ❑ No
RESWENTIAL m NEw OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
f
SECOND FLOOR
COVERED ENTRY -
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals a.�
EXISTING
PROPOSED
TOTAL
"NEW HOMES ONLY —
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMNMERCIA.I - NEWA.DDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s) s
p y p()
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL. - REMODEUTENA1tiT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feetape
Occupancy Group(s)
Construction
es
Stoof ries
Additional Information
TOTAL EtnLDING
.
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —February 19, 2020 Page 2 of 2
k:\Handouts\Permit Application