07-100640City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Mechanical Permit #: 07-100640-00-ME
Inspection Request Line: (253) 835-3050
Project Name: DENTAL CENTER OF FEDERAL WAY BUILDING B
Project Address: 34704 1 1TH PL S Bldg B
Parcel Number: 215470 0030
Project Description: Install ductwork, supply & return air distribution for portion of 2nd floor.
Owner
Applican
Contractor
VAN WONG
SUNG WOON (JOHN) CHANG
KOOLTRONICS REFRIGERATION INC
2101 SE 2ND PL
KOOLTRONICS REFRIGERATION INC
KOOLTRI942139 (3/29/08)
RENTON WA 98056-8864
31500 1ST AVE S SUITE 15-205
31500 1 ST AVE S SUITE 15-205
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Valuation ............................................ 2600 Over the Counter Permit? ...................................... No
Mechanical Fixtures
Ducts.,,,.--,,. ...................................... T"
4
THIS CA" IS TO REMAIN ON-SITE
CITY OF Community Development 1nspection'R'`e'co'rd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT 07-100640-00-ME
Owner: VANVUONG
Address: 34704 1 ITH PL S Bldg B
FEDERAL WAY, WA 98003-6715
This card is part of your required inspection documents. 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.
Mechanical Rough-in (4165) Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By e_- _ %_j Date 7__at—C_9j
RECE
Federal Way
'' o' PgRMIT M-F C9- ME L PL DE EN FP
Communfly vilvaoPmuff S)MVICES
33324-8- AVEIVUS SOUM - PO BOX 9718
FEDERAL WAY, WA 98063-9718 JTD V%
CITY OF � W1
.2S3-83S-2607- PAX 253-835-2609 APPLICATIOW " F
www.d1w%dem ti. FEDERA
BUILDINA3 1'"F 1.
The following is required information -an incomplete application will not be accepted. Please print legibly (in iniq or type.
SITE ADDRESS L I
ASSESSOR'S TAX/PARCEL #
LEGAL DESCRIPTION fe.g. Acme Estates, Lot 1)
(Aft-h aVarato popefir lwwft lesuf deralpWoN
N
SUITE/UMT #
LOT: SIZE (sfl
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only�
Mthhel - AUCA - +:p crvIt<![�K4 P 1i Aie— I I AZ_& t' �� S �'_S
PROJECT NAME (�Vame of Busin or Owner Last Nam'
PROPERTY
OWNER
CONTRACTOR
COPY of card "quIred
." O..h PPHz'*i_
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
Ft,,z)y-
NAME
PRIMARY PHON
OFFICE PHONE
OFFICE PHONE
MAILING ADDRESS
�_'O( p
C=41
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
OFFICE PHONE
;(,q,j+_Y9-AA(g 9 , Tore-
Ir". 5t,
MAILING ADDRESS
(2.06) kt-; - -3q9l
MAILING ADDRESS - j
CITY, STATK ZIP
FAX NUMBER
CELLPHONE 1
15* Avc
uft
(2_,bA)kf —3141
FAX NUMBER
f
In. -
REGISTRATION NUMBER
[CONT
MR11L'T,QR`S
& TAU <?46 ':?-
COMPANY NAME
A LICANT NAME
OFFICE PHONE
a
PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIPTO PROJECT
FAX NUMBER
13 Architect 0 Tenant 0 Agent o Other
NAME PRIMARY PHONE EMAIL ADDRESS
4 f
NAME
PirRCW19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING ADDR SS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED �VALU9
SPRINKLERED BUILDING? 0 No
1'70
WATER SERVICE PROVIDE oLAREHAV:EN
0 M�A
SEWER SERVICE PR R c)LAKEHAVEN
PROPOSED USE
UE OF PROPOSED WORK $
FIRE SUPI?RESSIO TEM PROPOSED/REQU=D? o YES [I No
• HIGHLINE u TACO 0 PRIVATE (WELL)
• HIGHLINE 03 PRIVATE �JSE7"C)
Indicate number of each type offvdure to be installed or relocated aspart of this project. Do. not include existingfixtures to remain.
M3CEL4MCAL
nT7 (A
Value of M cha I W, k $ 1 Py OF S77M TE MUST BE JNCL UDED WITH APPUCA TION)
�a �0 qL%R I . 2- -_T --0 -4-
AIR HAVLINO UNITSt E V APO RATI V I-,' 6C VOLE RS GAS PIPE OUTLETS WOODST6VES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS po�rd.4
COMPRESSORS FURNACES RANGES
-�O D�CTS. GAS LOG SETS REFRIG. SYSTEMS
PLEMMING
BAT14TUBS for Tui/sh�r Cmnb�) IAVS (S&Wwm Sink4 URINALS MISC (Describe)
DIS14WASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS IToilaQ
F,LECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
Z certqy under.,Fienalty ofperjury !hut the Wormation furnished by me is true and correct to the best of-my knowledge, andfurther, that Z
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim fincluding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claiml, which may be made by any person, including the undersigneOr andfliedagainst the City ofFederal Way, 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.
NAME/TITLE —
RELATIONSHIP TO PROJECT 0 Owner 0 Agent
JTitle) '
E3 Architect
c3 Other
13 EW o
7
o ALTEP.ATION
o P.EPAIR TENANT IMPROVEMENT,
�ADDITION
ZWDING SH NLY?
B D1N ELL ONLY?
'a SHELL
DYES 13 NO
BASIC PLAN? a YES
o NO
SIG TION
0 D�ESI GNATION
ZX7o
ZONIN7 A
CHANGE OF USE? r) YES
a NO
NEW ADD-RESS REQUII�ED?
o YES o NO.
UP/SZPA/811? YES
a NO
PLATTED LOT?
0 YES 13 No
DEMO PERMIT REQUMED? o YES
o NO
Bulletin #100 - January 1, 2007 Page 2 of 4 Wiandouts\Perrnit Application