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07-102245City of Federal Way Plumbing Permit #• 07- 102245 -00 -PL Community Development Services • P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: DR DUANE JONES - DENTIST Project Address: 33507 9TH AVE S Bldg E Parcel Number: 926500 0020 Project Description: Install plumbing for new dental office Owner Applicant Contractor DUANE L JONES DDS LOCAL PLUMBING LOCAL PLUMBING 1706 S 320TH P.O. BOX 1496 LOCALPC063J9 8/23/2007 FEDERAL WAY WA 98003 MAPLE VALLEY WA 98038 P.O. BOX 1496 MAPLE VALLEY WA 98038 Plumbing Fixtures Dishwashers .... ............................... 1 Laundry Washer Outlets................ 1 Sinks ................ ............................... 3 Water Closets.. ............................... 3 Hose Bibbs ...... ............................... 1 DITIONS: Lavatories ........ ............................... 14 Water Heaters . ............................... 1 PERMIT`EXPIRES Friday, April 24,2009 Permit Issued on Wednesday, April 25, 2007 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 Washington and the City of Federal Way. �/ Owner or agent g Date: ! `yt'e,7 ® THIS CARD IS TO REMAIN ON -SITE CITY GP Community Development Inspection Record. Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 102245 -00 -PL Owner: DUANE L JONES DDS Address: 33507 9TH AVE S Bldg E FEDERAL WAY, WA 98003 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. ❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125) Approved to cover Approved Approved to release test By Date By CW Date ,j /Z��� By Date ❑ Final - Plumbing (4075) Approved / By 779 Date 7 Z.6 ,� r RECEIVE CITY' OF j Federal Way APR 2 5.2007 PERMIT COMMUNITY DEVELOPMENT SERVICES 333258TM AVENUE SOUTH . 97I8 p L I C A'I' I O N PBDBRAL WAY, WA 980=AIr .253-83S-2607- ww.d ua FAX - at. 5•M"BU�LDING 'i - unuuJ.tifuull'edP.mhuatl.com DEPT, SF MF CO ME EL L DE EN FP The following is required information -an incomplete application will not be accepted. Please print legibly (in iniq or type. PROPERTY O. • SITE ADDRESS .3550 -7 9 '�A A ve- Sbwtti SUITE /UNIT # i. ASSESSOR'S TAX /PARCEL # _ - LOT SIZE (s,) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1 ) (Attach separate page fa lengthg legal desciptlonl TYPE OF PERMIT ■ PROJECT INFORMATION ❑ BUILDING J9,JPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlu) ?,rt /S drLL %�'�vrr. �j,•'�`i FOr sVE W 6E, AAA I- PROJECT NAME (Name of Business or Owner Last Name1 PEOPLE • • PROPERTY OWNER �t( `1 CONTRACTOR COPY of ­4 tpa -a with eao Pplintlon APPLICANT PROJECT CONTACT LENDER EXISTING USE SYSTEM NA DJ (`PRIMARY PHONE - MAILING ADDRESS CITY, STATE, ZIP JAI Al [CITY, STATE, ZIP E -MAIL ADDRESS COMPANY NAME LoCAk �'/ ✓,.N6.`n APPLICANT NAME A!506 Sis'llCO OFFICE PHONE (y25) dl 0x -(.4Y7 MAILING ADDRESS CITY, STATE, ZIP JAI Al CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS I(. ?-c;.o7 7a COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( - NAME I PRIMARY PH`OONE E -MAIL ADDRESS NAME Air RCW 19,27.095: Lender information is required if project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE PROPOSED USE VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING S ; FT. PROPOSED S . FT. EVAPORATIVE COOLERS TOTAL S . FT. BASEMENT FANS GAS WATER HEATERS MISC (Describe) BOILERS FIRST HOODS icommerdaq COMPRESSORS FURNACES SECOND DU : G AS 1.OG SETS R EFRIG. SYSTEMS THIRD UP /SEPA /SU? BATHTUBS (or Tub /Shower Combo! —� ADDITIONAL FLOORS (DESCRIBE) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST DECK (❑ COVERED OR ❑ UNCOVERED ?) DRINKING FOUNTAINS SHOWERS .% WATER CLOSETS (coney GARAGE ❑ CARPORT ❑ SINKS _�_ WASHING MACHINES HOSE BIBBS NUMBER OF FLOORS 6%18"!110 PROPOSED TOTAL TOTAL MISTING BF TOTAL PROPOSOD SP TOTAL SP —NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ (A COPY OF BID -OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS icommerdaq COMPRESSORS FURNACES RANGES ' DU : G AS 1.OG SETS R EFRIG. SYSTEMS PLUMBING UP /SEPA /SU? BATHTUBS (or Tub /Shower Combo! —� LAVS (Bathroom Sink.) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS .% WATER CLOSETS (coney ELECTRIC WATER HEATERS_ SINKS _�_ WASHING MACHINES HOSE BIBBS SUMPS I certify under.penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I 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 (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such ctairN, which may be made by any person, including the undersigned, and flied against the City of Federal 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 apart of this application. NAME /TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent A Contractor (Title) ' ❑ Architect ❑ Other ti., ,z © —.2e o7 o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT. BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES ❑ NO UP /SEPA /SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100— January 1; 2007 Page 2of4 MhandoutsTermit Application .