10-103260 r o
y Plumbing
City of Federal Way • •Permit ��//,
Community Development Services #: 10-103260-00-PL
P.O.Box 9718 `>
Federal Way, F 98063-9718
35- Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DR WEI GUO
Project Address: 33801 1ST WAY S Suite 311 Parcel Number: 926504 0160
Project Description: Installing new plumbing fixtures for a new dental office.
•
Owner Applicant Contractor
WASHINGTON PARK PROPERTIES HEAD MECHANICAL HEAD MECHANICAL
PO BOX 1310 16653 160TH PL SE HEADMMI91203 (9/23/11)
VANCOUVER,WA 98666-1310 RENTON WA 98058 16653 160TH PL SE
RENTON WA 98058
y
Drains 1 Laundry Washer Outlets 1 Lavatories 4
Sinks 3 Water Closets 2 Water Heaters 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Wednesday, January 26, 2011
Permit Issued on Friday, July 30, 2010
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: ` AlyLA k ,PaC)/ Date: 7/30 C
FINILED q 24/to
DATE INSPECTOR AREA AND TYPE OF INSPECTION
00/0 _ //C- oe&i644 A.(10-2, Ave_ DkA/ ee..mge-
-3hn- ate is- c � C�C
THIS CARD IS TOAIN ON-SITE
CITY OF � Construction In ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 10-103260-00-PL Address: 33801 1ST WAY S Suite 311
Owner: WASHINGTON PARK PROPERTIE: 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.
0 Plumbing Groundwork(4190) El Rough Plumbing(4230) Cl Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date ByQ , Date Gk._9,1- t By Date
❑ Final-Plumbing(4075)
Approved
B�� Date ,---(e7
r
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
IN
_ _
1 �33`A - ( L ��` i-
Federala RMIT SF MF CO ME PL DE EN FP
COMMONITYDEVELOPMENT fe ii
�' ' - ' � LICATION
253-835-2607•FAX 253-8 -2.09
www.cituoffederaavau.com
JUL 3 0 Zo6
SITE ADDRESSR/\L Y ssunwIINIT#
FEDE
33B Suir *311 '311
PRROOJ/E.CT VALUATION G ASSESSOR'S TAX/PARCEL# s 0 / 0 (I /f
..„,,,
$
,b
TYPE OF PERMIT 0 BUILDING 'PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) r, �Q,` kX)
�.1. --� , ,
PROJECT DESCRIPTION ,,
Detailed description of work to WILLI ; '' Vi p, �U�,jdeur' Office
be included on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER ‘f", U3e:_, Goa..,
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAMEEON
H•e 0-A rl-nd•', t\ :LP C. N-5)UO 001
MAILING1ADDRESS E-MAIL`
CONTRACTOR 1 ( S"3 o V\ S J p b� ICc`�•CZSV�
CITY
2e.-."..1vvA=) STATE ZIP
Lok OO$oS'e, V"Zs-5•-S413
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
4E-N MMSq\203 R / �3/ II
NAME ONE
�Te_ ed•; �A, \-\.ea(- 7 )730-sn8
APPLICANT MAILING ADDRESS IAD
1 S3 Ka�� �1 s� qSTATE _g J L Aksi ��t.CO.�
CITY^ 'IN A` ICY9S:�
PROJECT CONTACT j(J�� APHONE
(The individual to receive and Tees t, _\,-t > 730-c 11
respond to all correspondence p0 po ADDRESS
` (�1 4..ir.�� Q(y t
concerning this application) `� ` ` S � ��`1c7.(�,0a„ tci\,(.o.tA
STATE ZIP
cITYR-42l-)T0 nr �`p5 c� 42-S) 2.65-51-1-15
ALTERNATE CONTACT • PHONE E-MAD.
Ter , toy 7. O-31SS Terri,ie1/44ea cci,l&-gt-Po,
PROJECT FINANCING NAWE ❑
OWNER-FINANCED
ty,t^�
Required value of$5,000 or more I',-I
(RCW 19.27.095) 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 Wag 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 toa part of this application.
SIGNATURE: r/717 DATE 1/L4 J 2-r'1 0
PRINT NAME: 5. A-. CI e_Hf/ _
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE of MECHANICAL WORK $ (a copy of bid o - r ate must be provided)
Indicate how many of each type of fixture to be installed or relocated c .. of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE ' KIS HOODS(Commeiclal)
BOILERS FU r- - ES HOT WATER TANKS pen)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES ,cP
I
PLUMBING FIXTURES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include exis ' furfures to remain.
BATHTUBS(or'[Yob/Shower Combo) 14" LAVS ma.s+nks) Z TOILI';Lb V ATER PIPING
0 DISHWASHERS m RAINWATER SYSTEMS 0 URINALS ® tTH r (De ,be)
) DRAINS O SHOWERS 0 VACUUM BREAKERS ,J V
n DRINKING FOUNTAINS 3 SINKS(Kitchen/utility) % WATER HEATERS(Electric) QCJT\Q.T5
fl HOSE BIBBS (') SUMPS 1 WASHING MACHINES 33 TOTAL FIXTURES
GENERAL INFORMATION
CRITI AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING MIPROVE,:I NTS
EXISTING/PREVIOUS LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE S ,---ION SYSTEM?
❑Yes❑ No iYes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square ) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals 'ROPOSED "`
•'IVEW HOMES 0 yea
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Occupancy Group(s) Construction #of Additional Information
in Feet Type Stories
New BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESC' ON Area Occupancy Group(s) Construction #of Additional Info .. :tion
in Square Feet Type Stories
TOTAL : si .. 1 G
NANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Pennit Application