12-101798 •
Mechanical
City of Federal Way Permit #: 12-101798-00-ME
CommFederal unity&Econ.Dev80.Se0rv3ices
33325Way8th Ave S
WA
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PANDA STATION RETAIL-SUITE D
Project Address: 30315 PACIFIC HWY S Suite D Parcel Number: 042104 9237
Project Description: Install ducts and duffusers for existing HVAC
Owner Applicant Contractor
VAN VUONG PRIME CONSTRUCTION&DEVELOPMENT PRIME CONSTRUCTION&DEVELOPMENT
VC INVESTMENTS LLC 7728 228TH ST SW PRIMECD925RK(12/12/12)
2101 SE 2ND PL EDMONDS WA 98026 7728 228TH ST SW
RENTON WA 98056-8864 EDMONDS WA 98026
Additional Permit Information'.
Mechanical Valuation 2500 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Saturday, October 20, 2012
Permit Issued on Monday, April 23, 2012
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 deral Way.
Owner or agent: 7 Date: l( 2-3 // Z
r(KsL 5/1/12.
THIS CARD IS T MAIN ON-SITE -
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-101798-00-ME Address: 30315 PACIFIC HWY S Suite D
Project: VAN VUONG FEDERAL WAY, WA 98003-4124
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) ❑ Gas Piping(4125) El Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By /G� Date ' ' s--/-,z,
El Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
( 2 I 0 LZ 9E-
CFedera
ITYOF i Way • PERMIT • MF CO OP PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
_u2u02_41.80 ederglu_al.cOu
APR 232012
SITE ADDRESS SUITE/UNIT#
a9- i S� 1I0-iy q q D CITY OF FEDERAL WAX)
PROJECT VALUATION ZONING 7 ASSESSOR'S TAX/PARCEL# C D S
$ ar .�U 0 9- -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING $MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) I !C-/^^ Q P./ARCA S MN
g+ [L.
A-sic"ka v/4L p bi Cl-- ' -
'
PROJECT DESCRIPTION
Detailed description of work to J
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER VC t ti c fen,"elft- sa-o6 ' 2-g I I . -rl--
MAILING ADDRESS / E-MAIL
/43�� sr: 92 CJ 7-.
CITY>u �/f STATE ZIP
/v ✓ eas Gee i,JA 9 cP®S^
NAMEHONE
/(•I've. C:mr uc e' 4- De• fr'' 42 cf-22.• 6.00
MAILII6 ADDRESS E-MAILCONTRACTOR 22�')�3wY Qq A er cd/c1 447
CISTATE ZIP
CITY S / cp ..)._..,6 Ax
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAMEPHONE
Sy KAYI 4-2-i°-• 4-2-2 - e;_rt o
APPLICANT MAILING ADDRESS E-MAIL
S'o71yn P et,( ei.100 v
CITY STATE ZIP FAX
PROJECT CONTACT NAME
__._--. ..PHONE i __ ..
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAMEEl OWNER-FINANCED
Required value of$5,000 or more
(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 Way as to arty 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 a part of this application.
SIGNATURE: ( e ;;;11,77..t.....7". L,/3/I 2,
PRINT NAME: —To ell+' l
Bulletin#100-January I,2014 Page I of 3 k:\i-Iandouts\Permit Application
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VALUE OF MECHANICAL WORK tip
n20 (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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(can)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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.
BATHTUBS(or Tub/shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM :'EAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATE' 'EATERS(Electric)
HOSE BIBBS SUMPS W' HING MACHINES ✓r R >'_xyv
•Y
• 3 J
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR R PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square EXISTING PROPOSED TOTAL FOR OFFICE
FIRST FLOOR(or Mobile H.
COVERED EN __—..—...--.._.__._..__...—..__.._._._.._.......
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Area Totals MEP
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
Construction
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AREA DESCRIPTION Occupancy Group(s) Additional Information
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application