17-102642 4 • , S >
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Plumbing
City of Federal Way Permit #:17-102642-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PRECISION DENTAL CARE
Project Address: 1825 S 324TH PL Parcel Number:250120 0020
Project Description: Modifying the waste and water rough-in plumbing at the operatory and sterilization sinks,and
remove and reset fixtures in the medical gas-all existing.SJS is modifying the existing med-gas
piping to 5 chairs.
Owner Applicant Contractor
DAVID MACEKAVID LLC LAURA DINUCCISJS MECHANICAL S J S MECHANICAL SERVICES
1825 S 324TH PL SERVICES LLC SJSMEMS951KL(5/17/17)
FEDERAL WAY WA 98003 3317 3RD AVE S SUITE 100
SEATTLE WA 98134 3317 3RD AVE S SUITE 100
SEATTLE WA 98134
Water Closets 1
PERMIT EXPIRES Wednesday,29 November,2017
Permit Issued on Friday,June 2,2017
I hereby certify that the .'ove information is correct and that the construction on the above described property
and the occupancy: the use will be i• accordance with the laws, rules and regulations of the State of
Wase n and the City of Federal Way.
Owner or a%ent: • / /
Date: 6/2-1
•
DATIE INSPECTOR _tRE_\ AND 11 PE OF I\SPI CI ION
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THIS CARD IS TO REMAIN ON-SITE
�,t,►� Construction Inspection Record
Federal a INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102642 00 Address: 1825 S 324TH PL
Project: DAVID MACE FEDERAL WAY WA 98003-8505
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 leR 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) •!0 ,
Final-Plumbing(4075)
Approved to cover Approved Approved
By Date By Date ,,, c, Date ''7_2747.--(`�
••
❑ Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
' 1 RECEIVED PERM
CITY Of o IT APPLICATION
Federa I Way N 2 20_ I I PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcentel{ucityoffederalway.com
CITY OF FEDERAL WAY
_ 1
COMMUNI Y DEVELOPMEENT //
PERMIT NUMBER 1 1o Co _
- - - TARGET DATE /�/
SITE ADDRESS
SUITE/UNIT#
1825 South 324th Place
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 9,474.00 2 5 0 1 2 0 _ 0 0 2 0
TYPE OF PERMIT ❑ BUILDING A PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING E FIRE PREVENTION
NAME OF PROJECT DR DAVID MACE
modifying the waste and water rough-in plumbing at the Operatory and Sterilization sinks,and remove and reset fixtures in the
PROJECT DESCRIPTION restroom and laooratory oniy-existing rougn-in stay's put.atuaor vegan at the operate ana Hygiene sines oniy.
Detailed description of work to Medical Gas -All Existing. SJS is remodifvina the existing med-gas Dining to 5 chairs
be included on this permit only
NAME PRIMARY PHONE
Precision Dental Care
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
SJS MECHANICAL SERVICES LLC 206-763-0334
MAILING ADDRESS E-MAIL
CONTRACTOR 3317 3RD AVE S,#100 laura@sjsmech.com
CITY STATE ZIP FAX
SEATTLE WA 98134 206-763-0442
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE 1t9 DERALW1Y .,. l* E`#,
SJSMEMS951 KL 05 17 /2019
NAME PRIMARY PHONE
LAURA DINUCCI 206-763-0334
APPLICANT MAILING ADDRESS E-MAIL
SAME AS ABOVE
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT LAURA DINUCCI
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence SAME AS ABOVE
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 de nse of such claim),w ich may be made by any person,including the undersigned,and filed against the city,
but only where such c • m arises out of t -1 fiance of the city, including its officers and employees, upon the accuracy of the
information sup• • t�e city as a part o • application.
if
SIGNATU / DATE 5/30/17
PRINT N I U" P NUCCI
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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 pee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 9,474.00
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) 1 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
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(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
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EXISTING
PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCI —
NEW/ADDITION
„aE #ofAREA DESCRION NEB. Occupancy Group(s)
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Additional Information
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application