12-100010'A
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: THOMAS E JACKA DDS
Project Address: 700 S 320TH ST Suite E
Meehan cal
Permit #: 12 -100010 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 082104 9265
Project Description: Adding/altering fans and associated ductwork for fan & dryer vent install
Owner
Applicant
Contractor
CAPITOL SQUARE LLC
ALL WAYS AIR CONTROL INC
ALL WAYS AIR CONTROL INC
PO BOX 18194
1515 S CENTER ST
ALLWAAC074C3 (5/6/12)
SEATTLE WA 98118-0194
TACOMA WA 98409
1515 S CENTER ST
TACOMA WA 98409
Mechanical Valuation............................................3000
Is this an Online or O.T.C. application?.................Yes
w.
Ducting........................................... 1 Fans................................................ 1
PERMIT EXPIRES Sunday, July 1, 2012
Permit Issued on Tuesday, January 3, 2012
1 hereby certify that th above informati n is correct and that the construction on the above described property and
the occupancy and a use will b in a ordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: P Date: 0
t t 5/1 Pao
CITY OF _
Federal Way
PERMIT #:
12 -100010 -00 -ME
THIS CARD IS TO MAIN ON-SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835-3050
Address: 700 S 320TH ST Suite E
Project: CAPITOL SQUARE LLC 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.
Mechanical Rough -in (4165)El
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date /—,�;_-12
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
MY Of
Federal Way
COMMUN77YDEVFWPMENT SERVICES
253-835-2607• FAX 253-835-2609
u�ww.ciluo(JMeraiwail com
•
PERMIT
APPLICATION
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SF MF CO
(0 PL DE EN FP
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RECEIVED
IAK1' 0 1
SITE ADDRESS �� - CITY OF STJITE/UNIT #
7 c9 s 3 a0 t
PROJECT VALUATION
$ S00 w
ZONING
ASSESSOR'S TAX/PARCEL #
0 CDk a 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUNGING CHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(TenantNarmlHomeoumerLast Name)
7�,eA 1 T�
V •� 1 d1! Jac,
a
PROJECT DESCRIPTION
�
Detailed description of work to
be included on this permit only
a1 P -Ir CJMV
PROPERTY OWNER
N� C a I fd� L`
PHONE
'966-715-U00
cTea Li,2115
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NAME
I _ l ' ✓ � y o (
PHONE e •] —
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I J I S D .7. -� �N , a I
a I Ir wa fa 't
CONTRACTOR
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WA 41T$ CO R•s LICENSE # 3
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11-12-109-906-0: E
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APPLICANT
ZR'8003
S3 9'16-(v 8S
PROJECT CONTACT
rMe individual to receive and
respond to all correspondenceGnADDRESB
concerning this application)
mew r
laa 00i
Otis
A
E -MAD.
Crff
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
MADaNi ADDRESS, CnT. STATE, ZIP
PHONE
I eert(jy 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 eertVy that I udU 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.
!further agree to hold harmless the City of Federal Way as to any claim ruu:luding costs, expenses, and attorneys' fees incurred in
the investigation and defense of such clainq.whic#Vnag be made by any person, including the undersigned, andjiled against the city,
but only where such claim arises out of the of the city, including its gDlcers and employees, upon the accuracy of the
information the city as a part this lication.
SIGNATURE. �� / Q DATE I
PRINT NAME: QEa 117aj--a 00)
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\1-landouts\Permit Application
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ry •
GENERAL INFORMATION
MECHANICAL FIXTURES
VALUE OF MMMMCAL WORK $
(a copy of bid or estimate must beprovided)
Indicate how many of each qWe offixho
to be installed or relocated as part of this project. Do not include eels ' fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commercw)
BOILERS
FURNACES HOT WATER TANKS (Gar)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL INFORMATION
PLumiNG Fix'I'vREs
Indicate how many of each type of fixture to be installed or relocated as part of this project Do not include existing j)xtures to remain.
BATHTUBS (or M b/Shower combo)
LAVS (sand Smks) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (mtrhen/uu" WATER HEATERS (Eto uio)
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL FISTURES
GENERAL INFORMATION
CRRTCAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF E%ISTMG DMWROVERMEM
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
EXMMG/PRMOUS USE
LOT SIZE On Square Feet)
MUST MG FUM SPIUNK .ER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
- NEW OR ADDITION
Area
eaFeet
in SquareNEW
AREA DESCRIPTION (in square feet)
FMSTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area arra Feet
in SqTOTAL
COVERED ENTRY
Construction TypeStories
Additional Information
BU"MG
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
PROJECT AREA ONLY
Area Totals
PROPOSED
TOTAL
"NEW HONES ONLY"
ESTIMATED SELLING PRICE
1 # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION
Area
eaFeet
in SquareNEW
Occupancy Group(s)
Construction
TypeStories
of
Additional Information
ENMM iG
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area arra Feet
in SqTOTAL
Occupancy Group(s)
Construction TypeStories
Additional Information
BU"MG
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 -January 1, 2011
Page 2 of 3
k:\Handouts\Permit Application