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13-105645 , • A Plumbing City of Federal Way �j Community&Econ.Dev.Services Permit #: 13-105645-00-PL 33325 8th Ave S Federal Way,wA 9so3 Inspection Request Line: (253)835-3050 Ph:(253}835-2607 Fax:(253}835-2609 p q Project Name: KIM&LEE ORTHODONTICS Project Address: 1830 S 324TH PL Parcel Number: 250140 0020 Project Description: Install back flow preventor Owner Applicant Contractor WASHINGTON PARK PROPERTIES HEAD MECHANICAL INC HEAD MECHANICAL INC PO BOX 1310 801 E 1ST ST SUITE 166 HEADMMI91203 (9/23/15) VANCOUVER,WA 98666-1310 CLE ELEUM WA 98922 801 E 1ST ST SUITE 166 CLE ELEUM WA 98922 Plumbing_Fixtures' Other Plumbing Fixtures 1 PERMIT EXPIRES Wednesday, June 18, 2014 Permit Issued on Friday, December 20, 2013 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use w'll be in accordance with the laws, rules and regulations of the State of Washington an he City of Federal Way. 7/Owner or agent Date: Q t�rrw� • THIS CARD IS TO MAIN ON-SITE ; a. CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-105645-00-PL Address: 1830 S 324TH PL Project: 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) 0 Gas Piping(4125) Approved to cover Approved Approved to release test By Date By !� _ Date 4, ,yL` i 'By Date• 0 Final-Plumbing(4075) I Approved By Nv. .,.4 Date 1 ,c__11,3 El Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • -' ► cm of 4 . PERMIT PPLICATION Federal Way RECEIVED X14 PERMIT NUMBER 1` _ I ° 5 6 -4D E C/02013 — _ TARGET DATE SITE ADDRESS CI 4U0€itNEiDERAL WAY `QQ`�'''33 S. �7 LLjj1 �J CDS PROJECT VALUATION < ZONING()1 ASSESSOR'S TAX/PARCEL# Iz ,- 0 i4 () _ o © 0 l �3O Q - - TYPE OF PERMIT ❑ BUILDING ZPLUMBING 0 MECHANICAL 0 DEMOLITION N�❑ ENG]INEERING 0 FIRE PREVENTION NAME OF PROJECT t1r V C r-( e. l_e - tellEN271 C) jid S rAvl 1 -r.ewsdtA.A--- t501 a, 7-17/A PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAMEVV PRIMARY PHONE PROPERTY OWNER L-6.1.)I_ .) DO I4-e M (04.2-3.8.--)4 44 MAILING ADDRESS MAIL t$3 o 'S_ 3Z 9-* -- ei,flcoo ,k:-4(Akov<z-4--", ,,I ^�� :„. ...e;ciONE)73/1l NAME q e^ -� CL"CAA.L k J:,e._ �MAILINGADDRESS, r / CONTRACTOR I �i , 7-�.r c-r 5 r- 6..e/ /LfPrL +i. ' Le.. WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE ERAL WAY BUSINESS LICENSE# 14.8 Pi:bMN i1 I LC' ID //S //4 NAME r ] Y PHONE `,-,l ezdl. K^t .V :c-1\ -1-7,-)� q730 -5/7.Q APPLICANT MAILI??ADDRESS / /,, E-MAIL ii al & L l[i t/1 I" . ZI ia2 ( Xx l 25534 3 NAMl D PROJECT CONTACT �' L'e Y PHONE 73Q-5 riv (The individual to receive and MAILI G ADDRESS �^ / /- -' respond to all correspondence 01 F_E. 7;ill— ST 4W,Co j x dr-0)La. ^e^^ 1.60,A-- concerning this application) CITY4c.. /vim �rAT� ZI rJ� (AX5)Z55-5/3 NAME PROJECT FINANCING /IV/7 // z J A- 0 OWNER-FINANCED Required value of$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 authorised 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 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 to thecityas a part of this application. SIGNATURE: /_...... AlJ DATE /Z//f/J3 PRINT N ,E: -S'` " IN,- \--Va.., Bulletin#100-January 1,2013 Page 1 of 3 01-Iandouts\Permit Application 1111 • VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ t 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(Gaa) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING 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. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS I OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS ?R3k 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 On Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT y K ii FIRST FLOOR(or Mobile Home) SECONDFLpC3R lex COVERED ENTRY DEC ' s; f w GARAGE ❑ CARPORT ❑ OTHER(d� "' _,. y„a:.. . .............................................___. mamma PROPOSED TOTAL Area Totals f ... **WH ... .., ONL *i� i� . ESTIMATED SELLING PRICE$ #OF BEDROOMS CO MERCIAI,-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet 11i I�DING Stories o es ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories TOTAL ttILrt.,-.77- va t. s t '•' , . • r • t TENANT AREA ONLY racooECT AREA ONLY :.�r' t i � �a Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application