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14-100537 • Plumbing City of Federal Way Community&Econ.Dev.Services Permit #: 14-100537-00-PL 33325 8th Ave S Federal Way,WA 98003 Ph (253)835-2607 Fax (253)835-2609 i Inspection Request Line: (253)835-3050 Project Name: SEATAC FAMILY DENTAL Project Address: 1826 S 324TH PL Parcel Number: 250120 0030 Project Description: Install backflow prevention. Owner Applicant Contractor SEA-TAC FAMILY DENTAL CARE HEAD MECHANICAL INC HEAD MECHANICAL INC 1826 S 324TH PL 801 E 1ST ST SUITE 166 HEADMMI912O3 (9/23/15) FEDERAL WYA WA 98003 CLE ELEUM WA 98922 801 E 1ST ST SUITE 166 CLE ELEUM WA 98922 Plumbing Fixtures Other Plumbing Fixtures 1 PERMIT EXPIRES Saturday, August 2, 2014 Permit Issued on Monday, February 3,2014 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: a o/ Date: 2/2 // THIS CARD IS TO MAIN ON-SITE CITY OF ' • Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 14-100537-00-PL Address: 1826 S 324TH PL Project: SEA-TAC FAMILY DENTAL CARE 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 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) 0 Rough Plumbing(4230) El Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date o Final-Plumbing(4075) Approved By 106 Date L` It k ❑ Rough Electrical El Final ElectricalEl Right of Way Approved Approved Approved By Date By Date By Date 'Wm CITY OF PERMIT PPLICATION Federal Way FEB 0 3 2014 CITY OF FEDERAL WAY 17 PERMIT NUMBER 1 / _ / a 0a 5 7 _ p TARGET DATE SITE ADDRESS L✓ v D`� SUITE/UNIT# I. S240, 5 3 2 ' ('t }e d e�-a f Wet y 1?OOH PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 000 2 S o z o - 0 0 3 0 TYPE OF PERMIT ❑ BUILDING )Cf PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Sea tocc Fcten/ I / PROJECT DESCRIPTION /� Detailed description of work to J-i be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER MAILING ADDRESS E-MAIL CITY STATE ZIP NAMEPHONE t-I-eo�d YV1.ec-Seta.n c ca./ ?c Lk 2-s -ao7 MAILING ADDRESS E-MAIL LIO/ .. 1Ccrr t /46, 6CONTRACTOR CITY STATE ZIpp K Etk-rt �� 42� - t r CT WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LI CENS E# mrn.T`t 12-03 / 36 i/' 20-0- /or&the -oo-et NAME PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX 'tZbJ ,, , PRY PHONE PROJECT CONTACT 37e-437e-4 (� - 30-517S" ---------SLE-individual-t0-receive-and --..-MAILING ADDRESSE-MAIL -- rr respond to all correspondence N 1� /�O�O J{'t�'�he ccIN't.0tA44IaLI,Gt,i concerning this application) CIT STATE ZIP FAX ( L Gt/4- q S 4 2S"- 2-gr- Sof/J NAM PROJECT FINANCING El OWNER-FINANCED Required value of$5,000 or more MAILING ADDRE CITY,STATE, 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 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 the city as a part of this application. SIGNATURE: /J.-C_Gkpd DATE ( / PRINT NAME: e r Ir I N Q d Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application ( V 1111 • • VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type of fixture to be ins : led or relocated as part of this project. Do not ' ude existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLET< OTHER(Describe) AIR CONDITIONER FIREPLACE INSER HOQDS')Commerciat) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES ...__..,..- VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how man_each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. b-AT Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS �— OTHEE(Describe)/ DRAINS SHOWERS VACUUM BREAKERS 1 W A DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES I TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes ❑ No ❑Yes ❑ .10 ) RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FO' OFFICE USE BASEMENT'/ = FIRST FLOOR(or Mobile Home) ECO q �Ry / :iia" v:.i. � ",.�. .:iii ,��"i..i..J.,..., :.{.0/i ��,i % .✓"i>>! ./F. Fni .,•/n ��.f .._._........_..._._.. _....._...._..._...._...._.._.._...___._..._...._._._.-._.._.__........._..................... COVERED ENTRY i DEC r, � �,�-, _ ,., ;,,,_ GARAGE ❑ CARPORT ❑ OTHER`(deseribe) EXISTING PROPOSED TOTAL Area Totals **JW"H©MES O ESTIMATED SELLING PRICE$ ( # • :EDROOMS COMMERCIAL—NEW/ADDITION Area Construction #of AREA DESCRIPTIONin Square`Feet Occupancy Group s) Type Stories Additional Information N`EW'BUILDING, ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TENANT AREA ONLY PROJECTARE,A ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:'Handouts\Permit Application