15-104962 • 0 Mechanical
Ciof&FEcon.alD Way Permit #: 15-104962-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: DENTISTRY FOR CHILDREN
Project Address: 926 S 348TH ST Bldg C Parcel Number: 114040 0030
- Project Description: ALT-Replace vandalized outdoor AC-2 and associated indoor cooling coils. Outdoor unit
on concrete pad on ground.
Owner Applicant - Contractor
GALLEGOS ENTERPRISES LLC JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
926 S 348TH ST AIR SYSTEMS ENGINEERING. (GENERAL)
FEDERAL WAY WA 3602 S PINE ST AIRSYE*229KN(2/1/16)
98003 TACOMA WA 98409 . 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Mechanical Fixtures
Air Conditioners- Stand Alone Un 1
. PERMIT EXPIRES Monday, March 28, 2016
Permit Issued on Wednesday, September 30, 2015
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 C o er I Way.
� � ' /^�
Owner or agent: !/ " A Date: �V
THIS CARD IS TO MAIN ON-SITE
.
c�rroP -� • Construction In ction Record - '
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 15-104962-00-ME Address: 926 S 348TH ST Bldg C
Project: GALLEGOS ENTERPRISES LLC FEDERAL WAY, WA 98003-7051
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
rByRough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
Date LBy Date By Date
RECEIVED
CY°T °� SEP 30 PERMI'1iPPLICATION
Federal Way 015
CITY OF FEDERAL WAY
CDS ) + �j/� f
PERMIT NUMBER k _ 1 O L( G� y C� `L l TARGET DATE i . �+ I C�-`
SITE ADDRESS 1111 1 SUITE////UNIT#
Q X5. 2 -. 6fcig ` c
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# u
ffi
$ (9q. LI OP 1 i 1 - c 4 o - C6 30
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING XMECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Of6A.11(•3-165
1 V 6 a , y `� t a_ V i 1 ��'6,
I c 4[ c. 0i & -1-c id
PROJECT DESCRIPTION //-�� � '}-,�
Detailed description of work to V�6; �C .;t9A on d Y d 1 I n(9 �y ( s, uut-0--1'v�1 r
be included on this permit only itJ\0 6C(X_ * �`-�L of-) •1 r'� 1 °�`
U
NAME SIA P�R�j�j PH�OjNE [�, t
PROPERTY OWNER �-✓[c..�,) 11
�J 1"I 0 ,G ti, " `� " �J H -I E 6 mal 1
MAILING ADDRESS C / / -fr,
f , E-MAIL
CITY yt. t �,I "`/// •.tT ZIP /�Jl
NAME`�1 L •• { „ _^6 1E ,^g Ln cU L f 'g 134} -5-),..J -q 4�4
MAILING ADDRESS �/6 �!•1'.' r`)(.,/
� ,� � E-MAIL
CONTRACTOR 1`F�� '
CITY- 7 <ta & Wiim ZIPl g 1461 75p�✓�
✓ ,a.� .
_ (4( 7 WA STATE CONTRACTOR'S LICENSE# EXPPIRATION DTE
FEDERAL WAY BUSINESS LICENSE#
NAME . PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
APPLICANT
i r
1 1 5% J CITY Ortk(4STATE ZIP FAX
NAME •T A PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
•
NAME
PROJECT FINANCING k No OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 1927.095)
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 Iocal, 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 ciy asa part of this application.
SIGNATURE: ' kTU-J21;10‘11:14/ DATE q---- -9_( 5
PRINT NAME: 66( 1. 0
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• • r
VALUE OF MEC ANICAL WORK
MECHANICAL PERMIT $ ( Q
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existingUUfixttures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS I OTH • (Describe)
1 AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) '41�. 4
BOILERS FURNACES HOT WATER TANKS(Gas) A!41TA
COMPRESSORS GAS LOG SETS REFRIGERATION SYST C_b
DUCTING GAS PIPING WOODSTOVES ��v
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 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
$ (94 �I
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
rrti .41t,
t � � r' / ^ [9/ j11 ❑ Yes ❑ No !) Yes No
RESIDENTIAL -- NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
SECONIJ FLOOR ' ��
COVERED ENTRY
t,,,V4111"; 14,!N
3
GARAGE ❑ CARPORT ❑
7THER(clescrtbe)
,,Mi . ':.
Area Totals EXISTING PROPOSED TOTAL
r,,.,a, **NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In S uare Feet Type Stories
TENANT AREA ONLY
:� i Rl;AO1N1. 33 ;a ?,:. x
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application