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06-100292/— 4ft City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Mechanical Permit #: 06 -100292 -00 -ME Inspection Request Line: (253) 835-3050 Project Name: DENTAL CENTER OF FEDERAL WAY BUILDING B Project Address: 34704 11TH PLS Parcel Number: 215470 0030 Project Description: (6) HVAC systems w/associated gas and refrigerant piping. (7) vent fans. NO ductwork on this permit. Owner Applicant Contractor VAN H WONG SUNSET AIR INC (GENERAL CONTRACTORS SUNSET AIR INC (GENERAL CINDY H WONG LIC) CONTRACTORS LIC) 2101 SE 2ND PL 5210 LACEY BLVD SE SUNSEA*220CM 2/3/08 RENTON WA LACEY WA 98503 5210 LACEY BLVD SE 98056-8864 LACEY WA 98503 Additional Permit Information Mechanical Valuation............................................54924 Over the Counter Permit?...................................... No M 0011cal Fixtures THIS CARD IS TO REMAIN ON-SITE a 11% CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -100292 -00 -ME Owner: VAN H VUONG Address: 34704 11 TH PL S FEDERAL WAY, WA 98003-6715 This card is part of your required inspection documents. 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 mast 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) ❑ Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved By Date By �� Date`j `Z4F• p ByA 2Date n 1 CITY OF . O / Q Federal way PERMIT -&— I" LLL • ''' SF MF C ME L PL DE EN FP COMMUN'17Y DEVELOPMENT SERVICES 33321 WAY, KE SO� 063-189718 APPLICATION D / 253-835-2607• FAX 253-835-2609 unwwxituoffede.n* m mom /,l rFj6 ; _ Q /o(ff 8 The ollowin is re uired in ormation - an Inco Tete a lication u/ill not be acce ted. Please rant le ibl in in or e. PROPERTY INFORMATION SITE ADDRESS y �% O �1 Yui -S SUITE/UNIT # ASSESSOR'S TAX/PARCEL # D - v LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) (Attach separate page for lengthy legal description) PROJECT• ' • AMECHANICAL TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM OJECT DESCRIPTION (Provide detailed descri tion of work included on this permit o �7�� AC fJH4S AN • -/,OZ 7' 1rTH % �%S'/&" SAIIi Cdr! IJAII ZJ bort., fl -40p, (7) -7--.r4.1S. 10 PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR CONTACT LENDER . Ildd, 1.10IZ4 &I NAME, / PRIMARY PHONE 19uovt _ C �Cc a2Q ( ) - MAILING ADDRESS nn CITY, TATE, ZIP COMPA APPLICANT NAME e D - OFFICE PHONE GC OFFICE PHONE MAILING ADDRESS `am' AILING ADDRESS J 8'evl CITY, ATE, CELL PHONE 2 /G 5u� ( ) - CITY F FEDERAL WAY BUSIN LICENSE NUMBER, /RA� � DATE � FAX ER B L p CELL PHONE CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE ok, L COMPANY AME NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP PHONE ( - . MAILING ADDRESS �( CITY, STATE, ZIP p CELL PHONE RELATIONSHIP TOPROJECT FAX NUMBER CiArchitect ❑ Tenant ❑ Agent Other (Describe) P!'1 R`iir 29.27095, Leridgr ir4fornaatiori is $ NAME `requi[red if pra, jecC watrue �icceeds ,�SOOQ MAILING ADDRESS CITY, STATE, ZIP PHONE ( EXISTING USE EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN SEWER SERVICE PROVIDER ❑ LAKEHAVEN PROPOSED USE VALUE OF PROPOSED WORK $ FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE 0 PRIVATE (SEPTIC) Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECFiAAYCAL Value of Mechanical Work $ 1.7 AIR HANDLING UNITS EVAPORATIVE COOLERS BBQS ir W FANS BOILERS FIREPLACE INSERTS 6 COMPRESSORS & UiWi i i FURNACES DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS (-Tub/Shower combo) SHOWERS DISHWASHERS SINKS GAS PIPE OUTLETS SUMPS WASHING MACHINES URINALS LAVS ieathr000, siukai VACUUM BREAKERS I certify under penalty of perjury that the ir;jormation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city, inciu ing its officers and employees, upon the accuracy of the Wornation supplied to the city as a part of 14 Z�this application. Cv+�fDATE //Z/ �NAME/TITLE P// / Q b (Signature) (Title( RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent XContractor ❑ Architect ❑ Other Bulletin #100 — January 1, 2006 Page 2 of 4 Mandouts\Permit Application GAS LOGS REFRIG. SYSTEMS HOODS (Commercial) WOODSTOVES RANGES MISC (Describe) GAS WATER HEATERS WATER CLOSETS (Toilet) MISC (Describe) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS I certify under penalty of perjury that the ir;jormation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city, inciu ing its officers and employees, upon the accuracy of the Wornation supplied to the city as a part of 14 Z�this application. Cv+�fDATE //Z/ �NAME/TITLE P// / Q b (Signature) (Title( RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent XContractor ❑ Architect ❑ Other Bulletin #100 — January 1, 2006 Page 2 of 4 Mandouts\Permit Application