19-103606 i
Plumbing
CityofDevelopment Dept Permit #:19-103606-00-PL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: KWAN LEE, DDS
Project Address: 34616 11TH PL S Parcel Number: 215470 0070
?roJect_Description: .plumbing to include installation of(8)dental air drops,(6)dental vac drops,(6)-dental-02
drops and(6)dental NO2 drops
Owner Applicant Contractor
AFLUENS COMMERCIAL LLC STEVE CARNEYSTATE MECHANICAL STATE MECHANICAL CO
1600-B SW DASH POINT RD SUITE 137 8706 S 222ND ST STATEMCI41C7(9/1/19)
FEDERAL WAY WA 98023 KENT WA 98031
8706 S 222ND ST
KENT WA 98031
Other Plumbing Fixtures 26
PERMIT EXPIRES Tuesday,28 January,2020
Permit Issued on Thursday,August 1,2019
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. Q�
Owner or agent: ..( L- Date: `�"( -
THIS CARD IS TO REMAIN ON-SITE
cmor Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103606 00 Address: 34616 11TH PLS Unit 4
Project: AFLUENS COMMERCIAL 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.
® Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 3❑ Final-Plumbing(4075)
Approved to cover Approved Approved
•By Date ��By itio Date (6) i al By AA Date 9/2 Al .
•
Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVED
CITY OF JUL�"`.-,' 2 6 2019
PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(dcityoffederalway.com
COMMUNITY DEVELOPMENT OTS ITi - 30
PERMIT NUMBER l q _ I 0 3 Co 0 V/ _ ? ()
TARGET DATE
SITE ADDRESS SUITE/UNIT i
34616 11th Place S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL A
$17,980.00 2 1 5 4 7 0 — 0 0 7 0
TYPE OF PERMIT 0 BUILDING lXl PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Dr.Kwan Lee
To plumb and install:8 Dental air drops,6 Dental Vac drops,6 Dental 02 drops&6 Dental NO2 drops
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
AFLUENS COMMERCIAL LLC
PROPERTY OWNER MAILING ADDRESS E-MAIL
34616 11TH PL S
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
State Mechanical 206-575-7527
MAILING ADDRESS E-MAIL
CONTRACTOR 8706 S 222nd St stevec@statemech.net
CITY STATE ZIP FAX
Kent WA 98031 206-575-7529
WA STATE CONTRACTOR'S LICENSE R EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
STATEMC141C7 9 1 19 20-10-101050-00-BL
NAME PRIMARY PHONE
Steve Carney 206-575-7527
MAILING E-MAIL g S 222nd St stevec@statemech.net
CITY STATE ZIP FAX
Kent WA 98031
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAIL
ING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
- - - NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 authorised 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 the cty ajs�a part
of this application.
SIGNATURE: ..4[JrIiLA I°r" CAA1J DATE 7/26/19
PRINT NAME: Steve Carney
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
I
VALUE OF MECHANICAL WORK
MECHANICAL 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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commuc ei)
BOILERS FURNACES HOT WATER TANKS(Gao)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $17,980.00
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS or Tub/Shower Combo) LAVS)Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS 26 OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS Category 3 Dental
DRINKING FOUNTAINS SINKS)xitchen/Utddy) WATER HEATERS(si tric) Med Gas Connections
HOSE BIBBS SUMPS WASHING MACHINES 26 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW$1>1»!I
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDI1NG
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application