00-100100 City of Federal Way
Community Development Services Mechanical Permit #:00 - 100100 - 00
33530 1st Way S Inspection request line: 253.661.4140
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: DR SABBAGH(MED GAS)
Project Address: 1035 S 320TH Parcel Number: 172104 9081
Project Description: MEDICAL GAS OUTLETS FOR DR OFFICE TI
Owner Applicant Contractor
DR EMILY SABBAGH,MD,DDS UNIVERSITY MECH CONTRACTORS UNIVERSITY MECH CONTRACTORS
1035 S 320TH STREET 1300 N 130TH UNIVML*343N9(10/01/00)
FEDERAL WAY WA 98003 PO BOX 33723 1300 N 130TH
SEATTLE WA 98133 PO BOX 33723
Mechanical Valuation 4200 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Number of Gas Outlets 16
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PERMIT EXPIRES July 19,2000,IF NO WORK IS STARTED.
Permit issued on January 21,2000
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 a gent: 1 I / / ti Date: /77--0 d
.244 Y 70709"
BUILDING DIVISION
Cffir /� • .
Y 33530 First Way South
ED NED E Federal Way,WA 98003
uv COMMUNITY DEVELOPMENT DEPARTS (253)661 4000
Fax(253)661-4129
DEC 29 i999
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT 0411(0) APPLICATION # cm (0(-19 5 `c
`i>? Site addressj 03S-
` , CO
J
Tenant name Lot sc�bbr�gh D- l�_S. ot# Assessor's Tax #
Building Owner's Name Address
City
JXl r,j�'Cd uca_L( State /O A Zip Phone
Description ofWorkpI Ur _i h v bGAL\ h I ) -S S . /1 K,�j
J /
.................... .h....*Y....------ .........................................................
Name (F,M,L) C(-0.1'` `C t)l U//-b1 1 l V 1-1-Lon -1-(` ' _ i --a Y (.�
Address -� _
--la
S CD� I 5 . ( A)C S//t r16 u n ( / [�
City la,' (/ 4 State L 14 Zip cl 7"Q /
Contact Person Day Phone Other Phone Fax t
glom Qu Sc,h ,x.53-4-74/-334ra-
UIioitilGtfNTRAtTO>:>R . " _ _ _ _ Federal WaY Business License
#
____
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
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ARCHITECT 'i?E[E Ei E»>>>':i <>isi>Mig:>»> >»E
............................................................................................
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Ple sem mn/ to Reverse Side
xisting Use eroposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ # of bedrooms 0 Deck
❑ Commercial ❑ Addition ❑ Repair ❑ Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
tENDtti...... ::::::::::::::: :.: :::: ::: For new residential only - Proposed selling cost: $ _
Name Address
City State Zip
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
[. .
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. .. tl1€dtU111T4CTCkR.. ..:.::..:.:.
AContractor Name C Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUf.4T
Water Closets Sinks 17 Urinals Lawn Sprinklers 1
Bathtubs Dish Washers Drinking Fountains Other '4-f) Wa,ShJ k?
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains TataIFixture;Count............
CHN >>>A' _: > :>>:>> :«> :;<;;: >'
(Gi4E..tJI�€I�`.G.{3L�NT....................... MECHANICAL EVALUATION ONLY S
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
............. . . ....... ........ ................ ..
.................. ...... ......................... .
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BBO's Wood Stoves 3-15 Tons Total`Unit Count ......
DISCLAIMER: I certify under penalty of perjury that the information 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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,including its officers and employees,upon the accuracy of the information supplied to the cityas a part of this application.
Owner/Agent: _ _, '• )4 Date: G' 1 A9 I ci
OmLO!,C Aar
Ilcnsr°5/10/09