12-104173 - • Q
�""' Mechanical
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Communes of Econ.DDev.services K t� Permit #: 12-104173-00-ME
3332,8th Ave S s '
Federal Way,WA 98003 Ins ection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
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Project Name: BELLA DENTAL
Project Address: 34410 16TH AVE S Unit 109 Parcel Number: 250090 0040
Project Description: Installing ductwork for existing HVAC unit
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Owner Applicant Contractor
FEDERAL WAY MARKETPLACE ALL COMMERCIAL REFRIGERATION ALL COMMERCIAL REFRIGERATION
INVESTORS LLC 34402 38TH AVE S ALLCOCR958M6(7/26/13)
5743 CORSA AVE SUITE 216 AUBURN WA 98001 34402 38TH AVE S
WEST LAKE VILLAGE CA 91362 AUBURN WA 98001
•
Additional Permit information
Mechanical Valuation 4500 Is this an Online or O.T.C.application? Yes
•
. Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Sunday, March 10, 2013
Permit Issued on Tuesday, September 11, 2012
I hereby certify that the above informa['on is correct and that the construction on the above described property and
the occupancy and the use will 'n a .•rdance with the laws, rules and regulations of the State of Washington
- d the Ciityy, ederal Way.
Owner or agent: �! Date: q
v.10
f‘vts,‘P.1% -
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THIS CARD IS TOIN ON-SITE
CITY OF ! Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-104173-00-ME Address: 34410 16TH AVE S Unit 109
Project: FEDERAL WAY MARKETPLACE IN 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.
o Mechanical Rough-in(4165) El Gas Piping(4125) _ Final-Mechanical(4065)
Approved Approved to release test Approved
By /C Date/a -22..-/Z By Date By Date (-1S----1"?
❑ Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
SQA E R M I T5F- N C I 40, PL DE EN FP
Federal Wiir ltRigOad JO AID
COMMUNITY
60FX2 DEVELOPMENT- 526'�oa j d PPLICATION
SITE ADDRESS SUITE/UNIT#
? 112 / tA /-VZ - .5 1,1 )',./-e /l - /o .
PROJ CT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ I47° Z 5-- 0 0 cl o 0 0 .4 0
540-p,....____
❑ BUILDING ❑ PLUMBING MECHANICAL
TYPE OF PERMIT
0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) 13 )j� )>��'
T t
PROJECT DESCRIPTION / , `v` 4 ` C Y �v S
Y��
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE '
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
14/ M A Co- 4e e- ��>1 • �'-9) 6 ' /c )
LING p E-MAIL ���/}
CONTRACTOR 3l`r"Y-��— �l�T�{7 // �'�SE'f'»�2+� JF�1ifl�C
/ CITY STATS ZIP FAX
Ai b1A1 71 _ 4- cA.Fiv1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME,... PHONE
PCX_LL 1 -Pio , (.1-. ) ‘Z }---—?/e> /
APPLICANT MAILING ADDRESS E-MAIL
� C)- 3�fh 'V ,S
CITY STATE ZIP FAX
nbuY/7-► _ r 3A- Q G)
PROJECT CONTACT NAME ` � PHONE 4.1._-9
(The individual to receive and Ea'u'1 _Cern`n C ) V; i —9/D
respond to all correspondence MAILIN ADDRESS E-MAIL
concerning this application)
CITY 1 STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 79.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 . es out of the reliance of the ci 'ncluding its officers and employees, upon the accuracy of the
information supplied to the c- as a part o zcation.
SIGNATURE: --;25r-------- Q~ DATE / //
PRINT NAME:
Bulletin#100--January 1,2011 Page 1 of 3 k:\Handouts'Permit Application
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, s e r a y
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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)commernos
BOILER'S FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
/ DUCTING GAS PIPING WOODSTOVES
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 sus) 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'F TU •
f r x f
-4147. -41i41•
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
-'•. r a �€
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
rr '3'
aYM�� r-���� '... '4 ,*,.r t�' �`• _" "ski' „r �Es �,. �
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
i
GARAGE ❑ CARPORT ❑
". 4-. . g
__...
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
u•. 454. yg l "'>Z ,,t » 3( qr ^* �. 34 x ,r •t��
„-,._ a4"'i. ,$;r+ a,£ ?x •.,:�\ 3 � t§.k � � AJ ySY3
AREA DESCRIPTIONWM1 Occupancy Group(s) Construction #of Additional Information
e Stories
j T }
,. �,, a .' �•a. ;,ice,, , ,x� e b<.a `° • .: a'$ „S_-, .., gid ,
ADDITION
x?R ^.. .ai k. X � 4r �a�9 A �� K� "s L 3 ,'d°6�,;. '�$ X 3+ [7':. 4 4�� s�.@k` r, a'rs '"`,..t&s..�< '➢} e
AREA DESCRIPTIONMEE! Occupancy Group(s) Construction Stories# of
Additional Information
';a B41t11?IAFt
TENANT AREA ONLY
Bulletin#100- January 1,2011 Page 2 of 3 k:\Handouts\Permit Application