21-103235-Building Permit ApplicationPERMIT APPLICATION
CITY OF
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal inlay 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
PERMIT NUMBER 2 1 — 1 0 3 2 3 5— P L 8 16 2021
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
1207 S 320th, Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 22,000.00
1 5 0 0 5 0- 0 0 2 0
TYPE OF PERMIT
❑ BUILDING Q PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Safeway #1555 Federal Way
Relocate Floral Prep Sink, Adding / Relocating,Hub Drains for New Refrigerated
PROJECT DESCRIPTION
Detailed description of work to
Case Layout
be included on this permit only
NAME PRIMARY PHONE
Merlone Geier Partners 206 439-2330
PROPERTY OWNER
MAILING ADDRESS
PO Box 847
E-MAIL
vhurleyftmerloneaeierxQrr
CITY
STATE
ZIP
Carlsbad
CA
92018
NAME
Williams Mechanical Inc.
PHONE
425 303-0828
MAILING ADDRESS
3903 Smith Ave
E-MAIL 1
info@williams-mechanical.com
CONTRACTOR
CITY
Everett
STATE
WA
ZIP
98201
FAX
425 339-9244
WA STATE CONTRACTOR'S LICENSE N
WILLIMI088PA
EXPIRATION DATE
10 i 01 i 21
UBI #
601 413 863
NAME
PRIMARY PHONE
Scott Brooks
425 303-082
MAILING ADDRESS
3903 Smith Ave
E-MAIL
scoff@williams-mechanical.com
APPLICANT
CITY
STATE
ZIP
FAX
Everett
WA
98201
425 303-0828
PROJECT CONTACT
NAME
Scott Brooks
PRIMARY PHONE
425 303-0828
MAILING ADDRESS
3903 Smith Ave
&MAIL
scoff@williams-mechanical.com
(The individual to receive and
respond to all correspondence
CITY STATE
Everett _ WA
ZIP
98201
FAX
425 303-0828
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
(RCW 1927.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claiml, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the
eee cityasapart of this application.
SIGNATURE: '� v ��" -` DATE 08/03/2021 _
PRINT NAME: Scott Brooks
Bulletin # 100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
F$—
OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how majyoL each type ofjIxture to be installed or relocated as part of this pTiect. Do not include existingfutures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c.--ig
BOILERS FURNACES HOT WATER TANKS (cas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VAL UE OF PL UMBING WORK
PLUMBING PERMIT
$ 22 000.00
Indicate how rnaW 2L each t_ype o
re to be installed or relocated as
part of this project. Do not include existin tures to remain.
BATHTUBS (-Tub/Sh—,Combo(
LAVS (Had sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
G DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
1 SINKS (Kiwh-/undrcy(
WATER HEATERS (Ei-In�(
HOSE BIBBS
SUMPS
WASHING MACHINES
7 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet( EXISTING FIRE SPRINKLER SYSTEM? I PROPOSED FIRE SUPPRESSION SYSTEM? I
IIII ❑ Yes ❑ No IIII ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY*"
ESTIMATED SELLING PRICE
# OF BEDROOMS
FOR OFFICE USE
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Sauare Feet
Occupancy Group(s)
Construction
Ilype
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin # 100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application