07-104747City of Federal Way
Community Development Services Mechanical Permit #: 07- 104747 -00 -ME
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
M Project Name: SPRINT
Project Address: 34410 16TH AVE S Suite 102 Parcel Number: 250090 0040
Project Description: Adding (1) exhaust fan, ductwork, grilles & diffusers.
Owner
Applicant
Contractor
FEDERAL WAY MARKETPLACE
EVERGREEN REFRIGERATION LLC
EVERGREEN REFRIGERATION LLC
INVESTORS LLC
(GENERAL)
(GENERAL)
3700 BEAZER RD
727 S KENYON
EVERGRL954R2 (1/6/08)
BEL,LINGHAM WA 98226
SEATTLE WA 98108
727 S KENYON
SEATTLE WA 98108
Additional Permit Information
Mechanical Valuation ................. ...........................4500 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Ducts., „w. �� v, ......................... 1 .Pans, ..... ............................... 1
Subj
PERMIT EXPIRES Friday, August 28, 2009
Permit Issued on Tuesday, August 28, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the pse will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
I
THIS CARD IS TO REMAIN ON -SITE
r a
CITY OF Community Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 104747 -00 -ME
Owner: FEDERAL WAY MARKETPLACE INVESTORS LLC
Address: 34410 16TH AVE S Suite 102
FEDERAL WAY, WA 98003
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 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
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By �; ;, Date!2 r
For inspector reference only
O Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
CITY OF
Federal Way CENNS" PERMIT
CO;ISfii ,TVDFVELOPSfE.
j 3332 .13'_.;VE. \'C'ESOCTH- -PO BOX 9i; AVTTIC1/� TT ()TT
253 - 333 -2607• Er1X 253.830 -2009 Q AV PT 1 ]1 Il All 1 \WI
•<:.•�.: �,,,,�:�:;. i'� .Ins[
The followina is required.ia%rrr&�0*%At
SITE ADDRESS -F -1 11W W # '
ASSESSOR'S TAX /PARCEL # _
SF' MFCOMEELPLDEEN 7P
lication will not be accepted. Please
SUITE/UNIT # I O
LOT SIZE (sfl
or
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I)
!Attach _p_,. pageJor (e gthy Leg.L d—,c pdanJ
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING "MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PR JE T DESCRIPTION (Provide detailed description of work included on this permit cnlu)
1 -f--fhwS 4 fah ��U`I'l�t�rK- 9 ✓_(� I� l , f��
PROJECT NAME (Name of Business or Owner Last Name) J j
PEOPLE • •
PROPERTY
OWNER
L
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME ��t, 9 t � �
T� � l��
PRIMARY PHONE
MAILING ADDRESS
c)0 EgV4r fP.
CITY. STATE. ZIP
2Z�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( 703 - 4-1
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V'ev Ce/ yv k .
LOO
MAILING ADDRESS �s } CITY, STATE, ZIP
' � "f � - l U l �t
.l -7 � - ..
CELL PHONE
) -
L �i 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Y-Iffue, of ") tG
MAILING ADDRESS
CrIY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( -
N
t�U
PRIMARY PHONE
171f Ll
E -MAIL DRESS (/�L•
fGLd l` c417
9�
NAME
�ui e`d fpr�ooe on ueexceecl5�.�0,�0
MAILING ADDRESS
CITY, SPATE. ZIP
PHONE
t
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 /REgUIRED? ❑ YES
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
(41111
A
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
ad
Value of Mechanical Work $
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTW�4-
BATHTUBS (— 'rub /sh-- Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Stnks)
EVAPORATIVE COOLERS
L FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (Commmw)
RANGES
GAS WATER HEATERS
WATER CLOSETS rroiw) _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG, SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 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 gfythe city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of
this application. fix I V\
NAME /TITLE
/ mature) 1 " (Mile)
RELATIONSHIP TO PRO CT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
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