11-104193City of Federal Way McCh ical
� S. 11-104193-00-ME
Community Development Services Permit #:
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253
) 835 -3050
Project Name: SAFEWAY STORE
Project Address: 1207 S 320TH ST Parcel Number: 150050 0020
Project Description: Install gas piping for HVAC unit. (Unit to be installed by other contractor)
wn' r
Applicant
Contractor
MGP IX SUNSET SQUARE LLC
PLUMBING PRO'S LLC
PLUMBING PRO'S LLC
425 CALIFORNIA ST FLOOR IITH
PO BOX 188
PLUMBPL947PL(10 /13/12)
SAN FRANCISCO CA 94104
BUCKLEY WA 98321
PO BOX 188
BUCKLEY WA 98321
Mechanical Valuation ................. ...........................3500
Is this an Online or O.T.C. application ? .................Yes
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Gas Piping
PERMIT EXPIRES Wednesday, April 11, 2012
Permit Issued on Friday, October 14, 2011
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
a d the City of Federal Way.
Owner or agent: Date: 1 Q i L-1 A
Pi uMMiD I o#4(/V
F
Crry OF
Federal Way
PERMIT #:
11- 104193 -00 -ME
THIS CARD IS TO nVMAIN ON -SITE
Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
Address: 1207 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003 -5339
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.
0 Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test i(/�
Approved fo /jy%e
By Date
By ` r Date. l�
By Da -�/
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date
MY OF A
Fe deral Way PERMIT SF Mitt �ME PL DE EN FP
Fe
COMMUNnYDEVSLOPMONT SERW9ES APPLICATION D
253 - 835 -2607• FAX 253 - 83.x2609
uni¢u eit�iderniwau cam
OCT 14 2011
elM o� 5 3do�" eder -.(W WA 98vQ3 CITY OF
ED RAL WAY
PROJEM VAWAUON
ZONING
ASSESSOR'S T"/PARCEL A
$ `!
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,.LM of PERMIT
a ]SU"I G a PLUM MG R NWHANICAL
❑ DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Nome)
n
PROJECT DESCRWnON
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Detailed description of work to
be included on this permit only
NAME
rRnrAxY PHONE
PROPMM OWNER
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NLAUMNI ADDRSSB
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Li a s a r'fvt t!
CITY
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STATE
CA
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NAM
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PHONE
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Upilam ALIDRESS U
E-NLAM
CONTRACTOR
P. a S
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FAX
CITY STATE UP
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WA STATE R'S UCENSE i
L
EICPIRATION DATE
10 13 2612,
FEDERAL WAY 80ai `I "Mm ►
20 - It - Jo e7 6k
NAME
PHONE
m i
3&0- 21-5331 'i
MAUM0 ADDREen
E MAIL
APPLICANT
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STATE
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FAX
PROJECT CONTACT
(line l W&Wual to recehv and
respond to all correspondence
eon ernkV this application)
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FAX
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ALTERNATE CONTACT NAME:
PHONE
E•NLAII.
PROJECT FINANCING
NANas
[3 OWNER- FftjMCVM
Required value of $5,000 or more
{HCW 19.27.0931
wAmuvo mmiums. CLTY. STATE, ZW
mom
I cerft under penalty of perjury that I am the property owner or authorixot agent of the property owner, I oertlfy that to the best
of my knowledge, the Wormadon submitted In support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federat Way regulations pertaining to the work authorised by the issuance Rf a permit. I understand that the
ismumce of this permit does not remom the owners responsibility jbr compliance with local, state, or federal lauoa regulating
construction or environmental laws
(further agree to hold harmless the City of Federal Way as to any claim iincludiug costs, expenses, and attoneeys' jbes incurred in
the investigation and defense of such claim which may be made by any person, including the undersigned, andJiled against the city,
but only where such c arises out of the reliance of the city, including its oalc ers and employees, upon the accuracy of the
Wormatiort supplied the city as a part of this appl
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SIGNATURE• L � "-""` DATE V l
PRINT NAME: % e
Bulletin #100 - January 1, 2011 Page 1 of 3 lc,u-Iandouts)Permit Application
6L-
• •
GENERAL INFORMATION
MECHANICAL FIXTURES
VALE OV AMMAWOM WOKS: $
(a copy of bid or estimate must be provided)
Indicate how atany qfewh type of
to be tnstalled or relocated as part of this prqkq Do not include exis j'bA res to remain.
AIR HANDLING UNITS
FANS f GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS (commaviaD
BOILERS
FURNACES HOT WATER TANKS (can)
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
GENERAL INFORMATION
PLUMBING FIXTURES
Indicate hour many of each type of fixture ixdure to be installed or relocated as part of dds project Do rwt include edst&Wjb dwes to remain.
BATHTUBS {or- Mb /showerComW
LAVS Ofd ftA.) TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS
SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS 0Qv+"/Unmy) WATER HEATERS W-u"
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL F=URSS
GENERAL INFORMATION
CRTrICALARRAS OR PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF rJMW (G 09PROVE1MM
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Exurg i/PREVIOUS un
LOT UM Ita Squem Feet)
EXIST O FIRE Wavy -sa BY TM?
PROPOSED FIRE BUPPRE98ION $mwn
FIRST FLOOR (or Mobile Home)
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
- NEW OR ADDITION
Aare Feet
AREA DESCRIPTION (in square feet)
FMISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Feet
In Square
COVERED ENTRY
Construction
Stories
Additional Information
TOTAL RoummG
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
PRQTECr AREA ONLY
-
Area TOta -he
rtaeom
mrAL
--
"NEW ROM= OlVI YW*
ES11MATED SELLING PRICE $
tt OF BEDROOMS
COMMERCIAL- NEW /ADDITION
AREA DESCRIPTION
Aare Feet
Occupancy Group(s)
Construction
Stories
Additional Information
NEWBUnDma
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Feet
In Square
Occupancy Group(*)
Construction
Stories
Additional Information
TOTAL RoummG
TENANT AREA ONLY
PRQTECr AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\HandoutslPecmit Application