15-104278 • I Plumng
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City&Econ.n.D Way Permit #: 15-104278-00-PL
Commun' 8 Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: WINCO FOODS
Project Address: 160 SW CAMPUS DR Parcel Number: 415920 0710
Project Description: Installation of a new hand sink.
•
Owner Applicant Contractor
WINCO FOODS TERRY ROUSSET ENGINEERED STRUCTURES INC
PO BOX 5756 TAIT&ASSOCIATES INC ENGINSI152K2(5/20/16)
BOISE ID 83705 707 N 27TH ST 3330 E LOUISE SUITE 300
BOISE ID 83702 MERIDIAN ID 83642
II'
Plumbing Fixtures
Sinks 1
PERMIT EXPIRES Wednesday, March 9, 2016
Permit Issued on Wednesday,August 26, 2015
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 he Ci of Federal Way.
q/Owner o -gent: li/i •/,I �i • Date: 9t ////3-
At.
THIS CARD IS TO ; ■ • IN ON-SITE
47A Ccr�°r Construction In . ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-104278-00-PL Address: 160 SW CAMPUS DR
Project: WINCO FOODS FEDERAL WAY, WA 98023
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 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) CI Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
0 Final-Plumbing(4075)
Approved
By (,4 Date S (2L.( I 5-
® Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
RECEIVED . s P!
CRY OF AUG 25 2015 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
COS
MI
1 S - I
PERT NUMBER 1_ 1) 1,--- -
` TARGET DATE r _:
SITE ADDRESS SUITE/UNIT I
I(0O S 1N CA w,u5 Dr ,l-e..,
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL• -
$ 77OOc q i 5 97- 0 _ 0 °7 / Z>
,
TYPE OF PERMIT ❑BUILDING ErgLUMBING ❑MECHANICAL ❑DEMOLITION ❑ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT I C Cs Fvo oI S
PROJECT DESCRIPTION
Add f...5 n POP 44 i`b'► et.a c4 i v..0 . l✓1 +he_ 9 r l f
Detailed description of work to aI' , A- 44.4"✓ hln.1 d c,pft.{,t W ! LE Ise- t Lo(4
be included on this permit only t f S af ,C.
N PRONE
PROPERTY OWNER
NAME PRIMARY&At% ,Si-LfONl
MAILING CiSU D NO r44, he sivID Pi E-MAIL (cia•
41 K, Qncl rtr.�l,Lvtwt t 4 c.a.i.ou,.
STATE ZIP
0t$e 0 ?37oN
4
NAME PRONE
i s -
� - tf r'e- 3- -3 L OSf7S
� ��C�t, It o� 3
ADDRESS-Lau 15 C 1/-_306
E-MAIL 30 r CONTRACTOR 4/Weir
CITY STATE EIP FAX
Mee' 0sed-i -1 ) g3 2 .
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 1
c J to S.L (SzZc 2 s /zo /,, / 3--/0 1 022
NAME 11 PRIMARY PRONE rry 1 - PouSSt " 20i- 315 -07la1
APPLICANT MAILING AD S j, I-MAD.
7 2 �� 51 ete.f +ht,(SSt�D Tat-V.4O14.3,
CITY ISO1 s� 0 T37O2. FAX
s PRIMARY PHONE
PROJECT CONTACT 'L re.y 1et,ut sk fi 2MY 315-oZ(A
(The individual to receive and MAILING AdDRESS l E-MAIL
respond to all correspondence 1 O'7 "2.1 I'L S f r"e t �-h�a$S e,7 �►f• L a ay
concerning this application) " •; ATZ_ ZIP FAX
S 7 Z
PROJECT FINANCING �� ❑ OWNER-IUTANCED
Required value of$5,000 or more G ADDRESS,CITY,STATE,ZIP PHONE
(RC W 7'9.77.045)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a�part
t oof,�this application.
SIGNATURE: r^"' { +dpi DATE ,
( 7/a Z 1 1 S
Bulletin#100—January 1,2013 Page I of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate hom 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 OAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS
FURNACES HOT WATER TANKS tau)
—
COMPRESSORS GAS LOG SETS REFRIGERATION SYST—
DUCTING GAS PIPING WOODSTOVES
—
VALUE OFPLUIIBWO WORK
PLUMBING PERMIT
Indicate hom many of each ly a orfvrtre to be installed or relocated as part of thisproject. Do not include existingfurhnes to remain.
BATHTUBS is,rssissemrcombo LAYS tn.ea s.s4 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS tr+ceee;,tuea,ej WATER HEATERS(nezu&I
HOSE BIBBS SUMPS WASHING MACHINES ( TOTAL FIXTURES
GENERAL INFORMATION
cRITI:AL ARRAS OR PROP ?T? DATERrPORVLYOR'.. BRWiR ruRVITOR VALOR or 11:11RTt7O ERIPROVIRESEITS
-J00b
EISTIROIPRNVIOUS ass EDT Stu an Squat.Peet) WSTDIO Pun SPRDIE.Et srimour PROPOSED Pins SOPPRRSSIOR SYSTEM?
LT Yes o No I3 Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EBISTIDO PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
3ECONDIFI.00R
COVERED ENTRY
a
GARAGE 0 CARPORT ❑
mrmo Peara.m TOTAL
Area Totals
• ...magi/miss;oxz.rb.
ESTIMATED SELLING PRICE$ N OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction M of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction N of Additional Information
in Square Feet Pi s i Type Stories
TOTAL BUILDING t
TENANT AREA ONLY
PROJECT AREA ONLY 5-6 Q f - ;, ,, ,
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application