13-100428 I 1a e. , • , + i
. • Plumbing
Community&Federal vv..aServices Permit #: 13-100428-00-PL
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: W1NCO FOODS
Project Address: 160 SW CAMPUS DR Parcel Number: 415920 0710
Project Description: Install backflow preventor,floor sink and associated piping for new soda fountain
Owner Applicant Contractor
WINCO FOODS,INC ELEVEN WESTERN BUILDERS INC ELEVEN WESTERN BUILDERS INC
PO BOX 5756 2862 EXECUTIVE PL ELEVEWB983CR(3/31/13)
BOISE ID 83705 ESCONDIDO CA 92029 2862 EXECUTIVE PL
ESCONDIDO CA 92029
Plumbing Fixtures
Other Plumbing Fixtures 2 Sinks 1
PERMIT EXPIRES Sunday, July 28, 2013
Permit Issued on Tuesday, January 29, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w'I in a cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /
Owner or agent: Date: ` � F-eo
416
riptAct ► vsva
y r , . . i
0 THIS CARD IS TO MAIN ON-SITE
���� Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-100428-00-PL Address: 160 SW CAMPUS DR
Project: WINCO FOODS, INC 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) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By � % Date .. 9-/3 By Date By Date
0 Final-Plumbing(4075)
Approved
By itn Date 7^-1/t
•
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RE EIVED
PERMI' APPLICATION
Federal Way JAM 9 2013
CITY OF FEDERAL WAY
PERMIT NUMBER 1 S j d a)s4 Z g _ o a N /
- _ TARGET DATE
SITE ADDRESS SUITE/UNIT#
l (0 C � CA'11PC ,t>r -
PROJECT VALUATION ZONING ASSESSOR'S TAIL/PARCEL#
$ ( 5- 9 o _ 0 -7- 10
TYPE OF PERMIT ❑BUILDING Ri<UMBING ❑ MECHANICAL ❑DEMOLITION ❑ ENGINEERING ❑FIRE PREVENTION
NAME OF PROJECT W N O D POr)'>
PROJECT DESCRIPTION �`n o t lv&- l E 1 czc Z.,r l��-- 6k,,,10L 1 �L�C, a s v i`L,
Detailed description of work to Fi-,(- n.7 Q A. X. rot.)(L t--A t rk
be included on this permit only
PRIMARY PHONE
PROPERTY OWNER 7\A C O .k.-- d-S 11)%
MAILING ADDRESS E-MAIL
°Sv �s� V ZIPp5.706
N �..LJ._�. e_5- &c(\ i �; l cs -1u0 79(a-6 3 V
DIALLING CONTRACTOR 2%U-2, G 1c �-� 11�.' ? L E-MAIL
64,�.vr1etXko STATE ZIP 202°1 ii. )
WA STATE CONTRACTOR'S L CENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
IENI' Wsz)aIS 3 i �3/ / 3 2-0--t3 -l000s6-oo-zy
NAME
PRIMARY PHONE
l^v• v^`E c�� c
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE . ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT ALL As Co r i--sc ZG 4-0-c
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
-
Required value of$5,000 or more .MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 cl• arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to ty a part of this application.
lit
SIGNATURE: DATE / j `
PRINT NAME:J()&-c 'Nt'A- (�-: 7 _
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
/1 .c • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type o f 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(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
?4c. PLUMBING PERMIT $ a
Indicate how many of each type of facture to be installed or relocated as part of this project. Do •sting fixturgste-re ain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
—I— DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS _ _ SINKS sashes/milky) _ WATER HEATERS(Electric)_.__.__
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR I SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square F STING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
x ' X ,' l a,� tda,,o *CMS s�f. P Y'� t s; 3 c�
' ter f5' ,r; � -� �z<.° �'
FIRST FLOOR(or Mobile Home)
SECOND 'LOO, A f € t f X
COVERED ENTRY
DES � ?' � t q ��« 0 e. n "� �f� h Z
GARAGE ❑ CARPORT ❑
Area Totals ` PROPOSED TOTAL
a,,,,,,,K.,,V r ti.,.,... `'-.,` it„'°.lkfgNtttIMWW emu,.nG", Irv€. ....e k,t `gym.,-gr ".:: ,
ESTIMATED SELLING PRICE$ It OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # Additional Information
in ' uare Feet .e Dries
s X55
ADDITION
COMMERCIAL--REMODEL/TENANT IMPRO ° NTS
AREA DESCRIPTION Area • upancy Groups) Construction #of Additional Information
in uare Feet p a Stories
TtXtA BUf IDIN .� a ( or . i
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application