07-100937 City oeve Way Electrical Permit #: 07-100937-00-EL
Community Development Services
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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: FEDERAL WAY MARKETPLACE LOT N-4 SHELL ONLY
Project Address: 34410 16TH AVE S Parcel Number: 250090 0040
Project Description: Install (6)t-stats
Owner Applicant Contractor
FEDERAL WAY MARKETPLACE I EVERGREEN REFRIGERATION LLC EVERGREEN REFRIGERATION LLC
FEDERAL WAY MARKETPLACE (ELECTRICAL) (ELECTRICAL)
INVESTOR'S LLC EVERGREEN REFRIGERATION EVERGRL957R9(1/15/08)
3700 BEAZER RD 727 S KENYON ST EVERGREEN REFRIGERATION
BELLINGHAM WA 98226 SEATTLE WA 98108 727 S KENYON ST
SEATTLE WA 98108
Additional Permit Information
Electrical Fixtures
Thermostat 6
PERMIT EXPIRES Saturday, September 15, 2007
Permit Issued on Monday, March 19, 2007
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
and the City of Federal Way.
Owner or agent: Date: 7
—1
THIS CARD IS TO REMAIN ON-SITE
CITY OF *'' Community Development Inspection
Federal Way IVR INSPECTION REQUEST P ON # (2 3 835-3050 Record
PERMIT#: 07-100937-00-EL
Owner: FEDERAL WAY MARKETPLACE INVESTOR'S LLC
Address: 34410 16TH AVE S
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.
❑ Slab/Concrete Floor (4255) ❑ Ditch cover(4030)
Approved to place concrete ❑ Pool Bonding (4195)
Approved
Approved
I.By Date By Date
B3' Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-vepanels (4045)
Approved
Approved
Approd
By Date By Date
By Date
'❑ Rough Electrical (4225) -❑ Ceiling Cover(4020) 1 �❑ Final -Electrical(4055)
Approved Approved
Approved
By G-7 Date c; 7 —631.1:). y -/G--'7, ,B
B - Date J By C. ��: Date f. —�2--a r
❑ Under-slab groundwork(4295)
Approved
By Date
CITY OF 33325 Eighth Avenue South
' Federal Way • Federal Box 9718
Fe Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE,
ADDRESS: 344 to V a - - S #: 07- -
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L‘_) rZ 334- 30 •
IF YOU HAVE ANY QUESTIONS CAL aSt �— � (253) 835- 7-6,2g
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
INSPECTOR
DO J
DATE
NOT REMOVE THIS NOTICE
Page of l
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CITY OF `
44 Federal Way SGT o P I--( RMIT
cZ W:7117YDEVELOPMEATSERViC . -r�{ SF MF CO M I PL DE EN FP
33325 DERAL AVENUE
AY,SOUTH•PO9718 it �/\� ,�I CATI O IL �°
FEDERAL WAY,WA 980639718 a Y A / /
253-835-2607•FAX 253-835-2609 V
�t e:`y.CLh!o,fe3e:aaLIaI,.com O(GOtA'1,
The following is re.uired '• •yt„ ` -an incom.tete a••lication will not be acce.ted. Please .rint le•ibi (in ink)or ty•e.
• PROPERTY INFORMATION
SITE ADDRESS y`i t;'- Y� - , _ - SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2- 2 C 6 - O U. ''''l O LOT SIZE(gfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy leyat descripttoa!
_. _______ NI PROJECT INFORMATION -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ( MECHANICAL
0 DEMOLITION`.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detnilarl rlecrrfnfion of Mork included on this permit only)..
6 1 1(1(_ .fie , :1—S2#IS I ..,. - ! , - .- .v,
J
PROJECT NAME(Name of Business or Owner Last Name)
II PEOPLE INFORMATION
PROPERTY /N'NAME PRIMARY PHONE
OWNER fcllflg1 -/ ThivY f rt'd i,of L.L(, ( ) -
MABdNG ADDRESS CITY.STATE,ZIP
CONTRACTOR COMPANY NAME - APPLICANT NAME OFFICE PHONE
v,"✓�rei )f2 fri�/c-h✓ii vea (cf✓✓t. (t ) 74,3 - f)c..1
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
121S• Ian-foci .. c -1e( 4} 471 to Z ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
.7-' v- O d- I C t 1 r 3 -B L / / ('La Ci) ((%I -.L ?Z1
CONTRACT'OR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
6V rrz Gil ( 1- et 34t f' Z , / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
REIATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT I NAME z 0,/a1 I PRIMARYPHONE E-MAIL ADDRESS 14
LENDER " ^"5 X ° k-.a -cW .ir NAmE
MAILING ADDRESS CITY,STATE.ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGID.INE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
_ I
• PROJECT FLOOR AREAS
* a._. .__ _ _ ._ r_._ .. ._.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
- Sq.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
=SURD PROPOSED ` DN. 4:!60 *NUMBER OF FLOORS DA
,.._
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not Include existing fixtures to remain.
MECHANICAL 00 0 � lJ`
Value of Mechanical Work $ I
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 2 FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES . MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
.!
DUCTS 7 GAS PIPE OUTLETS
PLUMBING
BATHTUBS(oriub/Shower Combo) SHOWERS WATER CLOSETS ex MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 erson,including the undersigned,and fled against the City of Federal Way,but only where such claim
arises out of the reliance o;`the city,in..uding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ,I`
NAME/TITLE f; jI IL DATE £'I )`'� (° 7
I (Signature) l //J//J [IIDc)
RELATIONSHIP TO P CT ❑ Owner ❑Agent •'Contractor ❑Architect ❑ Other
°.„ D O '* 9$ . .6-7"6k1.-47"-4-'''' ' $ - LI,E_..9.f " 'g YEMEN €
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Bulletin#100-January 1,2006 Paget of 4 k\HandoutslPermit Application
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