04-103160 City of Federal Way Mechanical Permit #:04 - 103160 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax.253.661.4129 Inspection request line: 253.835.3050
Project Name: MARLENE'S MARKET&DELI
Project Address: 2565 S GATEWAY CENTER Parcel Number: 092104 9137
Project Description: Cook line type-1 hoods and ducts; make-up air. Hoods and ducts are listed and label• . • stem.
Manufacturer's literature and installation instructions to be on site at inspections. *9/24/04 Gas
piping for equipment added; riser diagram approved by Larry C**
Owner Applicant Contractor
GATEWAY CENTER RETAIL LLC SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC
110 110TH AVE NE#101 PO BOX 1849 PO BOX 1849
BELLEVUE WA MILTON WA 98354 MILTON WA 98354
98004-5828 (253)573-1698/11
Mechanical Valuation 28000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity] Description T uantityl Description _ 1IQuantity
Air Handling Units 1 i Fans 1 IHoods —1[ 2
Gas Piping 1 5
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
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: 67-- c 1 '7 09
ll
r `
City of Federal Way Mechanical Permit #:04 - 103160 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: MARLENE'S MARKET&DELI
Project Address: 2565 S GATEWAY CENTER Parcel Number: 092104 9137
Project Description: Cook line type-1 hoods and ducts; make-up air. Hoods and ducts are listed and labeled as a system.
Manufacturer's literature and installation instructions to be on site at inspections.
Owner Applicant Contractor
GATEWAY CENTER RETAIL LLC SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC
110 110TH AVE NE#101 PO BOX 1849 PO BOX 1849
BELLEVUE WA MILTON WA 98354 MILTON WA 98354
98004-5828 (253)573-1698/11
Mechanical Valuation 28000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity,
[—Air Handling Units 1 Fans 1 Hoods 2
PERMIT EXPIRES March 20,2005.
Permit issued on September 21,2004
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: l' r!/ 4� ; J f / , Date: ?,/, ,,,,4/.l
THIS CARD IS TO MAIN ON-$.IT ...
CITY OF Community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103160-00-ME
Owner:
Address: 2565 S GATEWAY CENTER PL
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved JApproved to release test Approved
By Date 17.Z/L By Date ® By ,/ Date s`g�(��
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04..' a 17' " • 'r rt =',;a ✓+, vX`� "'.Y' ,.
> VBD BY oox�w,rr,Ynsvt ior,(enrrsexvrs
PMENTDEPARTMEN1 ;::-_,..":-...i
s 0MSI;WAYSOUTH•PO1i0X9718
M 4, , ,"'a : .s FEl)IFRAG WAY,WA-98067.9718
'"II:, _ .. .•-1�. ATI YS36614ns FAX:Ys3661.11Y9
Federal Way A•4 Pm; � _
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AUG 0.; 2004 -_
F°(°16"vx ony FW File Number: ® ° -0 , TD. /
on-an into •tete a••lication will not be acce•ted.c Please 'rint to•ibi •e.
The ollowin• is ` �o (in ink)or
a PROPERTY INFORMATION
SITEEADDRE'isSS: > 5/ SUITE/APT 1(` 1-
M PROJECT FLOOR AREAS
t % TMw- AREA • D'+ .4 I' EXISTING SQ.FT. P D SQ.FT TOTAL
_
BASEMENT'
FIRST r.
0. 7 gCj
i
/
fSECOND l c��Dam
THIRD
FOURTH j
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL COSTING TOTAL PROPOSED 'TOTAL EXISTING AND PROPOSED .
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECEAMCAL
Value of Mechanical Work $
•-AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS .0 FANS �i. HOODS)comm WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS M c ' 4 f1---
DUCTS GAS PIPE OUTLEts
PLUMBING
BATHTUBS(o b/Sho. Combo) SHOWERS - --• b1 oath MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAI`
GAS PIPE OUTLETS RAINWATER SYS
WASHING MACHINES HOSE BIBBS
LAVS(sun...,Sank VACUUM BREAK . 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. further agree to hold harmless the City of Federal Way as to arty claim(including costs, expenses, and
attorneys'fees incurr... in the investigation and • - se of such claim), which may be made by any person, including the
undersigned, and file•\..• .t th• City of F-•• ••1 Wa , but only where such claim arises out of the reliance of the city,
including its officers a(d " .l... • s, icon lccu y of he information supplied to the city as a part ofthisplication.
NAME/TITLE: 1 WAIL �`�- 96_,1D-ATE: v74i'' 0 S
A— (Title)
r (T 1
RELATIONSHIP TO PR' 0 to o .. C • cr b Applicant 0 Contractor 0 Architect 0
FOR OFFICE USE ONLY:
a NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
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