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10-101670 City of Federal WayIII �-�� III Mechanical Community Development Services Permit #: 10-101670-00-ME P.O.Box 9718 FI Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 p Q Project Name: SAFEWAY STORE NO.477 Project Address: 28810 MILITARY RD S Parcel Number: 042104 9110 Project Description: Relocate and replace refrigerated cases.Install new rooftop condensing unit and(2) Hussman Protocol racks.No floor sinks on this permit. no plumbing on this permit, Owner Applicant Contractor SAFEWAY INC STORE 0477 TRUETEMP NORTHWEST INC(GENERAL) TRUETEMP NORTHWEST INC(GENERAL) 1371 OAKLAND BLVD SUITE 200 1627 45TH ST E SUITE 101 TRUETNI077KK (6/9/10) WALNUT CREEK CA 94596-8408 SUMNER WA 98390 1627 45TH ST E SUITE 101 WA SUMNER WA 98390 Mechanical Valuation 124210 Is this an Online or O.T.C.application? No Refrigeration Systems 2 PERMIT EXPIRES Monday, November 1, 2010 Permit Issued on Wednesday, May 5, 2010 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 he in accordance with the laws, rules and regulations of the State of Washington a d the City of Federal Way. Owner or agent: Ar--/---- / L, Date: c.-3---/O F/wittal> 10 /Gin DATE INSPECTOR AREA AND TYPE OF �A(SPECTION -a c 1-• , `tom a n moa . • THIS CARD IS TO AIN ON-SITE CITY OFiivA • Construction In ctlon Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 10-101670-00-ME Address: 28810 MILITARY RD S Owner: SAFEWAY INC STORE 0477 FEDERAL WAY, WA 98003-7913 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) Ei G iping(4125) 0 Final-Mechanical(4065) Approved pproved to release test Approved ,- A •By Date (C- Date.-- -(e.7By Date 0 ❑ Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date • a ®. fitL - Lo I_& 7 ..„, ar. p Feas iWay APR 2 , zr's)PERMIT SF MF CO PL DE EN FP COMMUMTY DEIW SERVICES / /meq 4 , CATIONF FEle,C43 /236e'e Cu S x%�L".p"-"" C 4. &t,,0,14.. r.`. SITE ADDRESS SUITE/UNIT# C/O /211 it fig-ni J[ o. PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 6 2 l d q - q / / d TIPS OF PERMIT BUILDING 0 PLUMBING X MECHANICAL ❑ DEMOLITION 0 ENGIIING 0 FIRE PREVENTION NAME OF PROJECTLa �f 4 g 44-4-1 (Tenant Naive/Homeowner er Lastst Name) 4-A00 -- // J p PROJECT DESCRIPTION /?P_Lon44-Tr �i'/JQ Rep LAE // °Z-Fg-16-6: -/9-TEd eS Detniind descdPtion of work to EiuS -1/ JQ2 OfIt P Cf)n/4 ✓giva- 1 //7�- /9-A14 be included on this permit only "TWO I �s g?/ (/ /6J24--no r-#9 L.. , , NAME PRIMARY PHONEPROPERIT OWNER S P,iaJA-'' w I t 1'7 MAILING ADDRESS E-MAIL 1311 aKtt4l11X (L/ 57L 20 o ICAZA .-r- cA I �c ZIP 9yS96 Ii / NAME PHONE t° ,:w, as-3-s4-96S/c MAILING ADDRESS E-MAIL. CONTRACTOR /6 � �r .7T F. 57� / o l b/'tan-s6dtr4e -e0,pnut.Ce,n SAM/Val- w Pi ZIP 98 s 90 FAX rs-g2to--f7s`-0 WA STATE CONTRACTOR'S LICENSE# EITIRA TION DATE FEDERAL WAY BUSINESS LICENSE* 17214ETNsZ071KK O6/ 09 //U o-ca}-l03Sot-OO-& PHONE NAME? R C-/ 'L � P Alto!. d APPLICANT l ADDRESS 7<f5-` ST E. MA>z CITY Sul,v� - w TE ZIP FAX 2s3-S-a6-97 tmeROJECT�IaiD;d oto eine and NTACTN (L114-1/6 �0 i-t` -1.tAl 1 25-3-g 6-9(S4 z� respond to all correspondence concerningthis MA»�21 RE��S T i`- . /©/ E-MAIL ,s_,71r- i L CITY z), FAX GUMMI CONTACT NAME: PHONE E-MAIL- PROJECT FINANCING NAME OWNER-FINANCED Required value of$5,000 or more (RCW 19.27.095J MAILING ADDRESS,CITY.STATE,ZIP PHONE 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 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 tion 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 inoation and die 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 offloers and employees, upon the accuracy of the in onaation supplied to the city a ,' of this application. SIGNATURE: ,j '. < /I, DATE -I'D PRINT NAME get i4i) C.1`;� / Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application • • f MECHANICAL FIXTURES VAWE OF MECH wKAL WORK $ 1 21,21D 90 (a copy of bid or estunate must be provided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not inclurhP 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 -q REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate 1mw many of each type of fbdure to be installed or relocated as part of this project. Do not include existing furfures to remain. BATHTUBS(or nib/ShowerC,mbo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utmty) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS 011 PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING 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 BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE 0 CARPORT 0 OTHER(desct e) Area Totals , PRTOTAL **NEW HOMES ONLY" ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information in Square Feet Type Stories NEW Rotuma Mamma COMMERCIAL-REMODEL/TENANT IMPROVEMENTS Area Construction #of AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application