12-105180 •
• I
Mechanical
City of Federal Way
FILE
Community&Econ.Dev.Services Permit #: 12-105180-00-M E
33325 8th Ave S
Ph:(253)
Federal 835-2607 WaFy,ax:WA(295830)08335-2609 p q Inspection Request Line: 253 835-3050
Project Name: RITE AID
Project Address: 32015 PACIFIC HWY S Parcel Number: 150050 0110
Project Description: REP-Remove and replace existing condensing roof top unit and 4 door refrigerator case
like for like
•
Owner Applicant Contractor
RITE AID CORPORATION#5186 KEY MECHANICAL CO OF WA (GENERAL) KEY MECHANICAL CO OF WA (GENERAL)
PO BOX 3165 19430 68TH AVE S KEYMEW*240NZ(4/1/13)
HARRISBURG PA KENT WA 98032 19430 68TH AVE S
17105 KENT WA 98032
Additional Permit Information
Mechanical Valuation 7200 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Handling Units 1 Refrigeration Systems 1
PERMIT EXPIRES Monday, May 13, 2013
Permit Issued on Wednesday, November 14, 2012
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: //- /y-2o/Z
F(KhU. It
: THIS CARD IS TO MAIN ON-SITE a
CITY OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-105180-00-ME Address: 32015 PACIFIC HWY S
Project: RITE AID CORPORATION #5186 FEDERAL WAY, WA 98003
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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date ByDate ii-/T—/Z__
El Rough ElectricalII Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. 12 - ( O 5" L. &O
Fof �: • PERMIT • ® PL DE EN FP
Feder�111NCEIVED MF co
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607'FAX 253-835-029i
V 14 2012
SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT#
2e7/.S- /, e N41/Y S . AOci,i:/✓/v y Ain
Q PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# ( o
7ZC� ( S OO - 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING )21, IECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) TE /¢j�
PROJECT DESCRIPTION LIV9CE E K.-7s 7- 5/e0,04),‘" L�'�E r/ Jt DF T/ G/.✓z,
Detailed description of work to LZ I<t f/ 4.1A--
be
1 be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 4T7- fdi�J"/J
MAILING ADDRESS E-MAIL
CITY STATE ZIP
IfED /'At G/g v 14/9
NAME PHONE
k1 ' ii-elig,,,xCel c Co. 254 872-7.79`
MAILING ADDRESS _ E-MAIL
CONTRACTOR / V•J't9 �8 '6/ 4 k& X. S cis-i. 0 c XI pco.e,✓eUCa XCYm e 0-49"-TC AZ.Co/1J
CITY STATE ZIP FAX
�'E.., / 4//9 ?8oj0- 2--cOg,72-7s"1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
re /t2 EG,,it 270 N Z / / / //3
NAME PHONE
j,1/9y v•i L'a,a{,--€<
APPLICANT MAILING ADDRESS E-MAIL
3;;L, c %.S /9/0 v
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and Ain y4f; CO, /✓c-4.-�
respond to all correspondence MAILING ADDRESS EMAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
1 sCo// iLrfj-C e zsz)872- 73%z s644,sc /eZy,Ic "CA/- ee•y
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) 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 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 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 of this application.
SIGNATURE: (7--- DATE //— /6/1--20/2
PRINT NAME: GSA Y— c --/-- Co/ ,.-- C
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ �e (a copy of bid or estimate must be provided)
Indicate how 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 GAS PIPE OUTLETS $- OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial( CDi✓�tvy<..�Gl.✓i?'
BOILERS FURNACES HOT WATER TANKS(cas) V ATie 0I6E
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility( WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTA>; .I W
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
AREA DESCRIPTION IIMEN Occupancy Group(s) Construction Stories Additional Information
ADDITION
7:71'v777,17177-17 771Rz-nr:1717:77:22.77
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S•uare Feet •e Stories
TENANT AREA ONLY '- -
'
rfigrAtij
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application