07-106573City of Federal Way •
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
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Mechanical Permit'#: 07 -106573 -00 -ME
Project Name: TRADER JOE'S STORE #134
Project Address: 1758 S 320TH ST
Project Description: Installing new refrigeration equipment.
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9208
Owner
Applicant
Contractor
HARSCH INVESTMENT PROPERTIES LLC
KEY MECHANICAL CO OF WA
KEY MECHANICAL CO OF WA
1121 SW SALMON ST
19430 68TH AVE S
KEYMEW*240NZ (4/1/09)
PORTLAND OR 97205
KENT WA 98032
19430 68TH AVE S
KENT WA 98032
Additional Permit Information
Mechanical Valuation............................................128488 Over the Counter Permit?...................................... No
Compressors ................................... 9
Mechanical Fixtures
Evaporative Coolers ....................... 27
PERMIT EXPIRES Sunday, January 3, 2010
Permit Issued on Thursday, January 3, 2008
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
4nd the City of Federal Way.
Owner or agent: 1 �. Date: — y
,� 1
r -I
r,--1
DATE
INSPECTOR
ARE, •• TYPE OF INSPECTION
IL
THIS CARD IS TOMAIN ON-SITE
Cl" OF tommunitym Develo nt Inspection record
e Y
Federal Way IVR INSPECTION REQUEST PHONE (253) 835-3050
PERMIT #: 07 -106573 -00 -ME
Owner: HARSCH INVESTMENT PROPERTIES LLC
Address: 1758 S 320TH ST
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.
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date .. —Q
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
DECEIVED
T�_CITYOF.�,� .
t Federal Way DEC o 7 2007 PERMIT
COd1.111;hin, DEVELOP.IIEAT SERVICES
FEDERAL,IWAY, WA LE 11180 -�171� ()F FEDE
s:; Nss. 607• FAX 2.53 83.5 2609 BUILD(NGi LI CATI O N
!a C T? 3
SF MF CO E EL PL DE EN FP
The following is required irlJormation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS � �u Z+ 5O A4% ✓ ,05 Si11`C.Q.+
SUITE/UNIT ti
ASSESSOR'S TAX/PARCEL NC—"I V - �%Q�® LOT SIZE (sl)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) 1rCt. '�' �d'IS � y ��e,
(Al—h-1-1. pWJi+r L,pihy LgW Aeur,p(n,li
PROJECT INFORMATION
pp
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL F�ge�clIer�
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREEEVENTION SYSTEM
description of work included on thisrmit onl
PROJECT NAME (Name of Business or Owner Last l am / r -a e-#- jo- e- 1 S
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
COPY of card roq
�Ith aa�n appllea o
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAMEAO
�Lvoct-y Qom+
Piro
- ! 3 �l�
UZ
, 5 ATE. ZIP
i�l�- A 4 0 2
PRIMARY PHONE
MAILING ADDRESS
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
0-01-10065-0— — L
EXPIRATION CE
I 3f aao --
fly. STA
. ZIP
CONTRACTOR'S REGISTRATION NUMBER
1�E1(I►���1 240/�Z
EXP TIO DATE
! Olio5_
7 1$?on+�
E-MAIL ADDRESS
C MPANYY AME
A77--11
APPLICANT NAME
-1
(OOF�FICE PHO�NjEkeu yw/
i� !r
- ! 3 �l�
MAIWl4✓
G A D V Ave
, 5 ATE. ZIP
i�l�- A 4 0 2
CELL PHON
(7* ) 3�6
- 3e79
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
0-01-10065-0— — L
EXPIRATION CE
I 3f aao --
FAX NUMBER
(253) S?1
-�37
CONTRACTOR'S REGISTRATION NUMBER
1�E1(I►���1 240/�Z
EXP TIO DATE
! Olio5_
7 1$?on+�
E-MAIL ADDRESS
K"l!(cc °
MPANY NAM
e A
1t r n95MAILW
OFFICE PHONE
(2S3
-7 Q
[t �
C
1-1 G 11Z � ` m
� tiw�W6 1 10 3� ZIP
19'72-
C L HON
c o ) R
-3079
RELA'flONSH1P'CO PROJECT
❑ Architect ❑ Tenant ❑ Agent �Qther
FAX NUMBER
�r3) i 7 Z
-�37
11�m
IPer RCW 19.27.095:
Lender igformation is required if project value exceeds $5,00
MAILINGADDRESS CITY. STATE. ZIP PHf1NF
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES C NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? C YES NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN C HIGHLINE C TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
M,
PROJECT •••
AREA DESCRIPTION
AREAS
,, NEW c ADDITION
c ALTERATION
: REPAIR ❑ TENANT IMPROVEMENT
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
ZONING DESIGNATION
CHANGE OF USE? o YES
FIRST
NEW ADDRESS REQUIRED? a YES c NO
UP/SEPA/SU? - YES
_ NO
SECOND
DEMO PERMIT REQUIRED? _ YES
NO
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
PeOPO°m
TOTAL
IWALrusrrs SP
TOTACPROPOSED SF
IWALsr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Inalcare numver ql_!& type of Jixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $t IX D. % o I IA COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE INSERTS HOODS (Commerclall
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS J-Tub/Sh—Combo) LAVS (Bath—Smknl URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Tmlet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certify under penalty gjperjury that the ir4%rmation furnished by me is true and correct to the best qj 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 person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including its gatcers and employees, upon the accuracy of the ir{j'ormation supplied to the city as a part of
this application.
NAME/TITLE 1\�` �pytec ` rU e@ DATE t `&U74-
ISIgnalure) (71t1e1
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
,, NEW c ADDITION
c ALTERATION
: REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES r, NO
BASIC PLAN? i YES
NO
ZONING DESIGNATION
CHANGE OF USE? o YES
NO
NEW ADDRESS REQUIRED? a YES c NO
UP/SEPA/SU? - YES
_ NO
PLATTED LOT? YES - NO
DEMO PERMIT REQUIRED? _ YES
NO
Bulletin #100 — April 2, 2007 Page 2 of 4 k\Handouts\Permit Application