09-102430 f
Mechanleal
City of Federal Way
Community Development Services Permit #: 09-102430-00-ME
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph (253)835-2607 Fax:(253)835-2609 FILE
Project Name: A A FRUITS
Project Address: 34428 PACIFIC HWY S Parcel Number: 889700 0010
Project Description: Install refrigeration line sets for refrigeration cases
Owner Applicant foil' Contractor
ESTHER QUINT UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC
PO BOX 3684 (GENERAL) (GENERAL)
SEATTLE WA 98124-3684 PO BOX 614 UNIVERI159RF(4/1/10)
AUBURN WA 98071-0614 PO BOX 614
AUBURN WA 98071-0614
c yte -PerrnE'•'Infor ation
Mechanical Valuation 6850 Is this an Online or O.T.C.application? Yes
Me
r chanical Fixtures
. � � .'-. a N.,..^.e .... ... .. ...4. •^ .... .. .... .....
• Refrigeration Systems 1
PERMIT EXPIRES Wednesday, December 23, 2009
Permit Issued on Friday, June 26, 2009
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
�� an• the Cty f Federal Way.
Owner or agen . � y�� , Date: Z7S7Spr
THIS CARD IS TO REMAIN ON-SITE
CITY°F ` - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 09-102430-00-ME Address: 34428 PACIFIC HWY S
Owner: ESTHER QUINT FEDERAL WAY, WA 98003-7325
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 inspection s are logged on the back of this card.
Mechanical Rough-in(4165) El Gas Piping(4125) Q Final-Mechanical(4065)
Approved Approved to release test Approved
By /G� Date //S/0e) By Date By Date
•
•
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
Building Division
‘111, CITY OF 33325 Eighth Avenue South
4,. . 10 Federal VVay Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 3 i/y2f P�tayf/G f'Wy 50 PERMIT#: `o.2 V3o-Od-A/6'
,ff*?A'406 4&c 70 i�719, ash- s�«vr
/37P 6e/// ? V7
6) A-Acne. /'R- ``22�i .9�t/IG�'li Z-Akre- -rzn,/
IF YOU HAVE ANY QUESTIONS CALL 4072A49/VAP /41/1/4Y11*(253) 835- 2-69Z-6
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
ysi C d
DE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page(of (
_ 0 zg 3-0
Federal CEI ERMIT SF MF CO �ME L PL DE EN FP
2 60P2 3-835-260 j N 2 6 2 ' PPLI CATI O N
SITE ADD
rz/%v-r S j
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# p7� /� �""� f
E5 7 7 0 0 - C� v f
NAME OF PROJECT
(Tenant or Homeowner Name) /P1 ` ,--14-7/,14lr t5
o BUILDING 0 PLUMBING 0 MECHANICAL 3 -c t2A"erf�
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
C PROPERTY OWNER �7 Z/. 2 L `P C4/ t ) -
MAILING"
E-MAIL
fidy, -a,ilt#4,4144. ergia
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAS
�a PRIMARY PHONE
Gl t V eV-ca- e t Ft 77 n.. ( ) ' i` - •
ONTRACTOR MAII IN6 ADDRESS,CITY,STATE.ZIP
PC-)g'0>c &( LA 4 'WOW 'Mini!'
WA STATE CONTRACTOR'S CENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
UN(VE / 75-e?A'F `/ i l /9-91~/070(11-cu-$.
NAME PRIMARY PHONE
APPLICANT
MAILING ADDRESS.CITY.STATE.ZIP FAX
FO( c 62( f 4.17,-,4,--t w4. 9807( ( ) -
PROJECT CONTACT "AME Gh ,[ _ ��� PRIMARY PHONE
u�l< ( �v ( J ) y• - i,
(The individual to receive and
respond to all correspondence MAILING ADDRESS.CITY,STATE,ZIP /1
concerning this application) FO• s?( (v(`/ 1A&-w`t/1 - T607( MIMI
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
Lric-4 (2-2 )73` -
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5.000 or more MAILING ADDRESS.cmr.STATE.ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person,including the undersigned, and filed against the
city,but only where such cla •= es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied • ,. • a part-• is a atlon.
r� �w
3IGNA 1': Pr
PRINT N N• - CGP(N 4M 6%-fri
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
• .. '
.7 04,50 iecole ifice5 ... „„
ir
MECHANICAL FIXTURES
Value of Mechanical Work$ 74113., (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of jbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS V OTHER(Descri.e),�
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) a, ,..A,.2J1. (01A-
BOILERS FURNACES HOT WATER TANKS(Oaal i e.- s-
_____
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING TM WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not inch+do'existing fixtures to remain.
BATHTUBS(or Pub/Shower Combo) __ LAVS(Hand Sinka) 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 TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 7648 $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
' ; -i i C� `
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(describe)
EXISTING PROPOSED TOTAL
Area Totals
*;NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS_
COMMERCIALiAL-,,,,ftVViviiibDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION tr D()
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/21/2009 Page 2 of 4 k:\Handouts\Pennit Application