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07-100837City DeveWay Mechanical Permift: 07-100837-00-MECo;!'imunity Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 inspection Request Line: (253) 8355-3050 Project Name: WINCO FOODS Project Address: 106 SW CAMPUS DR LL Parcel Number: 415920 0710 Project Description: Installation of (11) replacement refrigeration units including a new condensing unit, on the roof, to support the east unit. Owner Applicant Contractor WINCO FOODS #43 SOURCE REFRIGERATION/HVAC INC SOURCE REFRIGERATION/HVAC INC 106 SW CAMPUS DR 800 E ORANGETHORPE AVE SOURCRI995PE 11/18/07 FEDERAL WAY WA 98005 ANAHEIM CA 92801 800 E ORANGETHORPE AVE ANAHEIM CA 92801 Additional Permit Information Mechanical Valuation............................................15000 Over the Counter Permit? ...................................... No Mechanical Fixtures e Refrigeration Systems. ................. �11 PERMIT EXPIRES Ftday, ,February 20, 2009 THIS CARD IS TOXEMAIN ON-SITE CITY CF Community Developn nt. Inspection "Resor d Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -100837 -00 -ME Owner: WINCO FOODS #43 Address: 106 SW CAMPUS DR FEDERAL WAY, WA 98023 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 4Z- 1-1) Date -Bk t 'jt t'a By G Date are OF 111104/ . • Federal Way SEC 1 PERMIT 0 � - n — £ 3 5 2.007 1 d 1 SF MF CIO EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 333252FED AVENUE SOUTH•63 BOX 9718 FEB 1 AiiCATIONG10 253-835-2607•FAX 253-835-26093 / i / oil www.aO,offederalwau.mm �S��e- ®it 11.DINt .DEPT• . The following is required ormation-an incomplete application will not be accepted. Please print legibly(in ink)or type: �/ • PROPERTY INFORMATION . SITE ADDRESS ,� `a ,VO R-A M ri 5 Ar SUITE/UNIT# • ASSESSOR'S TAX/PARCEL# 4 1 5 1 1 .- d - pa ‘ 0 LOT SIZE(sJ) • LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal description/ ■ PROJECT INFORMATION . TYPE OF PERMIT 0 BUILDING O.PLUMBING i1#1 MECHANICAL .(11 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION Provide detailed description of work included on this permit only). c vy i- e..YA) N \v'ti•• c( 2 . - °a i c-f\:S e.3- CA V)4 (,\.p t s\s.c.. k.....„1-,0, . • wk:\J, \\4 5 At M k a c..C16`©N- PROJECT NAME(Name of Business or Owner Last Name) w 1 NC ,FQ DS . PEOPLE INFORMATION PROPERTY NAME • -GPRIMARY PHONE t�- OWNER IJV I N . G roc')c .1 �.a (253 ) S3 - 7 '4 • ?9 3 O SS.4.0k • 'W O S/9 V P+" I d.' Y7011 E-MAIL ADDRESS I CONTRACTOR COMPANY NAME r. i APPLICANT NAME OFFICE PHONE • SCJ(<-, Rc�i,.1' c.\ k k\)k, 11,,,: , NAG 5chsnh.w,t-"v, (tQ 1 '.'-t). -L'. V N . ,vIAILIL ADDRESS ,- f �'y�• /^ CITY,STATE,ZIP 1Vn) • p CELL PHONE . CITY OF FEDERAL WAY BgSINE S DENSE NUMBER A���,`�'EXPIRATION DATE e FAX NUMBER • as- o1 - \0336z..--0 0 -.%L. • \2 -3 - 2„ 01 (2531 33 - 51,5(3 COPY of card ragttlnd CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS ' . - with dash application b da . 5 O V(t-`4)....1. o 5 V L - 1 \ \ -. L0 01 • APPLICANT COMPANY NAME . - •APPLICANT NAME •OFFICE PHONE S0v(%. c4 Ci-3 , cv;k4 NW,' 1r1►<. DCV L S-C.,M ,n. ,�,PN (ZS)) i'3.3 -93.• •- . MAILING ADDRESS CITY,STATE,ZIP • CELL PHONE , • el%2. '14,1,R)<a\\ \-\ N...'Z o c ilv f R Jv \i�},�t: i g ..ti (2.53] L c:1 - -7 to Z., 'RELATIONSHIP TO PROJJEE T •3FAX NUMBER 0 Architect 0 Tenant 0 Agent ® Other F'.'f 'MINN (Z S f) '3 3 - 5 13 o PROJECT NAME PRIMARY PHONE •E-MAIL ADDRESS• CONTACT .1 \)G 5- -��A.V1•0(L A s) .(2_s.•') ) L.( 1 `'1 1 1 z D sc\n�.�tet,Aw• 50.1v•,.. . LENDER NAME Per RCW 19.27.095: . - Lender information is required if project value exceeds$5,000 • MAILING ADDRESS CITY,STATE,ZIP PHONE • ( ) _ • • ■ DETAILED BUILDING INFORMATION. • EXISTING USE R.':-1 A\L- • PROPOSED USE C\ A\� EXISTING ASSESSED/APPRAISED VALUE $ a •VALUE OF PROPOSED WORK $ 3.0 '3U'`� SPRINKLERED BUILDING? 0 YES 0 NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? DYES 0 NO WATER SERVICE PROVIDER tic LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICEPROVIDER 1.LAKEHAVEN . 0 HIGHLINE 9 PRIVATE(SEPTIC) ■ PROJECT FLOOR AREAS AREA DE • PTION EXIS PRO•OSED TOTAL _ SQ. FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD 0 ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT ❑ NUMBER OF FLOORS EXISTING I PRO EI TOTAL TOTAL EXISTING SF TOTAL PROPOSED Sr TOTAL SF **NEW HOMES ONLY** NUMBER OF ROOMS ESTIMATED SELLING PRICE $ ■ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ I c Q d 0 (A 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(commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS { REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bau,room sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS troiks ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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. 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 officers and employees,upon the accuracy of the information supplied to the city as a part of this application.y� NAME/TITLE &.4-_r i cc DATE ca/(,/7 (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent .fii Contractor O Architect 0 Othet a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED?. o YES o NO UP/SEPA/SU? a YES o NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January I,2006 Page 2 of 4 k\Handouts\Permit Application