13-101898E Mechanical
City of Federal
Community & Econ. Dev.aServicesPermit #: 13 -101898 -00 -ME
33325 8th Ave S EL -
Federal Way, WA 98003 C
Ph: (253) 835-2607 Fax: (253) 835-2609 Eli n Inspection Request Line: (253) 835-3050 -
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Remove and replace existing service meat and seafood cases. Re -use all existing utilities.
Relocate existing drains in floor for new layout.
Owner
ARRIican
Contractor
FRED MEYER INC
NORTHWEST MECHANICAL GROUP
NORTHWEST MECHANICAL GROUP
PO BOX 42121
4243 SE INTERNATIONAL WAY SUITE E
NORTHMG923MQ (1/4/14)
PORTLAND OR 97242
MILKWAUKIE OR 97222
4243 SE INTERNATIONAL WAY SUITE E
MILKWAUKIE OR 97222
AdditionaUPermit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures
Refrigeration Systems ................... 3
PERMIT EXPIRES Sunday, October 27, 2013
Permit Issued on Tuesday, April 30, 2013
1 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
See afldPe Jity - -- f1dgr�Way.
Owner or agent: � 1N1 VG���o Date:
APR 8 0.20 ! �
cr" of Y
Federal Way
J PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
13 -101898 -00 -ME Address: 33702 21ST AVE SW
FRED MEYER INC FEDERAL WAY, WA 98023-7762
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.
El
Mechanical Rough -in (41 5)Gas
Piping (4125)
Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Vv* Date (r Zp -t
El
Rough Electrical
Approved
ElFinal
Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Apr. 29, 2!)13 2:44PM Northwest Mechanical Group No, 9992 P. 1
T
•tiTYOf� PERMIT APPLICATION
Federal Way RECEIVED
PERMIT NUMBER' _ + 00 APR 3 0 2013
TARUET DAT)-.
WY OF WAY
BITE 4DDRESS BUITEJ
3.-!) 70 2 l 5T" A) e&)u e I Ftzv A 9
PROJECT VALUATION ZONINQ ABS SORBS TAX/PAkCZL d
$ `l 3 0 1 0 0_ 0 0 1 0
TYPE OF PERMIT
13 BUILDING ❑ PLUMBING )k MECHANICAL ❑ DEAIOIdTION ❑ 21 NO1NEEMNG ❑ FIRE PREVENTION
NAME OF PROJECT
F�Ija 4
PROJECT DESCRIPTION
�J
Detailed description of work to
be included on thus permit Only
C '+jC*C V -T k
PROPERTY OWNER
NAMIZ
j`/t � AJ C.
PRIMARY PHONE
' 71 S
irnYLING AbDREs9
3soO 5 22_n
EMAIL
CI
STATE
21P
`?1—
Cy N' . C
HAM
l C
PHONE
- AA
MAILING ADPRkea
o&j6.4Y
E-e,rAIL t�Y1W A'�CCJ'�M11
ivw
CONTRACTOR
CITY
STATE
Q2
97 2Z
AX
2 -
WA STATE CONTRAC'COR'9 LICENSE Y
EXPIRATION bATE
FkbkRAL WAY BUSINESS LICENSE i
NAME
PRIMARY PHONN
�o
o `Z
APPLICANT
MAILING ADDREas
2A &4`
k hWL
O r
CITY
WL-iri (f,
&TATE ZIP
OR- T% 2-2-2—
FAX
SO -
NAME
PRIMARY PHONE
PROJECT CONTACT
O
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
B?ATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value +$5,000 ar »tore
iRCIV 19.2 Z 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 knowlcdgc, the irnforrnatton submitted in support of this permit application is true and correct. r cert(lly that I will comply with
all applicable City of kederat Way regulations pertaining to the work authorized bg the Issuance of a permit. I undcrstand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal taus regulatiny
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any 01('101 (including Coate, expenses, and attorneys' fees incurred in
the investlgallon and dgfenss ofsuch clalm), which may be made by any person, Including the undersigned, andfficd against the city,
but only Where such of m arises out of the reliance of the city, including its offTc6ra and employees, upon the accuracy of the
iryforrrlatton supplied to a alt a p of this application.
SIGNATURE: DATE
PRINT N E•
Bulletin #100 w January 1, 2013 Page 1 of 3 k-\Handouts\Pcrmil Application
11
). C.00%
A:-; 29. 2:'x'3 2�44F'M N_,rthweMr,-,an Gr:.,p
i •
GENERAL INFORMATION J
c UT;r,%L AREAS ON PROPERTY?
%VATEk PukVkYOR
VALOR OF MECHANICAL WORK
MECHANICAL PERMIT
of
Stories
Additional Information
-
Indicate how many of each type offtxture
to be installed or relocated as
part of flits prolect, Do not include xistfrtgfLt tures to remain.
$ 7 00 .—
Indicate how many of each type Qffwture
to be insfalted or relocated as art o this ro eet• Do trot include existingfwtures to remain.
AIR HANDLING UNITS
FANS
CTAS PIPE OUTLETS
OTHER (Dcscribe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS Icommerci,Il
VACUUM aREAKERS
BOILERS
FURNACES
HOT WATER TANKS 1o„t
WATER HEATERS (Ew'&4
COMPRESSORS
GAS 1.00 SETS _
REFRI08RAT1ON $Y$T
WASHING h(ACHINFS
DUC MO
OAS PIPING
\VOODSTOVES
GENERAL INFORMATION J
c UT;r,%L AREAS ON PROPERTY?
%VATEk PukVkYOR
VALUE OPPLUMBINO WORK
PLUMBING PERMIT
of
Stories
Additional Information
,{ aao
$ 'T S-Dd , —
Indicate how many of each type offtxture
to be installed or relocated as
part of flits prolect, Do not include xistfrtgfLt tures to remain.
13ATHTULIS (or Tub/9ho xrCcmou)
MVS (H. dsink.)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTCMS
URINALS
OTHER (Describe)
i. DRAINS
SHOWERS
VACUUM aREAKERS
Ooaupsuoy Group1s)
DRINKING FOUNTAINS
SINKS
WATER HEATERS (Ew'&4
TOTAL. BUILDING
HOSE B11313S
BUMPS
WASHING h(ACHINFS
TOTAL FIXTURES
GENERAL INFORMATION J
c UT;r,%L AREAS ON PROPERTY?
%VATEk PukVkYOR
SEWER PURVEYOR
VALDE Or EXISTING IMPROVEMENTS
of
Stories
Additional Information
w ... NEW BUILDING.
LXIS'T1N0/PRF.VIDU6 USE
LOT SIZE (In Square Feotl
E.VnING FIRE SPRINKLER &Y6=44?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
Q Yes 0 No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTINO PROPOSED TOTAL FOR OFFICE USE
BASEMENT _-- -
FIRST FLOOR (or Mobile Home)
SECONQj`LOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT O
OTHER (dgscrlbe) - — —
Area Totals LRIBYIXO PPOpO&Rn roru. `-------
==NEW ffOmFS�QNrym,;,
ESTIMATED SELLINQ PIYICC $ N OF BEDROOMS
COMMERCIAL — NE, WADDITION
AREA DMCRIPTION
Area
in S care FeetType
Ocoupanoy Qroup(s)
Construction
of
Stories
Additional Information
w ... NEW BUILDING.
I.
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Ooaupsuoy Group1s)
Construotiou
o
# of
Stories
Additional Information
TOTAL. BUILDING
TENANT AREA ONLY
PROdECt AREA ONLY
BLI letill #100 - 7anllary 1, 2013 Page 2 of 3 k:\Handouls\Pcrmit Application