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02-102022` City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Mechanical Permit #:02 - 102022 - 00 - ME Inspection request line: 253.835.3050 Project Name: WINCO FOODS Project Address: 160 SW CAMPUS Dr Parcel Number: 415920 0710 Project Description: MECH - Replace (7) existing shelf cases in back of store with (7) new 5 -shelf cases in same footprint. Existing condensing units & refridgeration pipiing to cases with no change Owner Applicant Contractor WINCO FOODS SOURCE REFRIGERATION/HVAC INC SOURCE REFRIGERATION/HVAC INC 400 S WOODLAND AVE 3902 W VALLEY HWY N SUITE 206 3902 W VALLEY HWY N SUITE 206 PO BOX 400 AUBURN WA 98001 AUBURN WA 98001 WOODBURN OR 97071-0400 (253) 833-9300 Mechanical Valuation..........................................6000 Over the Counter Permit ......... ............................ No PERMIT EXPIRES November 16, 2002, IF NO WORK IS STARTED. Permit issued on May 20, 2002 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: �T �'1� l l pI r? l� L / � a✓/ Gf��Q<( 0GG CONSTRUCTION PERMIT APPLICATION uV RECEIVED APPLICATION NUMBER: Z- p 2 O Z-1 - _ _ APPLICATION NUMBER: MAY 1 6 2002 - - - - - RPLICATION NUMBER: **The f3jV3tvlQ'`pn' 1N�'s'F d jyP ffmation -Please print (in ink) or type** Please note: Electrical, Fire PreTi�i UCIytem's and Engineering permits may require a separate application. SITE ADDRESS: i -d W C6PIKS O �_ ASSESSOR'S TAX/PARCEL #:S ( � ©- 07 1 Cj ( LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 4 MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM ■ PEOPLE INFORMATION 1111:21,161at!• CONTRACTOR: APPLICANT: NAME* C DAYTIME PHONE: 'r�C'y C�C:Y� flIf"(a (J` -D) C(��-C f�f�L7 MAILING DRESS (STREET ADDRESS, QTY, STA P). � " P %/� -// 14 -0 NAME: c DAYTIME PHONE: 20 LING/ADDRESS ( ET APD ;CITY, STA ZIP): �f✓�Li EVENING PHONE: b114- 1z CITY OF FEDERAL WAY BUSINESS LICENSE NUMBERI FAX NUMBER: — — — — — — - — — CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) MAILING ADDRESS (STREET ADDRESSfaTY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( ) - / E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT EXISTING USE: PROPOSED USE: CONTRACTOR EXISTING BUILDING ASSESSED/APPRAISED VALUATION s PROPOSED VALUATION FOR IMPROVEMENTS: SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO, WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: 11 LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC) r **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PR03ECT FLOOR AREAS I FLOOR EXISTING . FT. PROPOSED SQ. FT. TOTAL BASEMENT _ Indicate number of each type of fixture FIRST AIR HANDLING UNIT(S) 7 EVAPORATIVE COOLER(S) SECOND EFRIG.WOODSSYSTEM(S)BBQ(S) FAN(S) THIRD BOILER(S) FIREPLACE INSERTS) FOURTH MISC. { ) COMPRESSOR(S) FURNACE(S) OTHER FLOORS (DESCRIBE) DUCT(S) GAS PIPE OUTLET(S) DECK ❑ ELECTRIC ❑ GAS PLUMBING GARAGE HOW MANY FLOORS? BATHTUB(S) LAVATORY(S) TOTAL: WATER_ HEATER(S) DISHWASHER(S) RAINWATER SYS. ]iSCLAiMER/SIGNATURE BLC 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 dty as rt of this application. r� NAME/TITLE: DATE: 1- ly ❑ PROPERTY OWNER APPLICANT ACONTRACTOR OOMMUNTTy DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253-661-4129 www.ckvoffgdmlway.com Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) 7 EVAPORATIVE COOLER(S) GAS EFRIG.WOODSSYSTEM(S)BBQ(S) FAN(S) HOOD(S) BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. { ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER_ HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) ]iSCLAiMER/SIGNATURE BLC 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 dty as rt of this application. r� NAME/TITLE: DATE: 1- ly ❑ PROPERTY OWNER APPLICANT ACONTRACTOR OOMMUNTTy DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253.661-4000 • FAX: 253-661-4129 www.ckvoffgdmlway.com