04-101872CiiV of Federal Way
Conmiunity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253.661.4129
Mechanical Permit #:04 - 101872 - 00 - ME
Inspection request line: 253.835.3050
Project Name: FEDERAL WAY SCHOOL DISTRICT NUTRITION SERVICES
Project Address: \ -) Io 3 ( Q ac, "OV S Parcel Number: 082104 9001
Project Description: Install (2) blast chillers and associated refrigeration systems including exterior compressor units.
Owner
Applicant
Contractor
FEDERAL WAY SCHOOL DISTRICT
JC ENTERPRISES
JC ENTERPRISES
31405 28TH AVE S
PO BOX 731566
PO BOX 731566
FEDERAL WAY WA 98003
PUYALLUP WA 98373
PUYALLUP WA 98373
(253) 845-8569
Mechanical Valuation..........................................16900 Over the Counter Permit ...................................... Yes
Mechanical Fixtures
Description Quantity DescriptionQuantity Description Quantity
Refrigeration Systems 2
PERMIT EXPIRES November 10, 2004.
Permit issued on May 14, 2004
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: see A nnfication
("', f �Idleo �
Date: 5—N-01
M
THIS CARD IS TO REMAIN ON SITE
CITY 01`4:*��k COMMUNITY DEVELOPMENT INSPECTION
Federal WayRECORD IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: ()q - [ 01 V7 �, - OO PROJECT NAME: Ftj 5 b B 1 aSA a%' l I WS
❑ TEMP. EROSION CONTROL (4365)
❑ FOOTING/SETBACKS (4110)
❑ FOUNDATION WALLS (4115)
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By Date
By Date
By Date
❑ DRAINAGE/DOWNSPOUT (4040)
❑ RE -STEEL (379)
GROUNDWORK PLUMBING (4190)
Approved to backfill
Approved to place concrete or grout
Approved to cover
By Date
By Date
Lay Date
❑ SLAB ON -GRADE (4255)
❑ UNDERFLOOR (4285)
❑ FLOOR SHEATHING (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By Date
By Date
L31 Date
❑ SHEAR WALLS (4245)
❑ ROOF SHEATHING (4220)
❑ ELECTRICAL ROUGH -IN (4225)
Approved to install siding
Approved to install roofing
Approved
By Date
By Date
By Date
❑ PLUMBING ROUGH -IN (4230)
❑ MECHANICAL ROUGH -IN (4165)
❑ GAS PIPING ROUGH -IN (4125)
Approved
Approved
Approved to release test
By Date
By Date
By Date
❑ FIRE STOPPING (4095)
Approved
NOTE:
Prior to framing inspection, all rough -in &
❑ FRAMING (4120)
Approved to insulate
firestopping sign -offs must be approved.
By Date
IBC 109.3.4 / UBC 108.5.4
By Date
❑ INSULATION (4150)
❑ GYP. WALLBOARD NAILING (4130)
❑ SUSPENDED CEILING GRID (4265)
Approved to install wallboard
Approved to mud & tape
Approved to drop the
By Date
By Date
By Date
❑ FINAL- FIRE (4060)
❑ FINAL- PLANNING (4070)
❑ FINAL- PUBLIC WORKS (4080)
Approved
Approved
Approved
By Date
By Date
By Date
❑ FINAL- S.W.M (4375)
❑ FINAL- ELECTRICAL (4090)
❑ FINAL- BUILDING (4050)
Approved
Approved
Approved
BF' Date
By Date
B %Z —' Date �� 401V
RECEIVE®
APPLICANT NAME
APPLICANT NAME
TIM
OFFICE PHONE
(.t> 3) fsS'oo--
8-5-1el y
�_�dg�
RELATIONSHIPTO PROJECT
9 --
Federal way MAY x 4 Z004 PERMIT
MAILING ADDRESS
%°O Lex 73/ s'66
OONMUlYr1Y DEVFl.OPA/ENI' SERVICES
SF MF
CO E LPL
DE EN FP
33530 FIRST WAY SOUTH • PO BOX 9718 APP LI C AT I O N
FEDERAL WAY, FAX 53- 63-97180, I TY OF F E D E
253-ww.dIS- 9
FAX NUMBER
(23-3)yy�
°
_23-J-123-/
L
eder&u v.0DM BUILDING DEPT,
vnum. dhrolfederaituau.00m
CONTRACTORS REGISTRATION NUMBER (eopy of cud required with each application)
_ SC fivi X � 0, 0�� — —
EXPIRATION DATE
// /D � /
Thefollowirq is required information - an Inco fete a pycation will not be accented Please rint le ibf in ink) or
PROPERTY INFORMATION
SITE ADDRESS 13 y LY S 3 or 7% 57�
/ MO
SUITE/UNIT #
q
ASSESSOR'S TAX/PARCEL # Q % O - l C%
LOT SIZE ('J)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Fe -,Ie a ":z A -A&
S, v.wl-,
of t f i 7'tr b,
(Attach separate page for legd d--p..q
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING J&ECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJF DESCRIPTION (Prouic
on of work included on this permit onlul
r- »- -- / - 11
-
Srs�i.�s� •
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
Ae t/Pl-a -5 c 1t�0 /J !S frr c ( ) -
MAILING ADDRESS CITY, STATE, ZIP
/3 y y S 3 1 Jocf-wPla % IV -AX
COMPANY NAME
5G r� 7iCr-�D�'r `s c>
APPLICANT NAME
APPLICANT NAME
TIM
OFFICE PHONE
(.t> 3) fsS'oo--
8-5-1el y
CELL PHONE
( )
RELATIONSHIPTO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
MAILING ADDRESS
%°O Lex 73/ s'66
CITY, STATE, ZIP
PNyp //z► W -W 1&3 73
CELL PHONE
(753 ) f-00
- 9'6,2 3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
U 2 Z [ $-s
EXPIRATION DATE
'2/ 3-, /ov
FAX NUMBER
(23-3)yy�
-d9'Gd
_23-J-123-/
L
CONTRACTORS REGISTRATION NUMBER (eopy of cud required with each application)
_ SC fivi X � 0, 0�� — —
EXPIRATION DATE
// /D � /
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
( )
RELATIONSHIPTO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
NA --T
t PRIMARY PHONE / E-MAIL ADDRESS
01 )1100,6
1 71,
Per RCW 19:27.095. Lender information is ,
NAME
required if project value exceeds $5,00a - -
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
FIRST
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
SECOND
o NO
ZONING DESIGNATION
THIRD
o YES
o NO
NEW ADDRESS REQUIRED?
FOURTH
UP/SEPA/SU?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES o NO
DEMO PERMIT REQUIRED?
❑ YES
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
TOTAL. EL M MG
TOTAL. PROPOSED
TOTAL ZMSMG MD PROPOSED
••NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ f Iye) 00
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (orTub/sh—r Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS Bathroom sink:
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS .2, REFRIG. SYSTEMS
HOODS (commercial) WOODSTOVES
RANGES MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS (foiteq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
MISC (Describe)
I_certify under penalty of peryury 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.
NAME/TITLE DATE O
000'(Signature) (Title)
RELATIONSHI O PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
❑ YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
❑ YES o NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — March 30, 2004 Page 2 of 4 k\Handouts — Reviscd\Permit Application
RECEIVED
MAY X 4 ?004
CITY OF FEDERAL WAY
BUILDING DEPT.
RrGISTERED,AS PROVIDED BY LAW AS
CONST„ CONT GENERAL :: r
4 REGIST.' # EXP D
CC01 JCENT**011QH 1/04/20 4
EFFECTIVE DATE 9 ::
JF -ENTERPRISES
PO •,BOX 731566
PUXALLUP WA 9$373
V...
Si�:11'iturc _ - —
lssued by D �'AR"fN1 Of- I ABOR. AND INDUS`_"?!:_._