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04-102423.. 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 #:04 -102423 - 00 - ME Inspection request line: 253.835.3050 Project Name: MARLENE'S MARKET & DELI Project Address: 2565 S GATEWAY CENTER 61 Vd S Parcel Number: 092104 9137 Project Description: Installing new refrigeration system & piping for 1st floor and mezzanine Owner Applicant Contractor MARLENE'S MARKET & DELI *MARLENE 1 HORECO INC HORECO INC 32911 4TH LANE S 11447 120TH AVE NE 11447 (20TH AVE NE FEDERAL WAY, WA KIRKLAND WA 98033 KIRKLAND WA 98033 98003 (425)821-3333 Mechanical Valuation..........................................56000 Over the Counter Permit...................................... Yes Mechanical Fixtures I DescriptionJQuantity�'L DescriptionF Description anti yl Refrigeration Systems — �h PERMIT EXPIRES December 15, 2004. Permit issued on June 18, 2004 I hereby certify that the abov forma 'on is c e t a that the construction on the above described property and the occupancy and NZ ord ce w th laws, rules and regulations of the State of Washington and the City of Federal Owner or agent: _ _ Date: __ THIS CARD IS TO REMAIN ON-SITE C1" OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04 -102423 -00 -ME Owner: HORECOINC Address: 2565 S GATEWAY CENTER PL FEDERAL WAY, WA 98003 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 Date By Gf_ C'11-3 D INSPECTION LOG 4 an of Rderai Way C.. COMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH • PO BOX 9718 FEDERAL WAY, WA 98 063-9 718 253-661-0115• FAX 2536614129 www. cit ttoffederal wa u. com The following is PERMIT APPLICATION -an n will not be SF MF CO OE EL PL DE EN FP D / / lted. Please print legibly (in ink) or tune. SITE ADDRESS I ' `�/U V. SUITENIT # ASSESSOR'S TAX/PARCEL # `�� / `�`�'f�-i'�� (=�A -PL LOT SIZE (s� LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for k Wthy legal desmpoon) PROJECT1 • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING VIMLCHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) PROJECT NAME (Name of Business or Owner Last Name) PEOPLEINFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME S NAME MAILING ADDRESS /PRIMARY PHONE MAILIN ADDRESS CITY, S E, ZIP COMPANY NAME �( fes' APPLIC NT NAME �M (OFFI E PHONE 2 S (� MAII ( tt'1� �� CI ATE, 'LIP _ CELLPHONE�gis CITY OF FEDERAL WAY 0- SS -1L E�NSE NUMBER 1 (_nil- V/i►, — — 3 8 � 1 - 1 O/N DATE L !� 3 FVUMBER ER IfVA CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE COM NAME APPLICANT NAME OFFICE PHONE MAI hI NG ADDRESS CITY, STATE, ZIP CELLPHONE 1 RELATIONSHIPTO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER ( - NAM I PR ARY PHO j�- -�� E-MAIL ADDRESS Per RCW 19.27.095: Lender information is required if project value exceeds $5,000 NAME MAILING ADDRESS CITY, STATE, ZIP EXISTING ASSESSED/APPRAISED VALUE $ DETAILED BUMI)ING INFORMATION PROPOSED USE 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 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ` PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FANS HOODS Icomm«dal WOODSTOVES FIRST FIREPLACE INSERTS RANGES MISC (Describe) SECOND FURNACES GAS WATER HEATERS CHANGE OF USE? THIRD GAS PIPE OUTLETS NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? FOURTH o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ADDITIONAL FLOORS (DESCRIBE) SHOWERS WATER CLOSETS MISC (Describe) DECK(COVERED?) SINKS DRINKING FOUNTAINS GARAGE/CARPORT SUMPS _ RAINWATER SYST HOW MANY FLOORS? TOTAL EXISTWG TOTAL PROPOSED TOTAL EMSTMG AND 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 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS Icomm«dal WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS CHANGE OF USE? DUCTS GAS PIPE OUTLETS NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? G o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? BATHTUBS J-Tub/sho—Comb,) SHOWERS WATER CLOSETS MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS _ RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (B-1--s;�,ks) VACUUM BREAKERS ELECTRIC WATER HEATERS _ 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 W as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claims which may 6e m e any person i lu the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the relian he c ijee(uding s fice and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE vVtStgn tur RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor Ute(% DATE (0 (Title) ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW o ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? Cl YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? ❑ YES o NO UP/SEPA/SU? ❑ YES o NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? o YES ❑ NO Plilletin # 100 — March 30, 2004 Page 2 of 4 k\14andoutS — Revised\Permit Application