97-101173CITY CIF F E 1)ERAL WAYM FERMI T NO: MEC97--0122
33.530 r-ir-<;f Way South CURAN :�:.L. ERHI.T. ISSOLI): 04/04/97
FP(Jer�al Way, WA 98003 tiW14Ji.nq Ing.-,K)et-t:ion RO(ILIeSts -41.40 in,: FC2
661-4000 EXPIRES: 09/30/91
ADDRESS:32073 PACIFIC t-IWY S
NO.: 1.500507-01.10
rROJE:CT DFSCR I PT ION" INSTALLING REFRIGERATION EQUIPMENT
OWNERa.Qoz>a.4... ........IDtltO::i.x =—R .........
TRADER JOE`S
32065 PACIFIC NNY S
FEDERAL NAY NA 98003
i
1�
—mma .-Aid
tts CONIRAC
CONTRACTOR-- .............. ����x���paR�xQ���,, p�ros�R LENDER — ...................... =......-----------
SCOTTPOLAR REFRIGERATION
1321 S SNANER RD A
SALT LAKE UT 86106
833-9300
31'�R.i.AgLQClb YfSGA.kAOtiAq CiCYR.'fIDSRffi.Z'3:::4.flC{x.^. YT ' F -Q �4o•6:iYAit:x RSv�bd^..cAF2•pC mxx�"L W1G StiiTR 6YRY01 i0 :'QC Na+RR91SSCTiR::.'.::R: Y'S:-'R�
SALES TAX FOR PROJECTS MIIMIN Iff CITY OF FEDERAL NAY. TAX (LATE = 8.25 to
.3—....0.m.......s.....=..•r_.... a.sxnaastxxa...=-- ....Q: �wr:-:x=..s ,..,••.. ':j
�. $: R. S't1't.'SLP.iSix4-Gi�2W2ii 16:2 pGffiyR I,G,::SL1L`RRR'i'SRL: C. Y:L«6ly a^210.".:Ci�[.ti tIOQRRRiCYS-xQx3CS.uws iC6S:tliFiWLW+iHQwARC2�p68PMt6t�;ffiC:xQeR561 M`RG72tRRSCRi01Y'�Li:S1lSR�.AS3CRA:L.V:9L%:Aif.2l'.QRiR9CC.:::i:ffi1P•.":ZS6CRa�iCGi:: J:qT=:=:.: �:�X.^�L`�le
Does the water supply system contain a Pressure Reduction Devic Check valve? f1 Yes (} No (If "Yes' then water Fxpaneion tank is required on Not Nater Tank)
Inspection Record Nater tine OK „ _ Mechanic Inspection Nota AA, Air1� �� G ' 0'e-
GAS PIPING OK _..___.._.,.. Date L__._ 8y
PIRM IS EXPIRE 180 DAYS AFTER ISSUAIICE IF NO NtN I IS STARIEftoji
I CERTIFY INE INFINt 11ON FURNISUp 8Y rot I ]Rut AND CORRECT
. r i
OWNER OR AGENT ----
r,.
VIAL 'w 6:9ADING PtRIIIIS EXPIAt ONE YEAR AFILR Doll 4 I';SUANCE-
VfS1 Ot MY KW)NtEDU AN TME APPLICAMLL CITY Of FLDlhAt NAY PIQUIRLAINTS WILL BE MET.
FIELD COPY
-
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
Building Inspection Requests 661-41.40
ADDRESS:32073 PACIFIC HWY S
NO.: 150050--0110
PROJECT DESCRIPTION: INSTALLING REFRIGERATION EQUIPMENT
OWNER
TRADER JOE'S
32065 PACIFIC HWY S
FEDERAL WAY WA 98003
= CONTRACTOR
SCOTTPOLAR REFRIGERATION
1321 S SWANER RD A
SALT LAKE UT 84104
833-9300
SCOTTC*135D7
LENDER
PERMIT NO: MEC97-0122
ISSUED: 04/04/97
BY: FC2
EXPIRES: 09/30/97
-------------------------------------.------------------------------------------------------------------.-----------------------------------
Sts CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.25 M
PROJECT VALUATION
FUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT....: 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER-: 0
RANGE......: 0
GAS LOGS...: 0
25000
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K.....: 0
MISC........... 0
AIR HANDLING UNITS
<=10,000 CFM: 0
> 10,000 CFM: 0
BOILERS/COMPRESSORS
0-3 HP....... 4
3-15 HP.....: 4
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
FEES:
Mechanical Permit* $ 252.00
MEC PRMT ISSUANCE... $ 20.00
TOTAL FEES
$ 272.00
Does the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If "Yes" then water expansion tank is required on Not Water Tank)
Inspection Record Water Line OK
GAS PIPING OK
Mechanical Inspection Notes:
Date ------ By ------
PERMITS EXPIRE 180 DAYS AFTER ISSUA IF NO,=K IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THE INFORMATION FURNISH BY ME I TRITE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CI OF FEDERAL MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT-- -- -------------------------------------------- DATE - -r ,• -
FILE COPY
CrrY OF �®
VV FD
APPLICATION FOR MECHANICAL PERMIT
PARCEL #
SITE LOCATION
Tenant/Owner
Address/City/State/Zip
Nature of Work
APPI 1r'ANT
Name
Addre:
n
BUII.DING DMSION
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 661A129
MEC � 7- e'l Z7i.
Single Family ❑ Multi -Family ❑ Commercial Pr
otel 3
Phone
C -h
S
Project Valuation: $, � j
Contact Person 6` - f `�� � r �`'� Phone 1 ��S-S fJ �`'�� Fax
MECHANICAL CONTRACTOR
Company Name
,�f,
Contact Person s /A / �� ��� �l %� Phone' L- ' Fax
State L & I Contractor Registration # ` C 0 -7- 7—C :J Z L D Exp. Date
(Card must be presented)
MECHANICAL UNIT COUNT
Fuel Type as/other
Gas Dryer
Air Handling
< = 10 000cftn
Fuel Tanks:
Length of gas piping
Range
Air Handlin
> = 10 000cfm
Above Ground
Furn <100K BTiPs
GasLog
Unit Heater
Underground
Furn >100K BTUs
Fans
Boiler
BTU/H
Miscellaileous
Gas Hwt
I Hood
Boiler
BTU/H
Other
Conv Burner
Duct Work
A/C
TONS
Other
DISCLAIMER: 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 prrntixs to perform the work
for which permit application is made. I f rther agree to save harmless the City of Federal Way m to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim), which may be
made by any person, including the enders ed, and filed against the City of Federay 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 r
app hon
}
Owner/Agent
MEca.AEP
REvrsm 12111/96
Date