02-104997W
city of FeDWay Mechanical Permit #: 02 - 10499 i - 00 - ME
Ccmmimity Development
opment Services \
33530 Ist Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: WINCO FOODS
Project Address: 160 SW CAMPUS D/' Parcel Number: 415920 0710
Project Description: MEC - Remove existing frozen food cases and replace with new in same location.
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..........................................15000 Over the Counter Permit ... .................................. Yes
_-_— D_escriptiorr x QuariEi ""`
Ref i,eration Systems ----� 4
Mechanical Fixtures
CONDITIONS:
Subject to 'field inspection. Electrical permit required.
PERMIT EXPIRES May 11, 2003, IF NO WORK; IS STARTED.
Permit issued on November 12, 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 aeent: _f- Date: / Z
dA,-
< < DMe r.
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CONSTRUCTION PERMIT APPLICATION
RECEIVED APPLICATION NUMBER: U _ - 1014 -
- E
APPLICATION NUMBER: - -
-- ------ --
NOV 1 2 2007 APPLICATION NUMBER: - -
**The f�5igd(ii���e FFiTTnation - Please print (in ink) or type**
Please note: Electrical, Fire Prevention�yDsfePrtiS and Engineering permits may require a separate application.
l C Q O.ERTY O.
MATION
SITE ADDRESS: S 1 b Q , a N mpa + ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT• •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING CKMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
C. Q qzc .'V '� IrC 01 G CS` 1 PJ '% k\^ V1
PROJECT NAME:
PEOPLE. •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: ` DAYTIME PHONE:
whco (2S3)�31 - ��og
MAILING ADDRESS (STREET ADDRESS; CrrY, STATE, ZIP):
CV�"Vis R• Vr-1 Waw V\4- q� d �3
NAME:
DAYTIME PHONE:
U S3) z. I - z 4,i
MAILING ADDRESS (STREET ADDRESS; ,
.ATE, ZIP):i,
I
88441
EVENING PHONE:
( )
02 c20�
u>r
Vv>�,
SArne,
CTTY OF FEDERAL WAY BUSINESS LIC E NUMBER: j
_ _ _ _
_ - _ _
FAX NUMBER:
(z53) U3
CONTRACTOR'S REGISTRATION NUMBER:
(� �o
S Q i q
c
EXPIRATION DATE
/ O3
(copy of Card required)
_r• 7I
`
1
NAME: _ DAYTIME PHONE:
+ I J, �a�r S c (253) z61 -,Z V�
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
qo2 *20(. Xjhku-
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ® OTHER ( DESCRIBE): N G 0,_ Q 5 3) 03
3
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 19
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: '$-' CO
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)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
EVAPORATIVE COOLER(S)
GAS LOGS)_
REFRIG. SYSTEM(S)
FIRST
FAN(S)
HOOD(S)
WOODSTOVE(S)
SECOND
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
THIRD
FURNACE(S)
FOURTH
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
OTHER FLOORS (DESCRIBE)
PLUMBING
DECK
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
GARAGE
HOW MANY FLOORS?
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
TOTAL:
SHOWER(S)
WASH MACHINE OUTLET
Indicate number of each type of fixture
MECHANICAL
]TSCLATMER%STGNATHRE RLC
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 daim (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.
NAM E/TITLE: t1VV\ (I AAA4 &UC.A 41AY
❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.cR)roffedeo1way com
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOGS)_
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
RANGE(S)
MISC. ( )
J_ 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)
RAIN WATER 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)
]TSCLATMER%STGNATHRE RLC
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 daim (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.
NAM E/TITLE: t1VV\ (I AAA4 &UC.A 41AY
❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR
DATE:
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4000 • FAX: 253-661-4129
www.cR)roffedeo1way com