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12-101966j City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: FRED MEYER SUITE C - LANDLORD WORK Project Address: 33702 21ST AVE SW Suite C Project Description: Add gas piping to tenant space. Owner FRED MEYER INC PO BOX 42121 PORTLAND OR 97242 PERMIT I hereby certify that the above infor the occupancy and the use will be Owner or agent: and ap lia cant PLUMBING PRO'S LLC PO BOX 188 BUCKLEY WA 98321 nal Pen nical Fix qw. In Wchanical Permit #: 12 -101966 -00 -ME Inspection Request Line: (253) 835-3050 Parcel Number: -930100 0010 XPOr PRO'S LLC PL 10/13/12) 8 BUCA 98321 n foirmation T Is this an Online o C. application?.................Yes 19 that the o the laws, ru r of Federal the above described property and tions of the State of Washington Date: S" y f >— CITY OF 4WO& Federal Way PERMIT #: TRIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 12 -101966 -00 -ME Address: 33702 21ST AVE SW Suite C Project: FRED MEYER INC FEDERAL WAY, WA 98023 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 appropri t� e. 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. �_q`r`, going inspections are logged on the back of this card. Mechanical Rough -in (4165)El Gas Piping (41 Final Electrical Approved Final - Mechanical (4065) 1:1Approved Approved By Approved to release test Approved By nF Date _ 1, 12,_ By Date 5. 7— By Date Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date L 04/30/2012 17:09 3608296505 PLUMBING PROS PAGE 01/02 mak E C EqV n; Z:;z& 0 CL - C' 0 Federal Way�AY o �� PERMIT of Co����n� ,A��.25"3 260.9 ' CATION r�P �'�a�ao 2D: m ;.7.907• FAX 253-838�2Rh9 F E D E R 001 0 mer u2 .c 1 to t lS ADDRESS 0� 15 � AWMI �t�(2 , UNIT 6 PROJECT V DA7'IOIY iONINO ASBEBSOR'a IAI(/PARCBt, fl Tn'E OF PERbUT n DUILDINQ CI PI. NauNQ CHANICAL NAME OF PROJECT El DEMOIITION 0 ENGINEERING ❑ FLRE PREVENTION 171?rrant Name/1-lomeowner i,ast ]Name_) , N o%wo f C PROJECT DESCRRI M01V Detailed d€scrlpiion of uyork to be included on t]ILc pemett only PROPERTY OWNER NAbfa n PMMART PHONE MAHMO ADARRS t JJ ox �0 Ll" E•fNnif. CAW To! ztP � j U !� C PRONE CONTRACTOR 6fAfLYNq ADDRE9A -7CO ✓� MAO. 8� Z@ VAX WA A R CONTRACTOR'8 fdCERl91C q AF'A' "an"TION hATE 12-1MDERAL WAY AV M99 LWXNH.6 g N,Atuf6 APPLICANT AD x U's L4- PE[ONR ATA E xlff' FAX PROJECT CONTACTPROM YQAAIP" , Mie tndtutdual Ip rid reoetue g respond to all correspondence M�n9O ^�D � ( f concem(ng tats application) fbMO� j cmr JA Ct AI MMM47C ATnTTs �/ PAX CONTACT NANR: PHONE fLMAn. PROJECT NAME fzrg4(red value of $5,000 or mnrc ❑ OWNER-Lrotmcm (RCW !8.7,7,085) MARINO ADDkR038, CM, FITATE, MP MONS I rert(fli under penalty of perjury that t am the property owner or authorized agent of the property vomer. I certM that to the brit of my [c�otvledve, the information Submitted in support of this permit application is true and correct. ! all applicable City of Feral Way regulations part01ining to the work authortand by the i¢euance o a� that 7 wilt cpmpty with imuance of this permit does not remove the owner's Yespornsibili or f permit. I understand that the. construction or environmental laws. V f Compliance with 100011, state, or federal laws regglating )further agree to hold ha le�q the City OfFederal Way as to any claim (including costs, expenmo, and attorneys' fees incurred [n the lAw4tigation and of Such claim,), which may be made by but only what . such Claim arts" out of the retlance the cityally person, including the unBeralgnod, and fated against the city, Wormation supplied to aS a part of the application. including its officers and employees, upon the accuracy of the !SIGNATURE: /�� DATE 3 ) 2— PRINT NAND; y, /�/ _ � � _ . ,.� _ , 13ulletin 4100-.JanuaTy 1., 2011 Page 1 of 3 k:\Handoutn\Permit Application 04/30/2012 17:09 3608296505 0 VALEM OF AftCU" Indicate how many meat AIR HANDLING UNITS AIR CONDMONER BOILERS COMPRESSORS Indicahe how many of each tye-e BATHTUBS tnrT b/senu�r Cnmlxy DISHWASH KRS DRAINS DRTNKLNG FOUNTAINS _ HOSr;..13J13T3S CRfl7CAL ARFAfi ON PROPERTY? IM14TWG/PRMOU9 ME PLUMBING PROS [VoRR r U —_pH Qj m or estimate must berow Ufa f i7xtju*e to be insta.Gled or relocoted ae art of lhis r eeL DO not include FANS GAS PIPE O",ETS FIREPLACE INSEIt M HOODS fcemmnminp FURNACES HOT WATER TANKS fano) GAS LOG STeTS RZFRTGrRATION SXST GAS PIPING WOODSTOVES �t%eture 1p bP t ia)ted N PAGE 02/02 ti-lxtures to remain. OTHER (Afacrtbc) ns or I'e— as part of thLe pTject Do not include Atonna 51nexisting Jixtures to L ematn. RAINWA] R SXSTEMS — TOILETS WATER PIPING URINAL R OTHF,R (Dcardbe) SHOWERS VACCTVM BREAxFRS SINKS flt to=/Ulm v) WATER HEATs..RS (jq SUMPS WA$MNG MACHINES MR PURVEYOR SEWNR PURVEYOR VALVU OF Wa6TVM n WPPR.O MMF.NTfi BF/.R Ofa Sgau� Foetl ESIt3T 40 FIRE OrRtNELRR f3YA7'.t m? PROPOSED RRR 0Urr iWgION MTRM? ❑ Yes n No 0 Yes 0 No Bulletin #100 - January 1, 2o I Page 2 of 3 k_\)-landouts\Pcrmit Application