08-101145 t • . s y p
City'bfFederal Way Mechanical Permit #: 08-101145-00-ME
CommurYty Development Services
PO.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: Mechanical work to Perform miscellaneous HVAC demo and reinstall of new ductwork.
Owner Applicant Contractor
FRED MEYER INC SUNSET AIR INC(GENERAL) SUNSET AIR INC(GENERAL)
PO BOX 42121 5210 LACEY BLVD SE SUNSEA*220CM 2/3/10
PORTLAND WA 97242 LACEY WA 98503 5210 LACEY BLVD SE
LACEY WA 98503
i
Additional Permit Information
Mechanical Valuation 67700 Over the Counter Permit9 No
Mechanical Fixtures
IE Ducts 1 Fans 4 Hoods 2
PERMIT EXPIRES Wednesday, March 24, 2010
Permit Issued on Monday, March 24, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 02)
1571
•
• THIS CARD IS TOVIAIN ON-SITE
CITY OF „A. Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101145-00-ME
Owner: FRED MEYER INC
Address: 33702 21ST AVE SW
FEDERAL WAY, WA 98023-7762
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.
0 Mechanical Rough-in(4165) 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Gj Date 7- / 0.. d By Date By ,(.. Go-) Dates -�
•
•
For inspector reference only
Rough Electrical O FINAL-Electrical
Approved Approved •
By Date By Date
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The following r13 inco
1 " mplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
CITE ADDRESS r _ . \5 •V - 7 _ ,,. W- JJ e i'.0).--3 SSE/UNIT#
ASSESSOR'S TAX/PARCEL I 1 0 I C)Q - _o 0_ 1 0 LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
P1ead` kPee•NrIawdwhod d w1p W
• PROJECT INFORMATION
-TYPE OF PERMIT 0 BUILDING 0 PLUMBING 1(MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
rRc2-.v.1z0e nn�SGWJ5 bC--r\o 'c (1k..-.z.r-5 k,L_. 4(- Kr-k....d C7l.Jc-c•"1,9C r(--
PROJECT NAME(Name of Business or Owner Last Name) .GLC-O 1\1\C--1C-k....
• PEOPLE INFORMATION
+PROPERTY NAME O.
PRIMARY PHONE
OWNER �j n� ( ) -
170 A R + STA P 0 4����_ �y IL ADDRESS
? CONTRACTOR COMPANY NAME /� APPLICANT RAKE OFFICE PHONE �,C g
SOIslc-."C I'z Itl_ �,(15-4 -�cAN9G0-_ ge0)(.' -mob"sV
MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE
5�0 L.,.. 3�‘10 trAcr� \J/N a\\S(--5 (56o ) �)°\O -a,5\,"\
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER RATIO DATE FAX NUMBER
DC7-c�0-\02088-00 -\ L \-a.3\ (o) 5 -c�s3
CONTRACTOR'S REGISTRATION YOMEMR WIRATI DATE E-MAIL ADDRESS
6 0 N 5G Ac*-22_0CP'\ '1.\01'\\0 js� .Sv.P:ASO._.c- ^--
/ APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SV NEC-t t ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant 0 Agent a Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT -/'-C,5?) f jvprn(1)AN opz.n-S (z..o) 'fi(-3 - c\S\`tc .>-,-,.e'sv,f- rv-ct,cmc,
LENDER NAME Per RCW 19.27.095:
- •• , .,...r {S -, . Qproject onTue d846,000
NO •D•.-• CITY,ST .,ZIP • • .
) -
■ DETAILED BUILDING INreRMATION
EXISTING USE • • •POSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES ❑NO F I •- = . • •RESSION SYSTEM PROPOSED/REQUIRED? a YES ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN a i GHLINE a • ‘%• 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE SEPTIC
a PROJECT FLOOR AREAS
AREA DESC• 0• •N EXISTIN' PROPOSED TOTAL
+ r SQ. - . SQ.FT. SQ.FT.
" ' A.SEMLNT '
FIRST - •
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) /7
DECK(0 COVERED OR 0 UNCOVERED?) f
f
GARAGE 0 CARPORT 0 7
•
NUMBER OF FLOORS 1 7 r•wroso I TOTAL ' AL smmlo sr TOTAL PROTON=al TOTAL IP
•
**NEW HOMES ONLY"* NUMBS OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each •e• • =-.. •- , _ -d or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL • ..
Value of Media •,•I Work$ -..•tom Cpm (A COP •F BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
7
AIR HAND . ,i•►: - 7_� 1
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQSFANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS i. HOODS(caaad q
COMPRESSORS FURNACES RANGES •
I DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PL „�: i,it
THTUBS(.rTub/ ' LAVS(. ., . . . URI, MISC(Describe)
DI ASHE RAINW.- :R SYST V UUM B-- -
DRI UNTAINS S '' ERS ' ATER CLOS' w craws
ELECTRIC WATER HEATERS -INKS _ WASHING MACHI
HOSE BIBBS SUMPS
SIGNATURE
I oert(fy under penalty of perjury that I am the property owner or authorised agent of the property owner.I cert{ that to the best of my
knowledge,the information submitted in support o f this permit application is true and correct.I torts that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.!understand that the issuance ef this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, but only
where such claim arises out of the reit• , of the city,including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this appli j•
SIGNATURE: / �� DATE d '
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR tikTENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES IOW BASIC PLAN? o.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a'NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application