08-100859 e
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Ciof Mechanical Permit• 08-100859-00-ME
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P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
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Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW "14- r.. Parcel Number: 930100 0010
Project Description: Install new refrigerated cases in place of existing and new piping to three new cases.To
include demolishion of some of the existing cases to also include a new RTU.
Owner Applicant Contractor `
FRED MEYER INC. REFRIGERATION UNLIMITED INC REFRIGERATION UNLIMITED INC
PO BOX 42121 6515 43RD AVE CT NW REFRIUI011KS(10/19/08)
PORTLAND OR 97242 GIG HARBOR,WA 98335 6515 43RD AVE CT NW
GIG HARBOR,WA 98335
Additional Permit Information
Mechanical Valuation 125000 Over the Counter Permit? No
Mechanical Fixtures
Air Handling Units 1 Refrigeration Systems 6
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 will be =Or'.rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: . Date: 3/ZW/df
THIS CARD IS TO REMAIN ON-SITE
CITY OF 1111/11111 •ommunity Developmat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE #(253) 835-3050
• PERMIT#: 08-100859-00-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) •❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By . Date& (3_ 08
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
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3-8 A' JUE SOUTH•E 5gpy, l8_ ,� '3 / / f /OFFwA1cATI O N
FERE 5-_ A•FAX 253-835-260
www cu ,ffederalwau.com
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
2 • PROPERTY INFORMATION
SITE ADDRESS v3 2- 2 k/- AVE S ) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnpt on)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 1Fj MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
TA/64c II flew Inc- '(13enilea C'4fcs i,, eiccc ()4- c os't -7c4. 0:_e—,c, Sc.c/ rdnyc74Iref Ccscn 1-4s4
as re. Q.x,Sfl•tiy L / -A.uc.- )Z7v- �J
1ROJECT NAME(Name of Business or Owner Last Name) Fred_fle'l�r 11(
II PEOPLE INFORMATION
PROPERTY NAME �" a , # PRIMARY PHONE
Rai( /('(e`v,ei PO FO/ 4 u ZJZ 1 cit-- (1'03 ) -l3' -3�6
MAILING ADDRESS `� CrIXSTATE,ZIP ^ E-MAIL ADDRESS
38Oo S F 2214 4v� Pori-lc-4C) `
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Re yy. cr. 1;01 vil,M,ed D?c_ Sec -11%.C--PT (753 )914 -3/0c
MAILINADDRES CITY,STATE.ZIP CELL PHONE
9'/o 5 PJ-ck,{k r 'Tccon ,t.44 ?1 O9 ( �5) ) y6 J- - 336k
CITY OF FEDERAL 0IN DS LICENSE NUM)FSR— i V 1(49'70 EXPIRATION DATE FAX NUMBER ( - 'o3
` CONT 'S > RA ON NUMBER EXPIRATION DATE E-MAIL ADDRESS
R E FRSur o(/k s /U//o%$ SQ(•j-t', 1 Q2v-Inc-cuh
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
S'C_ 45 'or4(-4-‘1 c ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Soh (.ifrsc.1-I (2.53 ) WI,- - 396f s40"c1 C Qv—Inc.Ccr•
LENDER NAME • - •.27.095:
Lender info • ion is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ __VALUE OF PROPOSED WORK $ .
SPRINKLERED BUILDING? ❑ YES Z2 FIRE SUPPRESSION SYSTE PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PRO r i i 'R ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE P• % I ER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
III •
i • PROJECT FLOOR AREAS
f
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. • SQ.FT.
BASEMIT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL=STING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be ins y,-d• Ori ted as p of oject. Do not include existing fixtures to remain.
' 2' f
(� ,
•
MEC
o 7 hanical Work$ /ZS CO') `F A C 0 41.rF • !• I , MUST BE INCLUDED WITH APPLICATION)
........
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commeretal)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS — REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of 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 Wag 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 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.
SIGNATU• '• ��� '�- DATE 27/ loe
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO `
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o 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