08-103547 P.
. r .
• Mechanical Permits 08-103547-00-M ;[ rnt ?cervices
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: RITE AID#5186
Project Address: 2131 SW 336TH ST Parcel Number: 873217 0030
Project Description: Replacing(5)HVAC units like for like
Owner Applicant Contractor
RITE AID CORP C/O REAL ESTATE ACCT HUSSMANN CORPORATION HUSSMANN CORPORATION
PO BOX 3165 7625 S 180TH ST HUSSMC*134JZ(1/11/10)
HARRISBURG PA 17105 KENT WA 98032 7625 S 180TH ST
KENT WA 98032
Additional Permit Information
Mechanical Valuation 72000 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Air Handling Units 5
CONDITIONS:
wi
Subject to field- i 'on witho - lams._ -, _ -
d, = =}' , lye
cr `f -i 1y ;,�,,,t!' °+ , :;fit M „ 3
PERMIT EXPIRES Tuesday, January 20, 2009 id
Permit Issued on Thursday, July 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 in accordance with the laws, rules and regulations of the State of Washington
/ ' hand the City of Federal Way.
Owner or agent: ( 1`�/`�,e,�' '�"„t, • Date: 2-fro 8
THIS CARD IS TO MAIN ON-SITE
CITY OF PommunitY P t p Develo m Ins ection`Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103547-00-ME
Owner: RITE AID CORP C/O REAL ESTATE ACCT
Address: 2131 SW 336TH ST
FEDERAL WAY, WA 98023-2847
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 Date By Date By C..
J Date/p
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
- i
low V )
1� � •
crry of A. . �+� 4""
7i, O s _ 1 0 5 7
Federal way Ri\PLO' MIT Ptia'3i/
COMMUNITY DEVELOPMENT SERVI S OF CEDE' SF MF CO IE EL PL DE EN FP
33315 8T"AVENUE SOUTH.P � c P p L I CATION TD /�/ /
FEDERAL WAY.WA 980 *
253-835-2607•FAX 253-835-2609
uv it i nyatTE toalle l;'<'nt
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS.` 2.,CS I 5 0 336" Sr �GGI✓t ( 0....i SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - - LOT SIZE(sf1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnptlonl
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ,1310 ECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTIO ',t
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
e?.. p/u.•� s go4c__ U, is I k� 6)' lac.0_
PROJECT NAME(Name of Business or Owner Last Name) fR,'k__ A'J 5786
`II PEOPLE INFORMATION /�
PROPERTY NAME s� Y�4.11 1,0-1.04,
;yea f' CZ eD k MARY PHONE
OWNER -Age,'tsoi5 1n c. . V-1.0 , 31 , f��,4 ter 'Oti�f�j ill (208 )34S -0.00
MAILING ADDRESS CITY,STATE.ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPCANT NAME OFFICE PHONE
1'1AS"1iVIA C-r.,. - r .,1 S,>c,C (j ) .9l - 39oo
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
742%3 S. l§oth Sr L. - i,Js- 9803.2_ (Ao6) 2SS - OY6 q
CITY OF FEDERAL WAY BU INESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2b'06'ib560I-60^ 3L. (2-3/'x008 (1121-1 Ail - `Ixes-
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
(COi 14055ill L j t3`lSZ I//(/Aolfl
APPLICANT COMPANY NAME APPLICANT NAME L OFFICE PHONE
h.,.
NUss. . .., ' I-...J A
l Sal ./• (`r2rT 29( - 39.56
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
?`).3 S . 18t7)'4 Sr 14w7"-L,A4 9803 L (206 ) 9155-- ay61
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect ❑Tenant 0 Agent "(Other l✓I$fa 14,-- (ii211 so, -caos-
PROJECT N PRIMARY PHONE E-MAIL ADDRESS
CONTACT 1 au 1 �a.lr.t.; (2o6) aS• - oy6 9
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
.,F • DETAILED BUILDING INFORMATION
EXISTING USE R*.-t...I PROPOSED USE R....
-v
�eDr
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WO $ r�vlA.1.,da
SPRINKLERED BUILDING? ,2(-YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES GYNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
•
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXIST/NG SF TOTAL PROPOSEDSF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ 11 o �(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
10 oAO.D —
5 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS)Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sink.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSNab(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 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 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.
SIGNATURE: I �.../( • DATE 7 3-os
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW c ADDITION o ALTERATION c REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES n NO BASIC PLAN? n YES r NO
ZONING DESIGNATION CHANGE OF USE? o YES c NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES c NO
PLATTED LOT? 3 YES !i NO DEMO PERMIT REQUIRED? o YES c NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application