12-102925 f + • • r
Mechanical
Cay
Comm nicety&Econ.ofral Dev.Senricestim Permit #: 1 2-102925-00-M E
33325 8th Ave S
Federal Way,WA 96003 Ins ection Re uest Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p 4
Project Name: BEVERAGE AND SMOKE SHOP
Project Address: 2140 SW 336TH ST Suite A2 Parcel Number: 132103 9097
Project Description: Install new walk-in cooler refrigeration system
Owner Applicant Contractor
BILLY&JOANIE DINSDALE ALL COMMERCIAL REFRIGERATION ALL COMMERCIAL REFRIGERATION
13700 SE 266TH ST 34402 38TH AVE S ALLCOCR958M6(7/26/13)
KENT WA 98042 AUBURN WA 98001 34402 38TH AVE S
AUBURN WA 98001
Additional Permit Information
Mechanical Valuation 26700 Is this an Online or O.T.C.application Yes
Mechanical Fixtures
Refrigeration Systems 1
PERMIT EXPIRES Sunday, December 23, 2012
Permit Issued on Tuesday, June 26, 2012
I hereby certify that the above inforl ation is correct and that the construction on the above described property and
the occupancy and the use wil •- in acc rdance with the laws, rules and regulations of the State of Washington
and the City of F deral Way. l
Owner or agent: � � Date: CJ ` /4>
7 t
THIS CARD IS TO MAIN ON-SITE - ,
cirr or 401111 0 Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-102925-00-ME Address: 2140 SW 336TH ST Suite A2
Project: BILLY & JOANIE DINSDALE 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 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) El Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By. S Date 17_ 2 r.7_ (Z) By 1 CS Date ?'- Z?-(Z . By 0_5€5,3 Date .1._ 3U_I.L.
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
� ARECEIVED �•� - l � � � ��
CITY
Federal Way PERMIT •MF CC�ME� PL DE EN FP
COMMUNITY DEVELOPMENT SERV 26 201A P P L I C A T I O N
253-835-2607•FAX 253-835-2609
.17 WWII'r tgoffrderata morn
CITY OF FEDERAL WAY -cl'
CDS
SITE ADDRESS 3 SUITE/UNIT#
PROJ271 ECT 0 VALUATION ZONING3 4-H SASSESSOR'S TAX/PARCEL#
$ , an Zee.. I Z I 0 3 - 9o 97
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) vev�� D k� A-o p
.".1 s1 f�91,IofPROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
PHONE
NAS,4?1 ex .-m..arrJ0 p -z o91 -d-.3—d .).-- 10
MAILINGADDRESS E-MAIL
CONTRACTOR /1,t0 a— 3 e-t V eg— S
CITY STATE ZIP FAX
A-ubuY'.,-, -AI* q?v
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Si
/ /
NAME PHONE
,4-1I C'vmrh-1,P Bled 1Qer-'f- . ti6..
APPLICANT MAILING ADDRESS E-MAIL
9?V4101— 7Am' A-Yz- S
CITY STATE ZIP FAX
1VI b Lt Y', 4 cM )
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27-095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t ty as a part f this applic on.
SIGNATURE: DATE 6.-- I..)-- _
PRINT NAME: h, 1) 5'-ei:.
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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