05-104072 City of Federal Way Mechanical Permit #: 05 - 104072 - 00 - ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax•(253)835-2609 Inspection request line: (253) 835-3050
Project Name: FRED MEYER
Project Address: 33702 21ST SW p le, Parcel Number: 930100 0010
Project Description: Replace 5 existing refrigeration cases with new refrigeration cases in same location for merchandising
change.
Owner Applicant Contractor
TEXAS COMMERCE BANK NATON PORTLAND MECHANICAL CONTRS INC PORTLAND MECHANICAL CONTRS INC
33702 21ST AVE SW 2000 SE HANNA HARVESTER DR 2000 SE HANNA HARVESTER DR
FEDERAL WAY WA MILWAUKIE OR 97222 MILWAUKIE OR 97222
98023-7762 (503)656-7400
Mechanical Valuation .. 26500 Over the Counter Permit .. Yes
Mechanical Fixtures
Description 'Quantity , Description Quantity! Description Quantity
Refrigeration Systems 5
PERMIT EXPIRES February 18,2006.
Permit issued on August 22,2005
I hereby certify that the above information is correct and that the construction • the above described property and
the occupancy and the use will be in accordance with the laws,rules and -:illations of the State of Washington and
the City of Federal Way.
Owner or agent: — — Date: 2-_
• THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104072-00-ME
Owner:
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.
14 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By loW., Date • 5 By Date By Date
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08111/2005 16:29 5036566383 PORTLANDMECHANICAL PAGE 01/02
Federal Way ��rT
COMMUNI7YDEVELOPMENTSERVICES F�pERAL WAY sr MF CO(ME EL PL DE EN FP
33329 8'^ AVENUE SOIRN • PO FEDPRAL WAV, WA 977 971A p �, �� C,ATT U N ,r
2.59-836-2807 I'AX 293-A.311-2609
wunn.r-fhroll'edcralmrsu, mm
The ollowinq is muired information - an inowmi2lace a lieation will not be acre ted. Please iarint legibly(in in or
PROPERTY•
SITE ADDRESS ,3370 2 [:ST- Ayc-4u,-E 63 SUITE/UXXT M
ASSESSOR'S TAX/PARCEL # LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A—h .npnrnm plq,fr Mnprhy IM,j dc.r.Mhflnn/
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING V=CHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of Mork Included on this permit orthi
EL-t.Ae-L- 7Z4ts-Tr".)c: Q Co�bsys I -r14 rj anrr`s
A mrn-, e +A -,j A r a i wj r,- c R nA c;a
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
NAME PRIMARY PHONE
MAIIIN(: ADDRESS CITY, 5"T'A'IYL, 'LIP
COMPANY NAME
F0921i +-10mtsct�IcAt..
APPLICANT NAME
Z'�
O
OFFICE PHONE
(54 3) (05 (Q 7400
CELL FHONIi
(563) RiDi (e471
MAILING ADDRESS
2000 1A
CITY. STA'T'E. ZI
Ail 4i Q. 77-22-
CT'!Y OF PRDXRAI,. WAY BUBINESS LICENSE NUMBER ExPiRA,FoN DATTt
FAX NUMBER
CON'MACTLIR'9 HKOWMATTON NUMBER atopy of card req Bred with each application) MXPIRATION OA17t
1 1
COMPANY NAME
APPLICANT NAME
OM, CE PHONE
Ct1Y, STATS;, ZIP
MAILING ADDRI595
CELL PHONE
RELATIONSHm TO PROJECT //
ElArrIj.1tect 13 Tenant Agent. 4Cp%Kq946&-+(g+t
FAX NUMBRR
❑ Other (Describe)
( )
6-294 96 b 8,R
08/11/2005 16:29 5036566383 PORTLANDMECHANICAL PAGE 02/02
PROJECT .. AREA S
-
AREA DESCRIPTION
EXISTING
PROPOSED
'TOTAL
S . FT.
BASLTMit:NT
AIR HANDLING UNTTS
FIRST
GAS LOGS _
TirWRIG. SY57ZM5
BBQS
SECOND
ITOODS
WOODSTOVES
BOILERS _
THIRD
RANGES
MTSC (Detecrfhe)
COMPRESSORS
FOURTH
OAS WATER HEATERS
DUCTS
ADDITIONAL FLOORS (DESCRIBE)
PLUMING
DICK (COVERED?)
$A77iTT713$
GARAGE ❑ CARPORT ❑
WATER CLOSETS rrmletl _ _
MISC (Dcacribc)
13TS14WASHERS
NUMBER OF FLOORS
exrextNG
raoay.im
TOTAL
: ,.: "tara. aster
" :. rvau ruvwxleo
'"NEW HOM1S ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE �
Indicate number of each type of fixture to be installed or relocated =part of this project. Do not incLsdd existing,ftxtures to remain.,
t411tI AL
Value 2C0 �Clf� OQ
Value
ech .
of mechanical Work S
{
AIR HANDLING UNTTS
EVAPORATIVE COOLERS
GAS LOGS _
TirWRIG. SY57ZM5
BBQS
F'ANs
ITOODS
WOODSTOVES
BOILERS _
FIREPLAC1r LNBERTS
RANGES
MTSC (Detecrfhe)
COMPRESSORS
FURNACES
OAS WATER HEATERS
DUCTS
GAS PIPE oLmjrTS
PLUMING
$A77iTT713$
SHOWT;RS
WATER CLOSETS rrmletl _ _
MISC (Dcacribc)
13TS14WASHERS
SINKS
DRINTUNG FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
L.AVS
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cerr fy under penalty of perjury that the trlformatton furnished by me « trust and correct to the best of my knowledge, and further, that I
am authorised by the owner 4f the above premises to perform the work for which the pennit application is made, rAreher age— to hold
harmless the City of Federal wag as to any claim Including costs, expensas, and attorneys' fees incurred in the investigation and defense of
such clairril, which may be made by any penin, including the underYigned, and filed against the City of Federal Way, but only where Such claim
arises out of thereli ce of the ty, luding its Qglcers and empipyeea, upon the accuracy of the information supplied to the citas art
Qf
this application, y a y /
NAME/TITLE t IBJ" L DATE
f 91QrIPt ur /� (Title)
R LATIONs PROJECT o Owner n Agent s(Contractor o Architect: n Other_
,
Bulletin #100 — January 7, 2005 Page 2 ofd k\HandoLrts\Pcrmit Application