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09-100995 • Mechanical City of Federal Way CommunityP.O.DevelopmBox9718ent Services Permit #: 09-100995-00-ME Federal Way,WA 98063-9718 Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: SAFEWAY #3501 Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020 Project Description: Installation of new refrigerated cases,& rooftop condensing units. Owner Applicant Contractor SAFEWAY INC STORE 3501 REFRIGERATION UNLIMITED INC REFRIGERATION UNLIMITED INC 1371 OAKLAND BLVD UNIT 200 5440 S PROCTOR REFRIUI011KS(10/19/10) WALNUT CREEK CA 94596-8408 TACOMA WA 98409 5440 S PROCTOR TACOMA WA 98409 w ... Additional Permit Info , , .. Mechanical Valuation 169482.00 Is this an Online or O.T.C.application? Yes Ieoheti7+~al1=iyCtures Comp . ors/Heat Pumps . 5 Refrigeration Systems 12 CONDITIONS: Per FW C"g441,1Z960,mecbstkal its,penthouses or equip nt that,Upends above f e mus be surrounded II solid sight-o acuringtiscreen t meets theIollt ingt rit Ia: �a)Thesct"een->Itg, t l integrated into the architecturof the lFding.-'10 The sohHurst obscure the view of the appurtenances from adjacent streets and properties. mak PERMIT EXPIRES Tuesday, March 9, 2010 Permit Issued on Thursday, September 10, 2009 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, rulesregulations of the State of Washington and the City of Federal W Owner or agent: SES 1 Z003 Date: E I N u. i1 it(d f THIS CARD IS T MAIN ON-SITE Federal WayConstruction Inspection Record 4 ' ' INSPECTION REQUESTS: (253)835-3050 PERMIT#: 09-100995-00-ME Address: 2109 SW 336TH ST Owner: SAFEWAY INC STORE 3501 FEDERAL WAY, WA 98023-2847 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 Date By .L/ Date �/ /9 `O 'By -G/Date /y/ t61. ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date N _. "*"4: N :: ; ' � 4 rfiO 7c1 7 cs. § e 2 N N. "' ro re S 4 o (11n N) H k\ is O 1 II CI FCE VE[ P.7is � �� Federal ay PERMIT COMMUNITYDEVELOPmEVTP�AFagr s 6 1(,(� SF MF CO( E)L PL DE EN FP 3332FE'TMR LWA SWATH• 7 APPLICATION � FEDERAL WAY,WA 98063-9718 1'� / / 253-835-2607•FAX 253-835-2609 WWWtt FEDERAL WAY The following is reqs Formation-an incomplete application will not be accepted. Please print legibly(in ink)or type. //� �/ • PROPERTY INFORMATION / SITE ADDRESS_ - CY? S kJ 3,_."C -' .S 3 C PG F SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 8--7 -3 2- / 7.- c 0 3 0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal descnption) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING K(MECHANICAL 0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide del-oiled description of work included on this permit onlu) -1--0-- /I ✓ Li (C-7(� 1cets ' Y C41cS1 )Cu fog;.+foe Ce?htStp,ets, PROJECT NAME(Name of Business or Owner Last Name) Sal jL u4 . 177 c 3379/ • PEOPLE INFORMATION PROPERTY NAMES a PRIMARY PHONE OWNER ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTRACTOR CkM,PANY NAME APPLICANT NAME OFFICE PHONE CeS( i'c4i(n LAP)1, l'ic Se'_tM Pk{(ic-* (Zi3 ) '7'L/ -;3ivc MAILING RF-SS CITY,STATE,ZIP CELL PHONE jr...071(� 3-WO S Pro L40c jAcc'tiu,v24, 9Y-lcy Cs'-? )'t ' - 3 k CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER l9-9? IO369-i -G©—.Ri- (2S2 ) /3�l � ,Y CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS REFRic; c(//i EXPIRATION DATE iG/ls//0 FAX NUMBER SPCdr,'Ck c41, r,c (o.., APPLICANT COMPgIVY N QM$,�.- APPLICANT NAME OFFICE PHONE lV� ( ) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑Tenant ❑Agent 0 Other ( ) - PROJECTNAME � `RIMARY; ONE E-MAIL ADDRESS CONTACT ( ) LENDER NAME Per RCW 19.27.095: Lender information 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 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) S41011 A PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING 11 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 EXISTING SF TOTAL PROPOSED SF 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 inclltriP existing fixtures to remain. MECHANICAL Value of Mechanical Work$16Y, 4'/4 L. 00 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATIOM AIR HANDLING UNITS I L EVAPORATIVE COOLERS GAS PIPE OUTLETS _ WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS)Commercial) S COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS or Tub/Shower Combo) LAVS(Bathroom Sulks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSEIJ rronet) 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 applic ' n. SIGNATURE:- DATE J/cI/CI 9' Property Owner and/or Authorized Agent FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR X6ENANT IMPROVEMENT BUILDING SHELL ONLY? o YES eNO BASIC PLAN? o YES 4NO ZONING DESIGNATION r CHANGE OF USE? o YES pro NEW ADDRESS REQUIRED? ❑YES O UP/SEPA/SU? o YES 5411TO PLATTED LOT? o YES 00 DEMO PERMIT REQUIRED? o YES d'biO Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application