09-103561 - • • . Plumbing
City of Federal Way + Q r A
Community Development Services q :. Permit #: 09-103561-00-PL
P.O.Box 9718 1_7 F
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609! ' t Inspection Request Line: (253) 835-3050
Project Name: SAFEWAY
Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020
Project Description: Plumbing fixtures for store remodel
Owner Applicant Contractor
SAFEWAY INC STORE 3501 BUSH PLUMBING&MECHANICAL INC. BUSH PLUMBING&MECHANICAL INC.
1371 OAKLAND BLVD UNIT 200 PO BOX 375 BUSHPM1077JA(4/1/10)
WALNUT CREEK CA 94596-8408 OLYMPIA WA 98540 PO BOX 375
OLYMPIA WA 98540
tr Plumbing Fixtures
. i 's
Drains 14 Lavatories 6 Other Plumbing Fixtures 1
Sinks 1
PERMIT EXPIRES Sunday, March 14, 2010
Permit Issued on Tuesday, September 15, 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, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent` ' Date: "`llL7
PiPIM.1. c,fz + td
THIS CARD IS TO REMAIN ON-SITE
CITYIF • • Construction In ction Record .
FedINSPECTION RE UESTS: 253 835-3050
Way Q ( )
PERMIT #: 09-103561-00-PL 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 Plumbing Groundwork(4190) ❑ Rough Plumbing(4230) -0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By �,v� Date `/`�/"/ By Date
0 Final-Plumbing(4075)
Approved
By 1 Date Oth
F
. ;
0 Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
0
0
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Federal Way PERMIT SF MF CO ME EL 410 E EN FP
COMMUIY17YDEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253.835.2609
www,citwitedendwau.com
SITE ADDRESS T
(X.
SUITE/UNIT• ZONING ASSESSOR'S TAX/PARCEL P EP 1 5 C 0,s1
NAME OF PROJECT CDS
(Tenant or Homeowner Name)
A
❑BUILDING PLUMBING 0 . i y HANICAL
TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
ag' ` a .
PROJECT DESCRIPTION 1F
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER < i ( ) -
MAILING ADDRESS,CITY,STA ' E-MAIL
OWNER IS ALSO: 0 Yr; : •Y • : w r r; • a'.ry
NAME PRIMARY PHONE
CONTRACTOR °C) . IMERMINI
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 1
NAME PRIMARY PHONE
APPLICANT ` • t -
MAILING ADDRESS,CITY,STATE,ZIP
11111/11111111111.
PROJECT CONTACT NAME/ / PRIMARY PHONE
(The individual to receive and -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP
concerning this application)
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING N '
•
i OWNER-F NAINCED
Required for projects with `#�-
value of$5,000 or more MAILING ADDRESS,CITY,STATE, I PRIMARY PHONE
(RCW 19.27.095)
I certify ander penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city,but only where h c - arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp•r- ci a part of this application.
SIGNATURE: DATE E- 1"I.L G
PRINT NAME: M k
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Pennit Application
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Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or -located as part of this project. Do not include existing fixtures to remain.
4 AIR HANDLING " FANS GAS • 0 ' 1 OTHER(Describe)
AIR CONDI Y•NER FP • CE INSERTS - :•DS(comma ci.i
BOILE RNACES HOT WATER TANKS
•• SSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or elocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Slower combo) TA LAVS(Hand Smlce( TOILETS WATER PIPING
}4 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)- ��
H�1 DRAINS(e Q (_ SHOWERS VACUUM BREAKERS tal?
DRINKING FOUNTAINS SINKS(ltitebe./Utalry) ' WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES 'ZZ FQ1'X7
�y n <a
17 � • .
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
q{ F g k''' % aN '° cr y' l AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
i
Shy'%, 4gi
FIRST FLOOR(or Mobile Home)
44g0,10*V-$1kft1115 glen3
top*Hi iv
COVERED ENTRY
GARAGE 0 CARPORT 0
A11181,3 43 i
A° 3
Ihiilifgo,641MMililigitelleggigetairiggn202011111EggiiiliNillagEMSOR
i , a
aunsu " TOTAL Totals
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
•a� m�y Y# ;1Y:' 4 max'(`' #' ,y Irl.
..A 449 4/4,4o «. r
AREA DESCRIPTION Construction #of
Wigan
Occupancy Group(s) Additional Information
/.e Stories
3- - wu 3
i>n..# .,,l'i.;�, x: !. ' P k iI.ria
ADDITION
AREA DESCRIPTION Occupancy Group(s) #of Additional Information
stories
i .! 540,5 a:h«a'. g,. i i IE �
cr
( .,'!I,.,�3 .:y{1.a "E s. ; I 11.vvi 3ie,ir Ii �1.. 0k4rAo
�i�br .3 �,.,� xi ��»'�7 �h... �i �hagoiou
TENANT AREA ONLY
,Mrs. 1 a i ra-t 7 Uri ,'�° t 001t
u k s
� i r (3 tri 2 u
� ..
Bulletin#100—4/17/2009 Page 2 of 4 k:\I-landouts\Pemlit Application