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09-103803 • s s M • Mechanical t City of Federal Way Community Development Services Permit #: 09-103803-00-ME 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: SAFEWAY #3501 Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020 Project Description: Installation of rooftop A/C unit,exhaust fan and ductwork. Owner Applicant Contractor • SAFEWAY INC STORE 3501 AIR MOTION INC AIR MOTION INC . 1371 OAKLAND BLVD UNIT 200 5624 128TH ST E AIRMOI*077PM(10/23/11) WALNUT CREEK CA 94596-8408 PUYALLl1P WA 98373 5624 128TH ST E PUYALLUP WA 98373 r A itiional Permit Info Mechanical Valuation 63000 Is this an Online or O.T.C. application? No Mechanical Fixtures $SV , ,, fir.. Ducting ,..., 1 Fans,.., 1 Roof Top Units 1 PERMIT EXPIRES Saturday, April 3, 2010 Permit I uecdo l Monday,- c r 1 "�9 , I hereby CettitY that the above information is co t and that the construction o the above` crit �rl td 4' the occupancy a 1`d"the use will be in 4' anc the�;,rui and regulations of the tate , a ,7' -- _� and the City of Federal Way. Owner or age . - = Date:/r/S/07 4- A/`r. sz 11 /3//9 THIS CARD 1S TO AIN ON-SITE CITY OF • , Construction Ins ction Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 09-103803-00-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) ❑ Gas Piping(4125) ❑ Final-Mechanical (4065) Approved Approved to release test Approved By /tit_. Date 09/$77 `By/�f Date / /3/Q7 'By( Date I,.1,..._c 3_46 , El Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date [v d � r b 4 Q 1111 tre t .- - PERMIT SF MF CO ME L FL DE EN co .DB S P 30 zoAPPLICATION 253-835-2609•FAX 253-8351609 / 0 7_ www.dh othde alwaucw• SITE ADDRESS ai ©c 5-w 33c 51_ sunsE/UNIT• ZONING ASSESSOR'S TAX/PARCEL t NAME OF PROJECT (Tenant or Homeowner Name) c )/1 f ❑BUILDING 0 PLUMBING tl,MECHANICAL TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION Rernct v f- 6x- S /'QCer 51'012,_ PRDetOJECd T cription oRIIPTION f work to I9 Agll .,:�►Mi M`.��► i ffJll � be included on this permit only / NAME PRIMARY PHONE PROPERTY OWNER 5 A " ( ' ( ) - MAILLING ADDRESS,CITY, ATE,ZIP E-MAIL OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT NAME PRIMARY PHONE /4-1K ill a on) >ti'L.. C- 7a► MAILING ADDRESS,CITY,STATE,ZIP FAX CONTRACTORR' s;. 6 . Pv, ,�1►. . w� 98373 5 7J - WA STATE CONTRACTOR'S LICENSE t EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I A-II`Z►i©L -O77Phi• io /,;43 /or/ NAME PRIMARY PHONE APPLICANT G , G W'"5 v�j� 77o -f5-2 7 L MAILING ADDRESS,CITY,STATE,ZIP FAX ct> � _ 6. i•/G-A X237 5 770 -';Z71 PROJECT CONTACT NAME PRIMARY PHONE 460 (The individual to receive and — - respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP concerning this application) !NEJE.. ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL PROJECT FINANCING NAME p OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE pzcw 19.27.095/ I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,but only where such claim arises out of the reliance of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. SIGNATURE: CP"'\ DATE / ,3(J- PRINT NAME: kit(Emit-,, Bulletin#100—4/17/2009 gage-7 of 4 k:\Handouts\Pennit Application 22 _ ' - 30-04J Value of Mechanical Work$ to J� � y/'•P 4:ID OESTIMATE MUST BE PROVIDED) jndicate number of each type of f xtur to be installed or reloca ed as pa 1.f this project. Do not include existing factures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) l AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gey COMPRESSORS GAS LOG SETS REFRIGERATION SYST !fr I X?C) DUCTING GAS PIPING WOODSTOVES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Handsmlcy TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(r toren/Uebty) WATER HEATERS(Electric( HOSE BIBBS �SU�MPS s WASHINGG MACHINES 1'Q'AL FII€TITRLB•, PROJECT VALUATION WA PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMEETS EXISTING/PREVIOUS USE LOT SIZE(In .• e Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes ❑ No xy X 4 k Y3y S AREA DESCRIPTION(in square feet) EXISTIN PROPOSED TOTAL #, 3 FOR OFFICE USE gigigtgritaffibraPailiti:MEMICIO:10:101402P: 11 FIRST FLOOR(or Mobile Home) COVERED ENTRY GARAGE 0 CARPORT 0 4j3,�:; ��„`�.�, �� Area Totals > PROPOSED TOTAL ESTIMATED SELLING PRICE$ #OF BEDROOMS AREA DESCRIPTION • a Construction #of is Feet Occupancy Group(s) �,e Stories Additional I. . „•tion ADDITION AO AREA DESC SAN Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories w 1 A" �I" 1}'� 50 ,.3 N I'ri: - H3 1�N j' pngpti zltlr �3 �.: �1 '1 3 s:. '�'1 .7,3 �, i � w��z X110. \ ^ ., 11 niggfi a;:: '' i Z 3 E, NVii A �w� '�d '.r:.� ,-.3�x.;.-. 3�., TENANT AREA ONLY � � arNi;� ,� �e'1' aI� .� �I v Ty+ € ..a...° ..> n xi3 .;_. �l=.�3. „l;,_,. V 3u *' 3�'Y „x ;.., a .n.r li 11RIN . .,,E3 itCHINEERVI Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application