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09-103560 III •. Mechanical "' Community of Federal Way • * Q Community Development Services Permit #: 09-103560-00-M E P.O.Box 9718F 11 ,?� Federal Way,WA 98063-9718 �V Ph:(253)835-2607 Fax (253)835-2609 AIN LAM Inspection Request Line: (253) 835-3050 Project Name: SAFEWAY Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020 Project Description: Gas piping only 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 BUSHPMI077JA(4/1/10) WALNUT CREEK CA 94596-8408 OLYMPIA WA 98540 PO BOX 375 OLYMPIA WA 98540 itional Permit Inr fOr Mechanical Valuation 1000 Is this an Online or O.T.C.application" Yes 3 e chanical Fixtures Gas Piping I 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 Es-if- and the City of Federal Way. Owner or agent: Date: t--) tr c F FiUM4, i' /gf,o CHIS CARD IS TO REMAIN ON-SITE �� �� i Construction Insiction Record Federal WayINSPECTION RE UESTS: 253 835-3050 Q ( ) PERMIT #: 09-103560-00-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. ❑ Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By Date /i0 El Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date / 0_35.6-0 `m or • PERMIT SF MF CO E EL PL DE EN FP Federal Way COSERVICES APPLICATION / 253-835.2607.FAX www.atuoffederalwao.com SITE ADDRESS ` .1:©9. SW's 1' 4 SEP 1 5 2nn9 SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL Crry PEP_E e NAME OF PROJECT (Tenant or Homeowner Name) 9 El BUILDING PLUMBING )(MECHANICAL TYPE OF PERMIT ❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION PROJECT DESCRIPTION Detailed description of work to be included on this permit only _.�...,, ,-... ,a� rsn,w��,:t� �,.c.., ,, ,. NAME PRIMARY PHONE PROPERTY OWNER 1 >l'CIfir a._V ( ) - BULLING ADDRESS,CITY,STATE,lIP E-MAIL OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT PHONE . #SISkA i 1. ' } „' (. ,..-, 1'�! ' 4!_ ? i'i �,�� .( (41—'PRIMARYiC;" f CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# t' 4. Vit-" 1 4. ' 4 i,�'t ( i_Sik.. / kfa / NAME PRIMARY PHONE APPLICANT C~';1{ ( ) - MAILING ADDRESS,CITY,STATE,ZIP FAX ( ) PROJECT CONTACT NAME , PRIMARY PHONE (The individual to receive and 4._,t a` /t ( ) respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX concerning this application) ( ) - ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL ( ) - PROJECT FINANCING NAME Cr OWNER-FINANCED Required for projects with 1'1, / , , (,r value of$5,000 or more MAILING ADDRESS,CITY,STATE,i:IP PRIMARY PHONE (RCW 19.27.095) ( ) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,but only where such claini_arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppltelk the citta as a part of this application. SIGNATURE: DATE 1 . i. ' a PRINT NAME: r ` ,Q". _ Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application r • s ,� .,,,. . . .1: v. a 9` )-` ;; � 4 r' '..�.,".'-. '.z. ,. '. .r ',z-:lili re .'ei'�s r axr� -,-.«...z-,-,..,,.--a0 ,. ,m-£ s..e, "", ,tom",',: ; '�` .,.�,R1,,,, ,,. Value of Mechanical Work$ I 0+* ( ( Y Or BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. ':I AIR HANDLING UNITS FANS GAS PIPE OUTLETS _ OTHER(Describe) AIR CONDITIONER Tp FIREPLACE INSERTS HOODS1ce�eta.q f'\fr 4---t BOILERS RNACES 1 HOT WATER TANKS(Gee) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING It WOODSTOVES . }�'' .1:;1':':1'... .;;::'.6.47:44:1:4 tE 1 :11011 4'1.e 'E t 1 '. 1 i .i ' a i, . a:' "' e F, SR ��....� ,...;�... .1.:....a��a3�� ��aa, �,� : �,^a. .. ��� � z�v s..,,;' --^'%r�,�x� m����ti�, t .. �l�ek,�����.a, a ,,e.,. spm a �... Indicate number of each type of fixture to be installed or eted as part of this project. Do not include existing fixtures to remain BATHTUBS snow camel i�i LAV „. TOILETS WATER PIPING DISHWAS RS NWATER TEM 3 ' NAL3 % OTHER(Describe) DRAIN'i Fk,.r SHOWERS VAC• BREAKS" '{( -(' ' "�� A---' D• • 4 NG FOUNTAINS SINKS(Kitchen/Utility) WATER H ' -- (Electriq ___�_._ r ,ham HOSE BIBBS SUMPS WASHING MACHINES 4 T PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF ERISTIN6 IMPROVEMENTS $ $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EIUSTINO FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes❑ No ❑Yes 0 No �3 a �� .,i i 4 m# , ' : std �s AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE 1a a ,P" 4d j"�� y31 ' p r k t `rf"3 z �P3E 41 ,,,..P.,--�, FIRST FLOOR(or Mobile Home) � ' Ate a <s' . h COVERED ENTRY , �1, gi�,U ?wii: �� '�, r . ,.J� s,,, S�"fi 3t 110,,6�a 'x? 8 ^tea 7. ,x 0.:,,ra5r .. iklil � .� if _ app. ...<�: . — ,::�, �a '?,. .;g > . ,� : GARAGE 0 CARPORT 0 ,�3��" ra 'P .. i� :e'r'r yt` x z mro ri rogi xo a�, z i ' 'J9 ' ea a R„u^�, ,,, �:,�� i hip x3 r dz44 vz ' d»F ' l5 �.ay � ,„.. ��ux�C�:,t t : ..,i.gg .r...._.�£+k' «��`w'iml�',.�'_. �,��v ;K .� .m , �;` 8 G8TQO PROPO8&D TOTAL Area Totals }�� �y �P� z...,- S $ B S ..;,,.v 4..= ..�** ,Yk Q' Otic, ':,."�`'9.�. :<;i ;_,. .,tl,..1'.,„"...4 2'S,;.;fix',:t-,,,,,,,, ' �”, ESTIMATED SELLING PRICE$ T �#OF BEDROOMS ° ` g r�� � Ya '4yA� y��a„ , ink".. ' 1-:""1,..";::.:2:''';';'1-'1'44''''43k:' ,. a ''''''.4':::-i"''''' ,u . 8r:ji;-z"^n,ue, a ,i.3. . aF ;S.. #of Additional Information DESCRIPTION INNEN Occupancy Group(s) � ' ,Stories � ani ,� �� ,."*. i 6 i ; ` i1 b� 7� 4„atqiz £v , :,:f.,3 x� ..�e „A. k,�'' t7 e �h d£ ai "� ' n . i k !' €.z 0 .,W:;: .,h .�r:tA.% aa ' JIN: a n :sn' w a . O.',,,a',1 N.:. .. _. ADDITION 'susa�,. ,., ..;ar.,,,.<a�'� iZx '`a�aa.�.xi,:aw._v..�sAaa.y. .. .:.-s..mSs. .ew ,�3 au , s wxri : AREA DESCRIPTION Area Construction #of is uare Feet Occupancy Groups) Additional Information 4'e Stories •a { 6 eta z ' ' , s e ifelyea r € d 3Pli; Or... ',.N f .,-. P, :Smit r' ��„'i ” .' :'S' ,.z.? ' k FifOiflli44, r;..- ,n ,':. TENANT AREA ONLY 0--;;,.:,,,,t,.:, ',. '.,� fji' 1.g wqM .R' l F ,f' k ...tib .,,. , r '�3'*' .o. ' r'" 1 7 a,',,,,: 3 1 m ' :' '»71# 'dx,,,a' '* x l �,,� m ,�. �� .,o....�.�,c.� � � ...�a._ .�...'sem .°�,. ....�.. . '_: £_..,� �. 4:'�`,..�r.���.z .�... �. ..�.__ ,,�.,° _:�..�..��� ' Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application