09-101866 Mechanical
cal
• •
* City of Federal Way Q
4 Community Development Services Permit #: 09-101866-00-M E
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 make-up air and exhaust fans with associated ductwork for new bread ovens
Owner Applicant Contractor `
SAFEWAY INC STORE 3501 KOLLMAR SHEET METAL KOLLMAR SHEET METAL
1371 OAKLAND BLVD UNIT 200 941 S NEBRASKA ST KOLLMI*24108(11/18/09)
WALNUT CREEK CA 94596-8408 SEATTLE WA 98108 941 S NEBRASKA ST
SEATTLE WA 98108
Mechanical Valuation 11335 Is this an Online or O.T.C.applications No
'4'skIi 3 y $ yitIt' }'�r"ky k At d
Ducti.,44 , aera 2
a
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'71-',-:;".,:.;q4e1= P , , ,EXPIRES Tiojeday, November 24, X09
Permit ueir ur , _8,
:°-',4W-1A � 9 r 'f ,' i 5x,4 ti,- v� i i ,f s " ayk-
I hereby at above; orm ,-'n is`correct �e construction t above escri r�, Y d'`
the occupancya use a in n ale -u ani ' tis of thate a ,r
and the City of Federal Way.
Owner or agent: �� r' Z cr-e°
� 1((/t Date:
V It4OLLEh fiL O(1
• THIS CARD IS T(FMAIN ON-SITE
CITY OF 411111 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101866-00-ME
Owner: SAFEWAY INC STORE 3501
Address: 2109 SW 336TH ST
•
FEDERAL WAY, WA 98023-2847
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. PO 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) E Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test `` Approved
By Date By Date By - t�..r Date.-z3~-07
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For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
KtLtI V Li")
n- , ��,. MAY 2 0 20.0 / *l L
Federal Way PERMIT SF MF CO PL DE EN FP
COMMUNITYDEVELAfLIN,QE - ED ICATION Ca / / O
253-835-2607•FAX 253-835-2609 C D S
www.citurnffederalww.corn •J
SITE ADDRESS
107 5 w 3 3 C �$ r T Fe o(a 12,4 4 w,4 4//¢ TSC-Z
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
R73 7\ I 7 . 0 0 0
NAME
or PROJECT Homeowner Name) �/
(Tenant or �7.5 t F-
e 4 , l
❑ BUILDING 0 PLUMBING k MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
I11 srnI/ z .vim e)( 1-7 Augf P44.5 V- .04ei t
PROJECT DESCRIPTION dt it Laid/_(( (,tr✓ 4'c7-
Detailed description of work to �� g`P ( �
be included on this permit only
2% � .fir::
NAME PRIMARY PHONE
PROPERTY OWNER 5,9-Fe UJ,r t 7 COR P. ` )
MAILING ADDRESS,CITY,STATE,ZIP l E-MAIL
OWNER IS ALSO: El CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
Ka/IAni ,44�r` ,tkir/k (SOC) PRIMARY
�0
MACONT' r•R / 1 INGADa/fbIruTAT vOlt �f CeA1-1 FAX p
i 46 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE ERAL W �.��+-r =:, ICENSE#
Kott.� i xit (Q cl (g 'o ' Mr .
APPLICANT '4'(iWT/ 5 4'Q e f / /I` ( ) PRI • ONE
MAILING ADDRESS,CITY,STATE,ZIP / FAX
( ) -
PROJECT CONTACT NAME PRIMARYPH NE 7
(The individual to receive and y Cv046,(5 (206)779 - 'fQ
respond to all correspondence MAILING ADI ,CITY,STATE.ZIP ,l 1 �@o8 FAX
concerning this application) fy! S ,�,C'/K/T5f(/T fr fCA gto ((JI (t6 )YJ 1 - ( ( ( 9
- - - ALTERNATE CONTACT NAME: / PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME IIS OWNER-FINANCED
Required for projects with l
value of$5,000 or more MAILING ADDRESS,CITY,STATE 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 flied 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 cit a part of this application.
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SXGNATURE: ikt 920 DATE - Z err
PRINT NAME: N y p if(4 _
Bulletin#100-4/21/20 Page 1 of 4 k:\Handouts\Permit Application
A .
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Value of Mechanical Work$tJ '3 7 l .0 0 (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offixture to b instnllPd or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS Z FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gm)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
Z DUCTING GAS PIPING WOODSTOVES
-
-< �x _ ' k k f<-.45t. , LU tBING Ffr N T .', ��
Indicate number of each type offixhire to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(orTub/Shower Combo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kitchen/utiuty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES,.
GENERAL INFORMATION
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
sN �,.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
TB MAENT
FIRST FLOOR(or Mobile Home)
S CONI 1AI7 , "
COVERED ENTRY
HECK '
GARAGE 0 CARPORT 0
'(}THEIN.(descl'#be) 1P •
'',-
EXISTING PROPOSED TOTAL
Area Totals
' -`•NEW HOMO ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
' , r /Fye (';,.: ' /R.cI&I NEW/ IT f S t'' a
AREA DESCRIPTION Area Y „
Occupancy Group(s) Construction #of Additional Information
(�y•//WW in Square Feeta Stories
ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet p y p( ) Type Stories Additional Information
Tr)TAU LiITsDAQQ,,.
TENANT AREA ONLY
/ RCs RCT' A O LY
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