09-102055 Mechanical
City of Federal Way R
CommunityP.O.DevBoelopme
971nt8 Services Permit #: 09-102055-00-ME
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Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: SAFEWAY#3501 F11..E
Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020
Project Description: Disconnect existing gas piping to the ovens and install 14' of new gas piping.
Owner Applicant Contractor `
SAFEWAY INC STORE 3501 WESTERN MECHANICAL SYSTEMS INC WESTERN MECHANICAL SYSTEMS INC
1371 OAKLAND BLVD UNIT 200 1911 SW CAMPUS DR SUITE 321 WESTEMS921BG(1/7/10)
WALNUT CREEK CA 94596-8408 FEDERAL WAY WA 98023 1911 SW CAMPUS DR SUITE 321
FEDERAL WAY WA 98023
Mechanical Valuation 1500 Is this an Online or O.T.C.application? Yes
,zi 6 .;:„1:::.!, ,
Gas P
F h PRS EXPIRES Tuesday, December 1 2009 M
Permit ued 'hu Y«June i W s {
I hereby=« , r jal 'above orma�n is Go t t the c tr on t abov_ = n� r` d
the occupan aerie use wee in a � nc_ n e " ,rum anif: ti ns of the to ��,�,m a _'
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and the City of Federal Way. 1/�j
Owner or agent: e Date: 6 652—/
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THIS CARD IS TOMEMAIN ON-SITE
CITY OF Community Developirent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-102055-00-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. 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) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By C Date 1' s- d By G Date — di 9
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For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By . Date
REce
IVB j°. _ / oaa56'
Federal W '/}y�40444M' JUN 0 4 ,PERMIT SF MF COr1GIL� EL PL DE EN FP
COMMUNITY DEVELOPMENT S�ICES• Op p i/I CAT I O N /
253-835-2607•FAX 253-835-2609 � �
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SUITE/UNIT# ZONING ASSESSOR'S TAR/PARCEL# /
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NAME OF
(Tenant or Homeowner Name) 3(1-c--e, V` n \j �L 5r(-) I Le^iCIV /t t7 I WA-CT,J n
❑BUILDING ❑ PLUMBING 'MECHANICAL J /'} PGS)
TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION l� �4�
. I`SC o nee-I- eAfi t/ q/a� � i e r~
PROJECT DESCRIPTION l( l�'. D lien-C) L^� 'iJ CJ (41 a r1 J
Detailed description of work to ,
be included on this permit only / -(1601- OP /i Ai j �� / //i e
In rllgi'INIaf, .. i- r) 4/ '
NAME PRIMARY PHONE �•
PROPERTY OWNER &N U C //'?C = (51-Pi ', . ( )
MAILING ADDRESS.CITY,S ZIP E-MAILi pg �U 3 - Fe e'a/ d , WI)- 4002 3
OWNER IS ALSO: D CONTRACTOR ❑ APPLICANT PROJECT CONTACT
Y�-✓ ei(in 1\1\eLkUl(rCLI 4 ) C 7 Ali it -1' to P 1 N✓ / 9
CONTRALTO MAILING ADDRESS./C/I�{�%q/,STATE.ZIP � (//��4/�jg�ATI
(4��il illA1EGR)( lSA I / � # / fdraJ lit y FEDERAL / W BUSINESSAY LICENSE
V J LIC NSE*
WESTEMSga1-8& e) 1 ®7/Zo EXPIRATION NAME _
APPLICANT 1A16-tem Mala !I LU./ e m Inc (z6.3 % i PHONE-
'i! ADDOS5.
npu 2) 32/ eral]�.a/U R�3 9 c qS.
PROJECT CONTACT NAME / PRIMARY PHONE
(The individual to receive and Oi1v 1�.�il,V7l! Z00) 611-A310
respond to all correspondence MAILING ADD /�/CIITT/Y/.STATE.ZI �J ,,�ry
/f�Ax ....._,__0
l_
concerning this application) fgll����C l�/ ��� yrf/ BAR �[ via (��C� 1./ AIL/ ✓,J O
RNATE,CONTACTi�AMJ:I S r PRI/_�3H / ,�.� i D+�.o(a� )V11Sf(r us
PROJECT FINANCING NAME \UU�A�, l /Wn� (/�(7f
El OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS.CITY.STATE,ZIP PRIMARY PHONE
(RCW 19.27.0951 ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim),which may ,• made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the relia,,.. , e including its officers and employees, upon the accuracy of the
information supplied to the i . oft. ,,,'''a.;.. .,n. J,�
le/
SIGNATURE: /� ✓ � DATE "I
947
PRINT NAME: , , I (W •
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
• 11111
MECHANICAL FIXTURES
Value of Mechanical Work$ 500 100 (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing factures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS /1"/ 2/".GAS
GAS LOG SETS REFRIGERATION SYST
DUCTING /I- 1 AS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS IR(es �eC•t)e(/
DRAINS SHOWERS VACUUM BREAKERS ,,N AA/L
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) ba /o)
HOSE BIBBS SUMPS WASHING MACHINES / TOTAL FIXTURES
GENERAL INFORMATION J
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?
Fl Yes r i No i-)Yes r I No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY"*
ESTIMATED SELLING PRICE$__ #OF BEDROOMS _
COMMERCIAL NEW/ADDITION
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL R +.MODEL/T ENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
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Bulletin#100—4/21/2009 Page 2 of 4 k:\Handouts\Permit Application
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