10-101168 Mechanical
City of Federal Way •
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Community Development Services Permit #: 10-101168-00-M E
P.O.Box 9718
Federal Way, Fax
98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P 4
Project Name: LA NUEVA LUPITAS
Project Address: 2124 SW 336TH ST Parcel Number: 132103 9097
Project Description: Install 147 sqft walk-in cooler and(1) 100 lb condenser rooftop unit
Owner Applicant Contractor
BLANCA HERNANDEZ SERVICE DEPOT SERVICE DEPOT
LA NUEVA LUPITAS TIENDA 2311 104TH ST CT S SERVID*901BM(1/14/12)
2124 SW 336TH ST LAKEWOOD WA 98499 2311 104TH ST CT S
FEDERAL WAY WA 98023 LAKEWOOD WA 98499
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Mechanical Valuation 16500 Is this an Online or O.T.C.application? No
a
Refrigeration Systems 1
PERMIT EXPIRES Monday, October 11, 2010
Permit Issued on Wednesday, April 14, 2010
I hereby certify that the above information is 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: /"CC //'47'
41,1
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4fQ / O
.40.4111/4, THIS CARD IS TO REMAIN ON-SITE
•
CITY Of1011/111
Construction Ins�ction Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 10-101168-00-ME Address: 2124 SW 336TH ST
Owner: BLANCA HERNANDEZ FEDERAL WAY, WA 98023
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) ci Final-Mechanical(4065)
Approved ‘ Approved to release test Approved
By Date By Date Be5 Dateg —Zetf:›
E Rough Electrical Final Electrical1:1 Right of Way
Approved Approved Approved
By Date By Date By Date
. . .
i VveCieral Wilf C EIV E DO PERMIT MF CO ••IciL PL DE EN FP
COMMUM177 DEVELOPMENT SgAS 2 2 2010APPLICATION 4 / . . . ... ../ 10. :.
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253-835-2607*8111C 253-83
www.eituoirederativamcom
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SITE ADDFUSEIS
. ./J___ -r,(A) 336 fli s- s .,,,,,,y&,,, ,,,r4 7802_3
SUITE/UNIT# ZONING ASSESSOR S TAX/PARCEL# /
/ 2-7 0 3 90 9 ..
- - -
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g.,:igik.O.A.4::::4k.M.EMEN:rgi•Mfai:M.W.MaitgaiMiNaiMk.k:::.•:a4:APNW:4......•- ..........,:.•:...::::baina•ii::::::6.A.M.:AMENSMK/M.',.;:;"..i.:'.L. .0.4•Wgi.:ENIMEM:ii:?..iNiN,4ii:
NAME OF PROJECT
---ek ac
l.", Li.y -f-,,,_.s ,,.. . Ce Py
(Tenant or Homeowner Name)
0 BUILDING 0 PLUMBING alitjeCHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
it Wak —,j,--1 COD Lc---e__ af?. (/) Nolo
PROJECT DESCRIPTION gworrop CCNJL_ -. _ 11V/7--
Detailed description of work to
be included on this permit only
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:MIN kingiNNIMMISOMMENNEMIMMONI:OVAPRINMESSIMMESIONIMENNEMINgeliginn
NAME PRIMARY PHONE
PROPERTY OWNER (243 )6)4e - 6(3?----
MAILING ADDRESS,CITY,STATE,ZIP adllillk
• 2/')14-SN PI/ B76 "f4, s.--c _clle,,,c,..,6-Aky e--4- qoPo 2-3
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT o PROJECT CONTACT
NAME PRIMARY PHONE
CITY,STA ZIP FAX
.NTRACTOR
0 MAILSE-R14 C . ,t; _po-1-
ING ADDRESS, T. (2-13) ->6 - 34 ,4
•- -.- i I (04--4 s-1-- c -r; S cei-w_WO ) YoliFFf ( j3 Lir 1 - &J./4-
(f' WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
S1//D-AV 90/ E 1-i 7 / 7c4 /-20/2_
NAME PRIMARY PHONE
APPLICANT (ZO/O CO-6 1- (313 ) -1-14 - 2 ill
MAILING ADDRESS,CITY,STATE,ZIP FAX
>311 17:4--f-CLit-f Cr i ‘,41- tikeD L/14 i&vs. ?( ;9 pej _ ( 242
?
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and 1/0c ) —rfa 1-- ( c6) - 2"6 - . (I(I)L
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) (.1 14F I Cr, _S t--4( --(11100P `414- (7 47- ?Y ( '<(9),(-4?I -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
----- ---- •_. _ ( )
PROJECT FINANCING NAWS
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(ww 19.27.095)
( ) -
I certify under penalty of perjury that Icon the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees,upon the accuracy of the
information supplied to the city as a part of this application.
_...----------'.
SIGNATURE: DATE ?/A-->--1
PRINT NAME: tOP4 C 1 _e3:
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Pennit Application
Value of Mechanical Work$I=L's y o (A COPY OF 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.
AIR HANDLING UNITS :FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comme eig) L
BOILERS FURNACES HOT WATER TANKS(Gee(
(,J - &soC
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
•
Indicate number of each type of fixture to be installed or relocated as part of this project. D. include existing fixtures to remain.
BATHTUBS(or Tub/shower combo( LAVS(mold sift) TOIL WATER PIPING
DISHWASHERS RAINWATER SYSTEMS ••LS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS / • WATER HEATERS(acct.:4
HOSE BIBBS SUMPS - WASHING MACHINES TOTAL FIXTUR S
Ai
.. ' GRAIN
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT . Square Feet) EXISTING FIRE SPRINKLER SYSTEM? •PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
(insquare AREA DESCRIPTION feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
SECOND FLOC •
•
COVERED ENTRY
GARAGE 0 CARPORT ❑
EERTDIO PROPOSZD TOTAL
Area Totals
x W Hoi4f11s;oNLY
ESTIMATED SELLING CE$ #OF BEDROOM
AREA DESCRIPTION Area Occupancy Gro s) Cons on #of Additional Information
in Square Feet Type Stories
NEW B II;DING:.:.
ADDITION
AREA DESCRIPTION Area Construction #of
Occupancy Group(s) Additional Information
in Squar- 'eet Type Stories
TOTAL BUILDING
TENANT AREA O
EA ONLY I
Bulletin#100—January I,2010 Page 2 of 4 k:\Handouts\Pennit Application