HomeMy WebLinkAbout15-105205.. 0
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: 7 -ELEVEN
Project Address: 28719 MILITARY RD S
Mechanical
Permit #: 15 -105205 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 332204 9161
Project Description: Remove and replace existing A/C RTU like for like in location including associated minor
ductwork
Owner
ARRlicant
Contractor
THE SOUTHLAND CORPORATION
F M FACILITY MAINTENANCE
NORTHSOUND REFRIGERATION INC
PO BOX 711
10 COLUMBUS BLVD FLOOR 4
NORTI-I U898CG (2/7/17)
'DALLAS TX 75221
HARTFORD CT 06106
PO BOX 29116
B LINGHAIv WA 98228
Additional Permit Information
Is this an Online or O.T.C. application?................No /
Mechanical Fixtures
Air Conditioners - Stand Alone Un 2 Ducting .......................................... 1
PERMIT EXPIRES ay, May 2016
Permit Issued � ay, December 2015
�V r
I hereby certify that the above informllon Is rioct and that the
the occupancy and the use will acxa cewith the laws,
% and`I1e City gfU06-1
Owner or agent 40L=-�
'c
4�
bn on the above described property and
regulations of the State of Washington
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -105205 -00 -ME Address: 28719 MILITARY RD S
THE SOUTHLAND CORPORATION FEDERAL WAY, WA 98003-3332
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 itis 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.
El
Mechanical Rough -in (4165)
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
• - C1�OF RR CEIVED� PERMIT
r Federal W��
°3-N1
253-835-2 DEVE1APntE,�� E� 3 2m APPLICATION
607• FAX 253-83
www.citiloffederalwau.com
CITY OF FEDERAL WAY
r-r%c
iE " — 10 -5 Z 05
SF MF COOPL DE EN FP
SITE ADDRESS
SUITE/UNIT #
28719 MILITARY RD S
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$15,000
BN
3 3 2 2 0 4- 9 1 6 1
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING S MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeoumer Last Name)
7-11 A/C RTU Replacement
PROJECT DESCRIPTION
Remove and replace existing A/C RTU like for like in location including minor ductwork
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
7 -ELEVEN
860-707-3402
MAILING ADDRESS
E-MAIL1722
Routh St., Suite 1000
jon.murray@fmfacilitymaintenance.com
CITY
STATE
ZIP
Dallas
Tx
75201
NAME
PHONE
TBD
MAILING ADDRESS
E-MAII.
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
FM Facility Maintenance
860-707-3402
APPLICANT
MAILING ADDRESS
10 Columbus Blvd, 4th Floor
E-MAIL
Jon.murray@fmfacilitymaintenance.com
CITY
STATE
ZIP
FAX
Hartford
CT
06106
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
Northwest Permit / William Millhollin
206-601-7043
MAIIdNG ADDRESS
9808 31 st Ave SE
E-MAIL
william@nwpermit.com
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
Everett
WA
98208
ALTERNATE CONTACT NAME:
PHONE
E,MAII.
Naida Khan
360-945-2787
naida@nwpermit.com
PROJECT FINANCING
NAME
✓ OWNER -FINANCED
Required value of $5,000 or more
MADdNG ADDRESS, CITY, STATE, ZIP
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 igformation submitted in support of this permit application is true and correct. I certify that 1 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
irtformation supplied to the city as a part of this application.
SIGNATURE: DATE41Z/Q
PRINT NAME:
Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Pennit Application
Y
Indicate how many of each type of furture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Eland Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utmty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL !ix
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Additional Information
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Pernvt Application
AREA DESCRIPTION
Area
Occupancy Group(s) Construction
# of
Additional Information
in Square Feet
Stories
NEw BUUMMG
ADDITION
I1 Tpfrn�Y� T J ttf�y ;7
�r�7
AREA DESCRIPTION
Area
Occupancy Group(s) Construction
# of
Additional Information
in Square Feet
Type
Stories
,IYYIAL BUUMING
TENANT AREA ONLY
PROJECT AREA OIYi.Y
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Pernvt Application
0
9
R E S U B M ITf A ARTMENT OF COMMUNITY DEVELOPMENT SERvicEs
33325 8�' Avenue South
Federal Way, WA 98003-6325
CITY Of �nr�"� 253-835-2607; Fax 253-835-2609
Federal Way NOV 12 2015 www.cityoffederalway.com
CITY OF FEDERAL WAY
CDS
RESUBMITTAL INFORMATION
This completed form MUST accompany all resubmitta/s.
"Pleasenote Additional or revised plans or documents for an active project MY not be accepted
unless accompanied by this completed form. Mailed resubmittals that do not include this form or that
do not contain the correct number of copies W11 be returned or discarded. You are encouraged to
submit all items in person and to contact the Permit Counterpnor to submitting ifyou are not sure
about the number of copies required. **
ANY CHANGES TO DAA WINGS MUST BE CLOUDED.
Project Number: .1 E;- , 0 5 2. O - 0 O - �-
Project Name: '4 - ELgvra
Project Address: 2-5+%61 w�► R�c� S
Project Contact: Phone: (2o`) (,a I - "+o41 ,
RESUBMITTED ITEMS:
# of Copies **
L
Detailed Description of Item
** Always submit the same number of copies as required foryour initial application.**
Resubmittal Requested by: Letter Dated:
Memr
/OW�,
RESUB
Distribution Daus: / By
Dept/Div
-Namg
# fDescription
Building
Planning
PW
Fire
Other
Bulletin #129 —January 1, 2011 Page I of 1 kMandoutAResubmittal Information