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10-103445 City of Federal Way • Mechanical Community Development Services Permit #: 10-103445-00-ME P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (2 53)(253)835-2607 Fax:(253)835-2609 p a 835-3050 Project Name: 7- 11 GAS STATION Project Address: 28719 MILITARY RD S Parcel Number: 332204 9161 Project Description: Remove/replace walk-in cooler evaporators and condensing unit Owner Applicant Contractor THE SOUTHLAND CORPORATION SOURCE REFRIGERATION SOURCE REFRIGERATION PO BOX 711 3902 W VALLEY HWY N SOURCRH992PB(10/8/11) DALLAS,TX 75221-0711 AUBURN WA 98001 3902 W VALLEY HWY N AUBURN WA 98001 Mechanical Valuation 7490 Is this an Online or O.T.C.application? Yes ' *s �' 704,• 3 PERMIT EXPIRES Sunday, February 6, 2011 Permit Issued on Tuesday,August 10, 2010 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, r s and regulations of the State of Washington a ity of " eral Way. Owner or agent: F(NU q/ /t THIS CARD IS TO AIN ON-SITE - . , • CITY of '' Construction In ction Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 10-103445-00-ME Address: 28719 MILITARY RD S Owner: 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 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) El Final-Mechanical(4065) Approved Approved to release test Approved By Date By Date By //47 Date 0-0 ❑ Rough ElectricalCI Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date 44 0 1? 4 / 0 a i- aft 5.-- CITY PERMIT SF q CVer FPFederal Way ECE COMMUNI4YDEVEIAPMENT SERVICES APPLICATION 253-835-2607•FAX 253-835-2609 www.ntuoffederatwau.rom AUG 1 0 2010 010 SITE ADDRESS CITY( V F FE' 'E It WAY 71 m i �i �I) CD'S PROJECT VALVA ON ZONING ASSESSOR'S TAX/PARCEL# $ 79401- BP 3 - a- © q - c i 6 TYPE OF PERMIT ElBUILDING 0 PLUMBING MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT 7 / a A g C„�'��'�.X170 4 (Tenant Nam/Homeowner Last Name) '"'�/ f�� FV PROJECT DESCRIPTION � li d lie_ ArI U f Lac 4 4241 k :t ' (i:431 -c e.(/V ne.Ll'hel a ot,) Detnilpd description of work to �Cl per,S;n y L,ytS-1, be included on this permit only J NAS PRIMARY PHONE PROPERTY OWNER — J 1 )--142 a-4i 2S-3 SW ()0 CO G ADDRESS E-MAII. 9",g7/47 19 m I'(� ro CITY STATE ZIP ONE NAME goo�� a-lod8 JDl�,rr e. r-9�s��...r�7;t,n mAun`o a i/ /.�� iy s� ;6 E-MAIL CONTRACTOR /I � )TE Q�ry C/T I/l(Y IA,rrn 1' /. OO 1 FAX ie WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# (Z 3 i i 10 ao40i-1 D?30-..00 NAME PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT I�7 p l PHONE J (The individual to receive and r I'1 ✓'Tr/ Gk 1.s 3 (�0(9 56A g respond to all correspondence MAILING ADDI S concerning this application) (� / 27 S�c/§.T,)�E /� Q G✓+✓1ndrTrjt�t7isoGc/�Fr',retJ�,•4 7011n V, like VA 2713 // FAX AL TE CONTA NAME: PHONE E-MAIL Q�,,.e- p.,, - S rd grt 6-a en,ods )-SS3 2JJI 1-W 8y Scum r'.,e,Prf.erwi`jt,.,,.Co-- PROJECT FINANCING 7—I1 Q Required value of$5,000 or more i7 X OWNER-FINANCED (RCW 19.27.095) MAILING ADDRESS,CITY, ATE,ZIP PHONE a 3719 /VI r .r-ty ,"D €td 4,7 G.).,. 5&102 253 335 ogo,o 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 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• his app ' ''n. ? 41111111111r ,.. SIGNATURE: DATE 6-et- ill — PRINT N „ . e! i . ly l Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application * al a MECHANICAL FIXTURES VALUE OF MECHANICAL WORK $ /7 di v (a copy of bid or estimate must be provided) Indicate how many 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 OUTLh S OTH sc AIR CONDITIONER FIREPLACE INSERTS HOODS(commem�al) BOILERS FURNACES HOT WATER TANKS(Gas) _ 4000441 COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(orlhb/shower combo) LAVS([land sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS ptitehen/otiuty) WATER HEATERS(Etoet,e) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES - GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? 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 RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT 0 OTHER(describe) Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—April 14,2010 Page 2 of 3 k:\liandouts\Permit Application