12-101930 • 40Mec
• 40
CityFederalWay Permit #: 12-101930-00-M E
Community&Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)635-2609 Inspection Request Line: (253) 835-3050
Project Name: 7-ELEVEN STORE
Project Address: 28719 MILITARY RD S Parcel Number: 332204 9161
Project Description: REP-Remove/replace existing roof-top condensing unit and replace with new like for like.
New refrigerant piping through existing penetration
Owner Applicant Contractor
THE SOUTHLAND CORPORATION PRO STAFF MECHANICAL PRO STAFF MECHANICAL
PO BOX 711 PO BOX 33370 PROSTMI072NG(6/30/12)
SEATTLE WA 98133 PO BOX 33370
DALLAS TX 75221 SEATTLE WA 98133
Additional Permit Information
Mechanical Valuation 4372 Is this an Online or O.T.C.application9 Yes
Mechanical Fixtures
Roof Top Units I
PERMIT EXPIRES Sunday, October 28, 2012
Permit Issued on Tuesday, May 1, 2012
I hereby certify that the above information is cor Qct and that the construction on the above described property and
the occupancy and the use •
` se in acc•rda,ce with the laws, rules and regulations of the State of Washington
a . the City of Federal Way.
.,_
Owner or agent: AlL / 2
Date: 5 012
r`f
PIA
It . 1 ,
Lys F` 40
• THIS CARD IS TO MAIN ON-SITE
CITY OF Construction I ection Record .
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101930-00-ME Address: 28719 MILITARY RD S
Project: 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) 0 Gas Piping(4125) 0 Final- echanical(4065) `
Approved Approved to release test Approved
By Date By Date c S Date 5---- �--/?
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
2_ _ 10 19' 30
CITY OF A. 40 PERMIT
Federal Way F, E EN FP
COMMUNITY DEVELOPMENT SERVICES
APPLICATION
253-835-2607•FAX 253-835-2609
www.ciluollederalwau.com MAY 0
1 7111?
e.
SITE ADDRESS _ Ci 1 Y OF FED AY
} / C/ t\lIL.tTR-1 °f 2O \D 1,)(-t CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ , 372. 0e 3S 2- ?- 0 +}- - 9 i 6.
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING �1,.MECIIANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT �-�-y
(Tenant Name/HorneownerLast Name) �7 / eLi v E IN.)
PROJECT DESCRIPTION
gawk)ire , S F.03E 0p F'X 14T/>\/C- )N Dc .'(2._ 3
Detailed description of work to P L-Tl 2.t)c F'Tt)3 C 2P it ►v S INC, UNIT ( CAA—Z) 3
-
be included on this permit only ...'L
, rI
RFPs-A-L.E w (Th- t•1C�w: L,itF - Fvrz- I-i� . N61.)
C-F-12.10 TE A4..rr p%Pi Nc:„ 1-1A-9..k.ti,FI Fx1aTiN,C> P4. -5P/5
NAME PRIMARY PHONE
PROPERTY OWNER 7.rL. v r N "1/41
MAILING ADDRESS E-MAIL V/4.f 1 cf 1 i\lL,1TN b< -P-oc A.,'i`-
CITY ..�P� STATE ZIP
scapr,a_._ i'� J s'V P l i'
_- � .,CC,S
NAME PHONE
1 i2 c -' F M r:�e. t cA-L._. 1 rs( 2-06 -r-3C, 1-007 ‘
MAILING ADDRESS E-MAIL
CONTRACTOR P,c), Ow* '333-1 o `e',Pao-S'T1;-1,'FM F^(_WO.,i CAL,
CITY STATE ZIP FAX "CO
Fa-Th ��, 'e•VVi 206 -3 6 t -o 112_1-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
?a-c, 51Tl 17-o72.__N�:.= /3,.., / (2 LI C.,,z- tuL 143 -oca-t3._
NAME , PHONE
Gkirlk A-t_ L) 2x)6-361—oo-E p
APPLICANT MAILING ADDRESS E-MAH.
P,o. 134)1. 333-7C 4ACr'wz'STe-FFiyirC ra a1ui LA-L.
CITY 7 FATT'L E S t--/ I ��X13 Ct..--- 3L ti --04.-��-FAX '"
PROJECT CONTACTE(� � PHONE
(The individual to receive and Nom`-" fv' ,�/`' At 2-06-36%-0 0-7 i
respond to all correspondence
MAILING ADDRESS E-MAIL Ptt7.—STPrF.F
concerning this application) ?,o, � 3 3?-7 0 -5'Phi, IA EC4}C t.J C 4. C
CITY STATE ZIP FAX
S r Pr .r' kiv A— eiE 133 06--361-042-4-
ALTERNATE CONTACT NAME: PHONE` E-MAIL 5'pFF
I i r- i7- 6(2-4777: '( tary-3C:.i-(.1C-i7 p Pc R( �0-ttlp tC L-
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
tRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 'City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and de�ense of uc Maim),which may be made by any person,including the undersigned,and filed against the city,
but only where sue.''claim aris ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp '•. to the city part of this application. y
SIGNATURE: / DATE i7 f,�f 4))24)I s:-
PRINT N. r SPPYI/L 4 )
10
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
• IP
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ T f 3 72.Lt., (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 inclnriP existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
I COMPRESSORS GAS LOG SETS I REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
-ffi .icate how many of each type of fixture to be installed or relocated as part of this project. Do not incl,irip existing fixtures to remain.
BAT : (or r. ..... LAVS(Hand sinks) TOILI!a5 ATER PIPING
DISHWASHERS •.. ' • r : YSI'EMS ALS OTHER(Describe)
DRAINS ___--.SHOWERS VACUUM BREAKERS
S SINKS(Kiiehen/Uflflty) WATER HEATERS Electric _
~�HOSE BIBBS SUMPS WASHING MACHINES TOTAL AXTURES-----_
GENERAL INFORMATION
_ ., - ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPR
EXISTING/PREVIOUS USE LOT SIZE(In Square EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
�--- .,— ❑Yes Z. Noo
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
----------------.><e--'
GARAGE ❑ CARPORT ❑ ----
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**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 Stones
�.m
NEW BUILDING
TION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DES
Area Occupancy Group(s) Construction #of Additional Information
'— iu,Sguare Feet Type Stories
TOTAL BUILDING ^--
TENANT AREA ONLY _
ONLY
Cvr jo!$211!o!krovbs!2-!3122! C1:11131144! I ;]I boepv(i]asijUUBggrjdxjpo!