09-103204 • Met hainical
City of Federal Way 4111/
Community Development Services Permit #: 09-103204-00-ME
PO.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SHELL STATION AT FEDERAL WAY
Project Address: 31660 PACIFIC HWY S Parcel Number: 092104 9248
Project Description: Install(2)HVAC ground level units and walk-in cooler with associated gas piping bath fan.
Owner Applicant Contractor
EQUILON ENTERPRISES LLC ALL COMMERCIAL REFRIGERATION ALL COMMERCIAL REFRIGERATION
HOUSTON TX 34402 38TH AVE S ALLCOCR958M6(7/26/11)
77210-4453 AUBURN WA 98001 34402 38TH AVE S
AUBURN WA 98001
Add
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Mechanical Valuation 33000 Is this an Online or O.T.C.application No
Mechanical Fixture
Air Conditioners-Stand Alone Un 2 Fans ....,.. 1 Gas Piping 2
Refrigeration Systems 1
PERMIT EXPIRES Saturday,February 27, 2010
Permit-Issued on Monday,, August 31, 2009
I hereby certify that the above i formation is correct and that the construction on the above described property and
the occupancy and the use be in accordance with th- aws, rules and regulations of the State of Washington ='
/and the Cit : ederal Way.
Owner or agent: Date: efr —C 9`
FINALED IQ/ZS/ 1
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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_ _ THIS CARD IS TO REMAIN ON-SITE
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CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 09-103204-00-ME Address: 31660 PACIFIC HWY S
Owner: FEDERAL WAY, WA 98003-5408
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 Date / — 2 ".-
0 Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
,
OF
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ECEIVE6P IT v S COI EL PL DE EN FP
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SUITE/UNIT a ZON ' ASSESSOR'S TAX/PARCEL i
69 2 / o1- - c ` 24-e"
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NAME OF PROJECT ,lett, _ 0
(Tenant or Homeowner Name) a' s110. / I A � Lii ba-i
0 BUILDING 0 PLUMBING XRIECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
!', — 'A L h 1 / . ..ter.: J0Ir.t_',
PROJECT DESCRIPTION s.� i,1 . _. ' �_
Detailed description of work to
be included on this permit only /� 1
-�stv�r
PROPERTY OWNER /L— Ali �/] e� -' 4 )PRIMARYPHONE
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
rimiim
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st . ,/IA ,J.,041 ..f. / As. �`.1 A. �i it - V
V C• `TOR MAILING ADDRESS,CITY,STATE,ZIP
J •
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 9
NAME ^ PRIMARY PHONE
APPLICANT 9 e a S C�a uJ -
MAILING ADDRESS,CITY,STATE,ZIP
NIMIllillill
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP
concerning this application) =Oil=
ALTERNATE CONTACT NAME: PRIMARY PHONE EMAIL
PROJECT FINANCING NAME
p OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
!further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of suc claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim -• out of the reliance of the . ', including its officers and employees, upon the accuracy of the
information supplied to the city • -part of tai$application.
SIGNATURE: Zigiciiiiii.. ..!,
�' -aitiNINP DATE cy ct
PRINT NAME: , e •
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Pennit Application ,
•
Value of Mechanical Work$ (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 f fixtures to remain.
AIR HANDLING UNITS / FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commetdal)
BOILERS FURNACES HOT WATER TANKS(Gm)
COMPRESSORS --+� GAS LOG SETS / REFRIGERATION SYST
DUCTING 'G— GAS PIPING WOODSTOVES
, :::.
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(Hand sad* TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utaity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES Td)TAL FI LTURES:,',
GENERAL INF` RMATIQN ,
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
s.c •
$
EXISTINGTAK6IOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
v3y
ERnigairitigging
FIRST FLOOR(or Mobile Home) —
OSSOOl FIiO.I
COVERED ENTRY
aT�
} 3 3
GARAGE 0 CARPORT 0
(Y FHER(desar
Area Totals suaruo PROPOSEDTOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
. . �,��. .: ,,.a +.,:... �.�✓' <, s. , ,a.i e n''&' t°..,
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
;c -B*:*"1MI i lRINIMMENVIN a r a° x
ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Groups) Stories Additional Information
ryh43 y � � �, 3 ya s ��l �� 13 3 y vy�l, _ d
a
,,.., .,. 3 nain.,:.... ><t ,.Mm, nMt' l MINEigaginal MISMINNTIMELtlitailied
TENANT AREA ONLY
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Bulletin#100–4/17/2009 Page 2 of 4 k:\Handouts\Permit Application