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02-101426City Federal Way Community Development Services Mechanical Permit #:02 - 101426 - 00 - ME 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: 7-11 STORE #23228 Project Address: 31006 PACIFIC S Parcel Number: 785360 0210 Project Description: MECH - Install (3) rooftop condensing units and associated piping and "Slurpee" machine for existing store. Owner Applicant Contractor THE SOUTHLAND CORPORATION PRO STAFF MECHANICAL PRO STAFF MECHANICAL PO BOX 33370 PO BOX 33370 SEATTLE WA 98133 SEATTLE WA 98133 (206) 361-0071 Mechanical Valuation..........................................10000 Over the Counter Permit ...................................... No ©Ezscriptit5ri =,Qr��ritity Evaporative Coolers r Mechanical Fixtures CONDITIONS: ,Per FWCC, Sec. 22-960, The new mechanical equipment that extends above the roofline may be painted, if the inspector determines that the site conditions merit screening. Please contact Kari Cimmer @ 253-661-4115 for questions. PERMIT EXPIRES October 9, 2002, IF NO WORK IS STARTED. Permit issued on April 12, 2002 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, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: • �2 �� M, F:� i V--,. (A k d (4 --6 _ 62-- 6,Cl) �'°` GRECEIVED CONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: - -- APPLICATION NUMBER: - APR _ `x;02 -- - ----- - C�7� ��//APPLICATION NUMBER: * *The tOtlw BV4A"fAA bYrtnatiori —Please print (Ih ink) or type* * — — — — — — — — Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS: -"5\ Qocp K'(A'C \L VY t' 1 l' 1 ASSESSOR'S TAX/PARCEL #: 7a:5 v - p a j 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): INFORMATION , / TYPE OF PROJECT (This application): 11 BUILDING El PLUMBING O MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): f7 1A$�' t -.4 7Q PROPERTY OWNER: NAME: IF_DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): CONTRACTOR: APPLICANT: K4A.)I c3 NAME: /DAYTIME PHONE: �efr.r MAI G AOOR (STREET ADNESS; CITY, STATE, ZIP): EVENING PHONE: /� V ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBE ZO - Q Z A -0 0- FAX NUMBER: (z -CG) --5G( o Z CONTRACTOR'S REGISTRATION NUMBER: D /� . ^, �S/ T�[ Z/� EXPIRATION DATE: ( / 50 / Z (copy o( card required) i __X o 77 14 NAME: DAYTIME PHONE: Z. MAILING AADD+DREM(S�TREET ADDRESS; C[TY, STATE, ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ^THER ( DESCRIBE): E-MAIL ADDRESS: , CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ,CONTRACTOR EXISTING USE: PROPOSED USE: SPRINKLERED BUILDING? WATER, SERVICE PROVIDER: SEWS SERVICE PROVIDER: Z�_ .1 _ " ''_■ - DETAILED BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED VALUATION FOR IMPROVEMENTS: ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ZZ **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECTFLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT' AIR HANDLING UNIT(S)_ FIRST GAS LOG(S) REFRIG. SYSTEM(S) 8BQ(S) SECOND HOOD(S) WOODSTOVE(S) BOILER(S) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS K F DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL: VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) 7TSC1 ATMFR/CTP.NATURF RI C I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim aniseyt of the reliance of the city, including its officers and employees, upon the accuracy of the informationNpplied to the city s of this application. NAME/TITLE: -/71-*',"- ❑ PROPERTY WNER ❑ APPLICANT DATE: COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 2S3-661-4129 www.cityoffederalway.com Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S)_ EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S) 8BQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS K F PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTORS) SUMP(S) 7TSC1 ATMFR/CTP.NATURF RI C I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim aniseyt of the reliance of the city, including its officers and employees, upon the accuracy of the informationNpplied to the city s of this application. NAME/TITLE: -/71-*',"- ❑ PROPERTY WNER ❑ APPLICANT DATE: COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 2S3-661-4129 www.cityoffederalway.com