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02-101427City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: 7-11 STORE #17463 Project Address: 104 SW 312TH Mechanical Permit #:02 -101427 - 00 - ME Inspection request line: 253.835.3050 Parcel Number: 072104 9219 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 livaporative Coolers 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: Wk,Q v� c �'- ✓1, Date: X'�? _C) Z &_G - oz, �- -y« G CONSTRUCTION PERMIT APPLICATION n ��-APPLICATION NUMBER: - RECEIVED APPLICATION NUMBER: pp APPLICATION NUMBER: **The followAc,�Ps rPgA ii41ir1ormatiod - Please print (1h ink) or type** — — — — — — — — Please note: Electrical, Fir(CP-( jngbpSvstQfp �annd Engineering permits may require a separate application. R1111 n..A _WAY SITE ADDRESS: ®� J 1 2-�V� ASSESSOR'S TAX/PARCEL #: Q 7 z j O q- r Z(q LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): TPtOIAL[ _ 0-� Sl (/yy, � AA PROJECT NAME: PROPERTYOWNER: NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): CONTRACTOR:NA NAME: ((//,�� /�j{j �V�� Yunt"'L i • AYTIME PHONE: (9,06) 3 (-Ot�-T l MAILING ADDRESS (STREET ADDRESS; CfV, STATE, ZIP): �c6 13 MAILING ADDRESS (STREET ADDRESS; CITY, STATE-, ZIP): I EVENING PHONE: I FAX NUMBER: , i-bL�ZL.4 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: a. o- 0 2 d 77- R 3 FAX NUMBER: (206) 36 1-0 y2, CONTRACTOR'S REGISTRATION NUMBER: �f (Copy of card required) L IV © (� ? ) f /1 N 1, EXPIRATION DATE: 06/ h l V� APPLICANT: NAME: ((//,�� /�j{j �V�� Yunt"'L DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CfV, STATE, ZIP): �c6 13 EVENING PHONE: I RELATIONSHIP TO PROJECT: El ARCHITECT ❑ TENANT ^/ L]I"OTHER ( DESCRIBE): IOIILlW�{ �jJi�� FAX NUMBER: , i-bL�ZL.4 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ElPROPERTY OWNER YAPPLICANT ❑ CONTRACTOR DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 10 f)Oo SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS. ESTIMATED SELLING PRICE: $ _ ■ PR03ECT FLOOR AREAS FLOOR EXISTING Sq. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) 3 EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( R ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS 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) 'ITSCI ATMFRIATGNATURE 13LC 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 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 pafeJ this application. DATE: *3 ! 2-V —a -Z- ❑ PROPERV) 12(WNER ❑ APPLICANT COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 2531661-4129 WWw.CitV0f C&ralWaV.00M