06-1021826 9 s
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City of Federal Way echanical Permit #• 06-102182-00-M E
Community Development Services •
P.O. Box 9718
« Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 FILEf
Inspection Request Line: (253) 835-3050
Project Name: CIRCLE K CONVENIENCE STORE
Project Address: 2535 S 320TH ST Parcel Number: 599970 0010
Project Description: ALT - removing existing system and installing new system.
Owner
Applicant
Contractor
KAYO OIL CO
DAVE ANDRINGA
SEA AIRE INC.
315 S JOHNSTONE
SEA AIRE INC.
SEAAII*206JQ (4/26/08)
BARTLESVILLE OK
340 UPLAND DR
340 UPLAND DR
74004-0001
TUKWILA WA 98188
TUKWILA WA 98188
Additional Permit Information
Mechanical Valuation............................................2500 Over the Counter Permit? ...................................... Yes
Mechanical Fixtures
Refrigeration Systems .................... 1
PERMIT EXPIRES Sunday, October 29, 2006
Permit Issued ton Tuesday, May 2, 2006
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: tJ Q' Date: �i/ /Z 6
Fov, tt-6F t) SY016 6 tc
- THIS CARD IS TO REMAIN ON-SITE
Alt
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102182 -00 -ME
Owner:
Address: 2535 S 320TH ST
FEDERAL WAY, WA 98003-5443
This card is part of your required inspection documents. 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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By DateB4&1 Date 13foto
OTT OF
EV E' Y ED `f-� - I V
F'ederalway PERMIT
ooffwxrrrnsyscoPltlssr SF MFC LPL DE EN FP
333258MAVEIVUY,WA.9•PO3Y n �� PLICATION
FBQ6RAL WAY, WA 98069-9718,
253.835-2607• PAX ?S3.835.2609 /
,,, @RY OF FEDERAL.
Bt�ILDING DEPT,
The following is requ red if4/ormation - an incomplete application will not be accepted. Please print legibly lin ink l or tr/ae.
SITE ADDRESS oZS 3 S p3�-O 3 >' spa SUITEMNIT i .
ASSESSOR'S TAX/PARCEL • 5'/ �1 �y % a - (7 / d LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
I-- MP-Pa9a%I-oYI Imat ds+oW.4
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO T DESCRIPTION (Provide detailed description of work included on this permit oaW
F�L416., .0 1 r t .� s, u..
I
PROJECT NAME (Name of Business or Owner Last Name) C JZ., ) PEOPLEk—
•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAMEPRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
COMPAMVNAME
3'6-4 —A cJC �ya�
APPLICjAA�
NAME /
OFFICE PHONE
(z, C 7 — CS /
X7c✓
G`NT
o"
6)
MAIIjm ADDRESS
S Ilc� UP d
CITY, STATE, ZIP
r"v , �,,F i,✓.c t f? -P
CELL PHONE
(� 6) '779 - l06 f
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with epch appneatioa(
sEA"4Z,z:-*Zo 6-7 _fit
EXPIRA13ON DATE
`{/aG/o�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
X7c✓
�iti� /4'Y►Gt'i� p .
(7-c��) S 7T - �E S' /
MAILING ADDRE33
`IO UPS' Pe—
CITY, STATE, ZIP
iZka,64 � �Ylyp
CELL PHONE'
( 20e) '%7l:�Oc�G
RELATIONSHIP TO PROJECT
FAX NUMBER
(3 Architect ❑: Tenant o Agent ❑ Other (Describe)
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILD""'0 YES ❑ NO FIRE S
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKERAVEN . ❑ HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK
SYSTEM PROPOSED/REQUIRED? O YES ❑ NO
❑ TACORM ----- 0 PRIVATE (WELL) I
❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
S . FT. 8 . FT.
BASEMENT
OAS PIPE OUTLETS _^
SUMPS
FIRST
URINALS
UVS ( swo
SECOND
THIRD
i
FOURTH
ADDITIONAL FIAORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
rsrsrao eeorosss TMAL
NUMBER OF FLOORS
"NEWHOMES ONLY'"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type offixture xture to be installed or relocated as part of this project. Do not inckide existing fvctures to-
MCUAMCAL2 $"o )
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS OAS PIPE OUTLETS
BATHTUBS (or Tub/sLowarcomb4
SHOWERS
DISHWASHERS
SINKS
OAS PIPE OUTLETS _^
SUMPS
WASHING MACHINES
URINALS
UVS ( swo
VACUUM BREAKERS
OAS LOOS REFRIO. SYSTEMS
HOODS (commucie4 WOODSTOVES
RANGES MISC (Deacnbe)
GAS WATER HEATERS
WATER CLOSETS (Tosco MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
r c-Wy under penalty of perjury that the information fumished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 airy 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 part of
this application. �>
NAME/TITLE DATE
(sipaturc) mom)
RELATIONSECIP TO PROJECT a Owner 0 Agent 19 -Contractor D Architect O Other
n.au..
An r............ a INU Aoan 9 nfA h\HAnAnutc\Permit Annlication
Detach And Display Certificate
0
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