14-103879t .*
0
City of Federal Way
C/O TAX DEPT 17463
Community & Econ. Dev. Services
33325 8th Ave S
ONBOASI977LP (7/26/15)
Federal Way, WA 98003
FILE
Ph: (253) 835-2607 Fax: (253) 835-2609
DALLAS TX 75221-0711
Project Name: 7 -ELEVEN
Project Address: 104 SW 312TH ST
•
a
Mechanical
Permit #: 14 -103879 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 072104 9219
Project Description: Remove existing 4 barrel slurpee machine and install a new 4 barrel.
Owne
CHEK KWIK
ARRI11cant
ONBOARD SERVICE INC
Contractor
ONBOARD SERVICE INC
C/O TAX DEPT 17463
402 BEAVERCREEK RD SUITE 111
ONBOASI977LP (7/26/15)
PO BOX 711
OREGON CITY OR 97045
402 BEAVERCREEK RD SUITE 111
DALLAS TX 75221-0711
OREGON CITY OR 97045
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical; Fixtures
Refrigeration Systems ................... 1
PERMIT EXPIRES Wednesday, January 28, 2015
Permit Issued on Friday, August 1, 2014
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:_
F-INALED,
CITY OF
Federal Way
PERMIT #:
Project:
• THIS CARD IS TO ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -103879 -00 -ME
CHEK KWIK
Address: 104 SW 312TH ST
FEDERAL WAY, WA 98023-4609
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 1By Date By VIV Date $ 4 ( 14
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
."r.
TY OF •
Federal Way
MIT9iPPLICATION
JUL 31 2014
PERMIT NUMBER � � _ � � Ty OF FEDERAL WAY
D5 TARGET DATE LC
SITE ADDRESS
SUITE/UNIT #
o cl S L' -J
o2 -- y6 013
PROJECT
ZONING
/ASSESSOR'S TAX/PARCEL #
C��VALUATION
oo ice_
- -
- - - -
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING MMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
1 V f pe t— q c
0o 5 twa:�<
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
—-Cl1te�
MAILING ADDRESS
4 SL-) 12� ` �•{•� L%
E-MAIL
CITYS
TATIA
ZIP
NAME
v' Dara
PHONE
503 6S? Z rt (o
MAILING ADDRESS
D� Ct ��✓`�� (< (
E-MAIL
Jo-�`i�a'—c' QIpS/frV�
CONTRACTOR
CITYSTATE
ZIP ,_
7L
FAX
�� 65-7 z6� B
WA STAT CONTRACTO 'S LICENSE #
WA
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
ON o51177 L-
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
CITY
, DIS Ge
STATE
D/`
Z T ! D-1 7 IP
FAX
S^V 3 GS -7 Z 01 V
NAME A
�
PRIMARY PHONE
PROJECT CONTACT
�
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
r OWNER -FINANCED
e�
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
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 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 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,
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 apart of this application.
SIGNATURE:
DATE
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Ilandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT s
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remairu
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Additional Information
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
$
Indicate how many o each type offixture
to be installed or relocated as
part o this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kit&_/utnity)
WATER HEATERS (Eiectric)
/ y
ib
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Additional Information
in Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
/ t" MW,
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
# of
Additional Information
in Square Feet
#14
ve
Stories
FIRST FLOOR (or Mobile Home)
/ t" MW,
ri
____._............_.
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COVERED ENTRY
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COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
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GARAGE ❑ CARPORT ❑
Stories
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MISMG
Area Totals
PROPOSED
TOTAL
TENANT AREA ONLY
r
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
ve
Stories
/ t" MW,
ri
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
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TENANT AREA ONLY
PR03�'AREA-fSNI.Y '
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Bulletin # 100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application