05-105003 r - •
City of Federal Way Mechanical Permit #: 05 - 105003 - 00 - ME
Community Development Services
P.O Box 9718
Federal Way.WA 98063-9718
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: ERNIE'S FUEL STOPS
Project Address: 33101 PACIFIC S Parcel Number: 172104 9100
Project Description: Rooftop condensor units(150LBS)
Owner Applicant Contractor
ERNIE'S FUEL STOPS MARKET NORTHWEST INC MARKET NORTHWEST INC
ERNIE'S FUEL STOPS 25503 74TH AVE S 25503 74TH AVE S
33101 PACIFIC HWY S KENT WA 98032 KENT WA 98032
FEDERAL WAY WA 98003 (253)373-0015
Mechanical Valuation 800 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description IIQuantity
Compressors 1
PERMIT EXPIRES March 28,2006.
Permit issued on September 29,2005
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 age Date: 94;41--
,–
—
THIS CARD IS TO REMAIN ON-'S1.1
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105003-00-ME
Owner: ERNIE'S FUEL STOPS
Address: 33101 PACIFIC HWY S
FEDERAL WAY, WA 98003
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By Date
RECEIVED
Federal Way SEP 282u� .�1Jot3
5.
COMMUMTYDEVELOPMENT C�$L PERMIT SF MF C EL PL DE EN FP
3333FAVENUE WA ,W 9•PO 639OX 9719klf IL INo A ICATION
53-85FEDERAL WAY,FAX
53435.2!0 B U I L i?I N G ITD
/T53 Q35 2607•SAX 353135.3609 I
lUtUu/.dtlpaderdweu e,m
The ollowi • is • fired in ormation-an Inco •tete a••iication will not be acce•ted. Please •rint le•ibl in or
• PROPERTY INFORMATION
SITE ADDRESS 2-SS -7 17 -P - C. \A-—1 S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
mums separa.past far lonidl W MvJ description)
^
IIIPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING HANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
U mac.-...��--r\ S 1 '� Po n� e'v_ nc�-)..
Y Y S cAd` L✓,. ►2e( , e`s� 4 r, $� ))
PROJECT NAME(Name of Business or Owner Last Name) (rvl( t_'5
M PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER aR J k 'c g„.1 C--r... r-t.4 (L .:5) (21(6 )CAIS - 3 7 CA) _
MAILING ADDRESS, STATE,ZIP
2_4727 P . LL.,,, S. d�-�Q W.—) 1 '--, ,L\ "1 $003
CONTRACTOR COMPANY T IV APPLICANT NAME
OFFICE PHONE
M o,,. -e (.--c. . 1 e or,..\ .1 .4,10 S,-- (zi- ) 313 -Oa I r
MAILING ADDRESS CITY,ST P CEL.PHONE
i�3
�Z - .1- �-c - 3. --, c......A cryo 32_ (I-06 1B -ci 04 3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER
-B. L / / ( S - C I�
CONTRACTORS REGISTRATION NUMBER(copy of earl required with each application) EXPIRATION DATE
/ /
, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
ram€ 'ss dv --- _ ( )
C MAILING DRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant a Agent a Other(Describe) ( ) -
CONTACT NAMEPRIMARY PHONE E-MAIL FIDDIKESS 1
I2 r,-. v4� (206 ) `6`f \ - al a`k 3 Y1Ac L N„J)a d( .c.4.4
LENDER
:dI('' ,,.:� r,-h r-.;- 7,aY,jniCr••:+,1„ NAME , S/�
.ger, , ••r-oX".,, :{,tom ,,,•(,, J.},Irr. N/ (/F-\
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE •: •• • I USE
EXISTING ASSESSED/APPRAISED . .• VALUE OF PROPOSED WORK $
SP• • • u I.DING? a YES ❑NO FIRE SUPPRESSION SYSTEM : Ne . - • REQUIRED? a YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEKAVEN a HIGHLINE a TACOMA Cl PRIVATE(WELL
SEWER SERVICE PROVIDER a LAKEHAVEN ❑HIGHLINE Cl PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT ''
FIRST •
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS slwTao moms= Torre. ;,_,. ..
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL �,
Value of Mechanical Work $ ' Ti)
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(x .,,,, .q WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tab/sh.werCombo) SHOWERS WATER CLOSETS ciao MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Shaul VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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 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 part of
this application.
NAME/TITLE --> /fidisL �—� a-1--"-e---(2•-•--SA DATE (L ( d
n) (Title!
RELATIONSHIP TO OJECT ❑ O er a Agent i ontractor ❑Architect 0 Other
.uOL,11.0(e)4 .',V t.'C.!f›) fF,�(CFI... . - .+.'M-V.tIi
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Bulletin#100—January 7,2005 Page 2 of 4 kUlandouts\Pcnnit Application