94-100749 CITY
F
RAL WAY
335300FirsttEWay South MECHANICAL PERIVIIT PERMIT
ISSUED: 04/26/9409
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/23/94
ADDRESS:30405 PACIFIC HWY S
NO. : 092104-9036
PROJECT DESCRIPTION:HVAC - VAPOR RECOVERY SYSTEMS
OWNERit
, CONTRACTOR ---
— LENDER —
SUDS CLEAN S.M.E. CORPORATION
30405 PACIFIC HWY S 2302 'A' STREET
FEDERAL WAY WA 98003 TACOMA WA 98402
572-3822
SMECO *173CM
FUEL TYPES.:GAS ? FANS • 0 BUTLERS/COMPRESSORS I 'FEES:
GAS PIPING.: 200 ft HOOD - 0 0-3 P. - 0 PLAk CHECK DEPOSIT.i $ 30.00
FURN(100K..: 0 DUCT WORK 0 3 15 HP 0 ':r.'.0 PRMT ISSUANCE... $ 20.00
GAS HNT • 0 MOOD STOVES...: 0 15-30 HP 0 NEC APPLIANCE FEES. $ 4.50
Ali
CONV BURNER: 0 FJRM)IOOK 0 30-5') HP 0 MEC" i�RMT'ISSUANCE.. $ 20.00
880 - 0 MI5 0 5+ HP..,.:..: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE 0 '-10,0x00 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 i 10,000 CFM` 0 JNDERGROUND.: 0
TOTAL FEES $ 74.50
Does the mater supply system contain a Pressure Reduction Device or Check valve? O Yes () No (If 'Yes' then coater expansion tank is required on Hot Water Tank)
Inspection Record Water Line OK - Mechanical Inspection Notes: —_
GAS PIPING OK ——__ Date By
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS MILL BE NET.
OWNER OR AGENT T2IZIL4Z- - DATE 4 r - ?''Z
FILE COPY
/LJ looV74
CITY
33530 OF
South RAL 11�E+ 'SNI AL PERIvilT PER ISSUED:: BLD94 04/26/9409
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/23/94
ADDRESS:30405 PACIFIC HWY S
NO. : 092104-9036
PROJECT DESCRIPTION:NYAC VAPOR RECOVERY SYSTEMS
LIMNER .. .. .�.. .. ---...-----_--,--_.._-..._�- _.. CONTRACTOR .�...�.___..-__�:-. -----� -- _ .. -._ _._.. LENDER ------------------ - _-_...z s._.
SUDS i CLEAN S.M.E. CORPORATION
30405 PACIFIC HUY 5 2302 'R' SIREE1
FEDERAL WRY WA 98003 TACOMA WA 98402
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FUEL TYPES.-GAS ' FANC 0 SII FEES:
�TM GAS PIPING.: 200 1t HA° 44 "� 0 O+ 'HP DEPOSIT. $ 30.00
FURN<lOOX..: 0 OKL:=814440.--440‘.VORI 3 I " AM LI: SSUANCE... $ 20.00
GAS NMT....: 0 1. 0 ) ichi` ':- _ ` ' ' ,. ' ;NCE FEES i $ 4.50
CONV BURNER: 0 U'.
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a0=1= • FEES
,. El Renewal CITY OF FEDERAL WAY CITY CLERK ' S OFFICE New Business: $15.00
33530 1ST WAY SOUTH • FEDERAL WAY, WA 98003 • (206) 661-4070 Renewal: $15.00
New Owner: $15.00
Business Registration Application Relocation: S 0.00
Duplicate: S 7.50
PLEASE TYPE OR PRINT INFORMATION ALL LICENSES EXPIRE DECEMBER 31
1 Business Name Slri�,' `-- O Ve.g2 7 Does building/premise have automatic fire sprinkler system? 0 Yes ❑ No
�
If yes, monitored by: ��- -
Owner/Manager Name Dv/_ reV. 1 t-f.�
ri
3 7 1,4q I J 8 Does business have fire or security alarm system? ❑Yes ❑ No
Business Street Address If yes, monitored by: -7/,/1`9-
Does business have guard dogs of remise? ❑Yes 0 No
�.�V,f l <'-7,2 _ ? �� 9 Opening date of business r '' 96
Business Telephone f
10 Total number of employees: /r, Fulltime Parttime
Billing Address(if different) ''.-a4 kl-
1 1 Building: ❑ Single Tenant ❑ Multi-Tenant j! ;^`
2 Type of Business: ❑ Retail ❑Wholesale3'Services ❑ Mfg Floor space used: sq ft. Is business in business center/apt?❑ Yes ❑ No
❑ Home Occupation(add')permit required) 0 Other(specify) If yes, name center or apartment:
Is exemption to registration fee claimed?Affidavit of Exemption must eccom- Are you sharing space with established business? ❑Yes ❑ No
pany this form. 0 Non-profit ❑ Charitable/hospital ❑ Homegrown goods If yes, name of established business
3 King Co. Property Parcel No.(s)- (King Co. (2061 296-7300): 12 Outside storage? ❑Yes ❑ No If yes. sq ft of outside storage: .2.4
j Materials stored:
d
Washington State Tax ID No. (1-800-647-7706) 13 Address(es)of any warehouse or distribution center in Federal Way:
4:24.,....._..4.4.-i --l-,1 /
s�e s em► J=Z ),,ii
4 Description of Business (Details of operation) 1
14 Hazardous Materials Information Form must be completed and returned by all
applicants. t `r
c
5 Ownership Status: 0 Individual 0 Partnership Corporation 0 Non-profit / _
List owners, partners or officers: Or Attach List ,•-, 15 Owner of Building: Y;7/,^?'
/TT
Name /TX;••••,k- /Q' 1 �— Title f i' €•_---5,
Address
Res/Add 74//'n 5. .51."1;''' )�e City/Zip'• -irft:{/is , ,,,.0,04
�7 902—
Drivers License#/State e4/� ,` /~')( >2.'-rte_ "�
16 Emergency Notification:
Owner Date Of Birth 102_ :W/7y ,_ Name �✓! IQ-•:t C Phones.2,7,4,N, C7-i - F ,-t-
Address ;6 Business Insurance..Company:
"tr)2 ,.9 , �"/' •
i l,c)-1-; K.: .2e/( z~,t,, like-K 'D, 1 A-u,-
Policy No(s): / 4 City/State/Zip f.1-'144 ` v .)la • Q I-
0 gip (.)/--f)-‘_?/1°7- q4
ADDITIONAL CITY PERMITS MAY BE NECESSARY BEFORE OWNER CAN COMMENCE BUSINESS. ALL BUSINESS SIGNS WITHIN THE CITY MUST BE APPROVED BY COMMUNITY
DEVELOPMENT DEPARTMENT. NOTIFY CITY CLERK'S OFFICE IF YOU CHANGE YOUR BUSINESS ADDRESS,PHONE NUMBERS,NAME,OWNERSHIP,NATURE OF BUSINESS.
OR IF YOU ARE NO LONGER DOING BUSINESS IN FEDERAY WAY,WASHINGTON.
I certify the above Information Is correct. I also acknowledge that the Information furnished by me becomes public record and Is available for public Inspection pursuant to revised
code of Washington./
1 /1
Signature{ ` _ Printed Name: ,iC {N '/ ' f
/ /..
Office/Title: r /2,,,E.:/e.:.,.4--T2 4--' i '� 2.0-4'' Application Date: 4-/ /Q t J
•
For Office Use Only
Zoning District: Community Development: Police:
Fire Department: Clerk:
Amount Paid ,---U'✓ ' btck�X J Cash Rec•eipt# r I d Dale By
�� ,; 5 `/ l '77�/ /; /k1
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. PLEASE 4(ETURN ALL COPIES. IF ADDITIONAL SPACE IS 14EEDE,D, ATTACji ADDITIONAL SHEETISI.
WHITE: Clerks Office PINK: Applicant CC04911Rev 101911
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HAZARDOUS MATERIAL / WASTE INFORMATION
BUSINESS NAME: `�E 1 L ?qt.),
ADDRESS: v2‘ .? :� t l �4. LO rY7,4 . q g vc:2-.
CONTACT PERSON: ��- /x'171 TELEPHONE: (<04-)
The City of Federal Way,Washington.has requirements pursuant to state law regarding hazardous materials treatment and/
or storage facilities. These requirements mandate that all jurisdictions designate zoning districts in which hazardous waste
treatment and /or storage facilities are allowed as permitted uses.
Please answer the following questions which will assist the City of Federal Way in determining how your business is affected by
these regulations.
(1) Give a brief description of your business:
6:A7 ICC ? ; )-rr t. /J'/ns . vL
(2) Does your facility currently report to the Federal Way Fire Department under Sara Title III? Yes _ No
(3) Do you use or store flammable materials? Yes < No If yes, please list.
1 vt?ri i! rd(;. r. - r /„ye kt
L�-+ tyre
Mt 0 V C in C�; )l l N G-
(4) What types of hazardous materials and/or waste are used,stored, handled,processed,or generated by your business?
For purposes of reporting,hazardous materials are defined as any products within your facility that require a MSDS sheet
under OSHA/Worker Right to Know (If additional space is needed, please attach a separate sheet[s] of paper):
fl.. l Li vl -a-i1; r :�t :s''t T+`•'i ce, ✓i J'+'.� i r- 4,ry,g,..,ZL e
5
(5) What quantity (in pounds) of the above substance(s) are stored on site at any given time? Excluding consumer corn
modities for household use packaged in quantities of less than five (5) pounds (If additional space is needed, please
attach a separate sheet(s) of paper):
These questions must be submitted along with your City of Federal Way Business Registration Application.
If you have any questions regarding materials and reporting requirements.please contact the Federal Way Fire Department
at 946-7245. Other questions should be referred to the Federal Way City Clerk's Office.
White:City Clerk Pink Police Yellow Fire
3/91
N
7 ) ui ( �tii1 .
THERE ARE 10 ENODEVIATIONS
TO THE APPRO4 Ewt DRAWINGS
UNLESS OTHEC�"'1SE APPROVED BY
THE FiDEMA6 WAY BUILDING DEPT.
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4G -1--tc, (e,
.71 - 301
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30VOS- ??c. dwy, .5 . I V
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_ L l//' 4 FILE
RECEIVED V11-ep . _41)4 CITY OF FEDERAL WAY
Piotk, L.,,,e DEPT. OF COMMUNITY DEVELOPMENT
APR 1 $ 1994 r� o�. t1.� _ r r v
t-u 1-1 ._ O7,-c) 7
r, o� PERMIT NUMBER
C�
CITY
I BU OF
FEDERAL
ING DEPT AY ADDRESS
I PLANS FOR
OWNER
FILE .
_
_� DATE SUBMITTED DATE APPROVED.-2(4 -_ l qt i
APPROVED BY ; (,