01-100472 01 - vK
City of Federal Way Mechanical Permit #:01 - 100472 - 00 - ME
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: TESORO GAS STATION
Project Address: 1650 SW DASH POINT RA, Parcel Number: 122103 9069
Project Description: MEC-Install Type I hood.
Owner Applicant Contractor
TESORO NONE MUTUAL INDUSTRIES INC
1650 SW DASH POINT RD 9832 17TH AVE SW
FEDERAL WAY WA 98023 SEATTLE WA 98106
NONE (206)769-6622
Mechanical Valuation 5000 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Hoods 1
PERMIT EXPIRES September 2,2001,IF NO WORK IS STARTED.
Permit issued on March 6,2001
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 a.►o s ance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: m A ' .•i Date: 3 /6 o f 0 1
OAVP7
0/1; k 3 755
eCo .c.K.. o tic, 3 - 2Z G-Cl•-
11,26/9 • WED 11:45 FAX 2536614129 CITY OF FEDERAL WAY •
Z0024'. i ECEI'VE p 1, y Zte: /4 7a.,.
FEB er
0 ® BUILDING DIVISION
ti4 `16.— / 1.53 .�4=—�;)O bL 33530 First Way South
/1 Federal Way,WA 98003
• CITY OF FEDERAL WAY FA) 13/t. _ (253)661-4000
BUILDING DEPT. Fax(253)661-4129
APPLICATION FOR MECHANICAL PERMIT
MEC(' tI — 6004 7 2_
PARCEL # Single Family 0 Multi-Family 0 Commercial
14. •
SITE LOCATION
T
Tenant/Owner it s k tPt, Phone —
Address/City/State/Zip J4 SI ,Pzi_ / Ifi, ,:ii 4 j Z, 1
Nature of Work. -. f OkJ t OAE j -17- f) 176
Project Valuation:$, ��•LU
APPLICANT
Name 7-,. ., Lt /,.i T e .Zc4.__- .
Address/City/St/Zip ` ‹Ie < /
Contact Persons t" 4141.1:( Phone Fax f-6.422 Fax eQ r j
MECHANICAL CONTRACTOR
Company Name �i- ��
Address/City/St/Zip . •
•
Contact Person. Phone Fax
State L&I Contractor Registration# Jill/g1113 Exp.Date
(Card muaebe presented) •
(--4—.2k17
MECHANICAL UNIT COUNT •
Fuela u/othcr C1as Air Handlin < 10 o00ohn
fuel Tanks:
Lettgth of ftaas aipinA Range Air Handling>=I0,000chn Above Ground _
Fur',n<10OK BTUs Gay Lox Unit Heater
Underground
Furn>IoOK i
BTUs Fans ]] Boiler BTU/H Miscellaneous
Cu Hwt Hood Boiler BTU/H Other
Cony Burner Duct Work l A/C TONS I Other .
-- —ACC—eA/C •LONA UoY' INget.i'ali..W
oisr- iumsa:t dn�tdsr geno ,that the inlbanadon banished by ITN is true and carnet to the best army knowledge and[;alta dint am authorized by the cow or the about prone=to perform the work
k which permit a e I fd wee to Nue harmless the City or Puked Way as to ay claim(tis
male by say Person.inek adtag Ow ttndentenad.and bled t the Cl'of Few sago.a opthe a and attorneys'cit fees incurred N Investigation a to detente o the a durac of die be
itCbnnadmt at p*ad to the Of u a eae,ay Way but only wham such claim vises ova 0[Ih0 tekinttee of the city,Milano its o(S>ecra and anployav,upon the accuracy oCtha
part of this application.
� / w
/c:R/76la)Owner/Agent I -- _ - Date
macawss
arm=an4v7
�l` 9'_t tet_�'L...,..114::....' m� "ns .,, „yam ?s..?:i Existing Ups Proposed Use
Permit includes: 0 Building 0 Plumbing 0 Mechanical 0 Other
ypo of Work: 0 Residential 0 New 0 Remodel 0 Number of Units 0 Deok
Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter let Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Ares sq ft
Area Basement eq ft Decks eq ft Garage aq ft Proposed Total Area sq ft
Water Availability O Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation $
—
Zoning Lot Size , Existing Bldg Valuation ,S
h' )m") F rmjn".' , s
Name '
Address
CO
State 1
Zjp
t i5,;�`�-� Y, �.iy pS7r��i�?yy�,[�¢A� �c. .•°,�,a .�•.�v
F...S.l .ce A6 91® {yy..6P1 ..., 1.5i:.3 Ica 12.,,,N✓.r
Contractor Name Address le&02
+, / 6/,-..- _ • State Z• /�
Contact Ph•ne / Fex;
AP,2 L, C , 1 ii 4 Expiration Dote( "077 Verified 0 Yes r 0 No
-
Contractor Name Address
City
State Zip
Contact Phone Fax
fLicenle 0 _ Expiration Date Verified 0 Yes 0 No
it � b t<rr: h �a:
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sums
Lavatories Washing Machine Drains f; hc ...wp ,.,_.`,
`, .,,M ,.,.... ••ahs _ MECHANICAL EVALUATION ONLY $
Fuel T 4.8(electric/other) Gas D er Air Handling < is 10,000 CFM _ 15-30 Tons .
Length of Gas Piping Ranke Air Handling i = 10.000 CFM 30.50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tone
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 TonsUnderground
ri `° ahy ; Y'BBO's Wood Stoves 3.15 Tons a�a t"
-
DIS CLAIMER:I certify under penalty of parjury 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 th a work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and def.. • .ch 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 ,including its officers and see,upon the accuracy of the information supplied to the city as a part of this application.
/i°
1
Owner/Agent: ' i(L Date: ./o2//,/
OWNICAIN
WAN e4I4