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07-102037C ommuf Federal Way nity Development Services Mechanical Permit #: 07-102037-00-ME Community P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -260,' Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: LAKECREST CLEANERS r Project Address: 29009 MILITARY RD S a w' Parcel Number: 042104 9037 Project Description: REP - Repaired punctured gas pipe Owner Applicant Contractor LAKECREST SHOPPING CENTER LLC LAKECREST CLEANERS LAKECREST CLEANERS 28815 MILITARY RD S 29009 MILITARY RD 29009 MILITARY RD FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 Additional Permit Information Mechanical Valuation ................ ............................500 Over the Counter Permit? ...................................... Yes hereby certi t l� tl1e above irlfbn the occttt)ancv and the use will be Owner or agent: SUBJECT TO MELD IK3PECTION. J - THIS CARD IS TO REMAIN ON -SITE . f CITY OF Community Development Inspection lkee®rd Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 102037 -00 -ME Owner: LAKECREST SHOPPING CENTER LLC Address: 29009 MILITARY RD S FEDERAL WAY, WA 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 i� Approved By Date By Date Y ///0 7 By Date Z11fa t arr oP I Federal way PERMIT — —; — 23251U' MNIIYIDEVELOFMENrsERVlc ©� SF MF CO E EL PL DE EN FP D RAL W E SOUTH 0 FD BOX 9718 p L I C AT I D N FEDERAL WAY, WA 98063.9718 TD 253- 835.2607• FAX 253 - 835.2609 p,QR ESA vnaw.dluulfedemiwaLam L The following is req � EPAan • incomplete application will not be accepted. Please print legibly' e ib1 y ( in in J or. 1\ ;W type. SITE ADDRESS U G P SUITE /UNIT # ASSESSOR'S TAX /PARCEL # _ P\ "V - O LOT SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) fAnach sepwatepagejwie,gft legel deawW-4 PROJECT • • TYPE OF PERMIT ❑ BUILDING O PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlW 1,l iA/14 f4/706)n (rim 1z,4 j TL,_ �l PROJECT NAME (Name of Business or Owner Last Nam k PEOPLE •• • PROPERTY E OWNER ne La - ." CONTRACTOR COPY of e-cd - q-ieed with eee -pplie-tWa APPLICANT PROJECT CONTACT LENDER EXISTING USE NAM M - MAILINOADDRESS_ CITY, STATE, ZIP Cl ATE, pp L E-MAIL ADDRESS CO PA NAME APPLICANT NAME APPLICANT NAME OFFICE PHONE CITY, STATE, ZIP MAILING A DRE ' _ CITY, PTATE, ZIP CELL PHONE CITY E F FEDERAL WAY BUSINESS CE SE NUM ER EXPIRATIOIDATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E -MAIL ADDRESS COM7Y NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER ( _ NAME PRIMARY PHONE E -MAIL ADDRESS NAME Per RCW 19,27.095: Lender Information is required ifproject value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE p TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commereiaq COMPRESSORS FURNACES RANGES Du. i : ;i ;: GAS L06 SETS REFRIG. SYSTEMS o YES D NO UP /SEPA /SU? PLUMBING D NO PLATTED LOT? BATHTUBS (orTolsho r combo) LAVS 16irirroom Si ks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rwi q ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I certify under.penaity of perjury 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 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 flied 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 1 this application. NAME /TITLE T,. _ DATE RELATIONSHIP TO PROJECT IJo Owner O o Contractor o Architect O D NEW o ADDITION o ALTERATION o REPAIR D. TENANT IMPROVEMENT. BUILDING SHELL ONLY? DYES ONO BASIC PLAN? D YES D NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES D NO UP /SEPA /SU? o YES D NO PLATTED LOT? D YES D NO DEMO PERMIT REQUIRED? o YES o NO Bulletin # 100 — January 1; 2007 Page 2 of 4 k\handouts\Permit Application .