08-105422City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: BEST CAMPUS CLEANERS
Project Address: 190TSW CAMPUS DR "
Project Description: Installation of (1) 399,000BTU boiler.
Mechanical
Permit #: 08- 105422 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 242103 9113
Owner
Applicant
Contractor
TWIN LAKES RETAIL LLC
HYUNDAI EQUIPMENT
UNION CONSTRUCTION COMPANY
2132 SW 336TH ST
4044 AUBURN WAY N
UNIONCC925MZ (7/9/2010)
FEDERAL WAY WA 98023 -2883
AUBURN WA 98002
9112 25TH AVE S
LAKEWOOD WA
Mechanical Valuation .................. ..........................13000 Is this an Online or O.T.C. application? ................. Yes
Boilers............................................ 1
PERMIT EXPIRES Saturday, May 9, 2009
Permit Issued on Monday, November 10, 2008
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wi be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or ent: Date:
, � PP, \ I? �0 &-, �
. - THIS CARD IS TO REMAIN ON -SITE
446:
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 105422 -00 -ME
Owner: TWIN LAKES RETAIL LLC
Address: 1907 SW CAMPUS DR
FEDERAL WAY, WA 98023
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 Approved j f
By Date By Date By / i Date l l IVO0
❑ Rough Electrical
Approved
By Date
For inspector reference only
❑ FINAL - Electrical
Approved
By Date
.� RECEIVED
Fedleml Way CDKNU T YOEVAWPA(gNrselevrces NOV o PERMIT ocy SF MF CO ME EL PL DE .EN FP
93375 D R4L WA , WA 9 • PO BOX 9718 C AT I O N
FEDERAL WAY, WA 98063 -9718
153 BS 72* FiV( ?S ^TS B 0 FED ERA wwm.dimr na131-
The following is required injGQ&n -an incomplete application will not be accepted. Please print legibly (in ink) or type.
ASSESSOR'S TAX /PARCEL # ? ( ro
-71 i L
SUITE /UNIT i
LOT SIzE (31)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT •• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING (MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENG1NEE =G ❑ FIRE PREVENTION SYSTEM
PROJECT ESCRIPTION (Provide detailed description of work included on this permit onlu)
=�� 114 r t m ill rtt ( 2" l' ,r 1c oilt 1601 1 3 `7' , o o LA
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
C` �'
APPjLICANT NAccM��n,�
1 j C
PRIMARY PHONE
MAILING ADDRESS
`
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
C` �'
APPjLICANT NAccM��n,�
OFFICE PHONE
�v oL. ,�1 i5 yl
X 9Z h - 10 1)
`
, STATE, ZIP
MAILING ADDRESS
stiv� ( '��
CyrN ESTATE, ZIP
CELL PHONE
LA TIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ent ❑ Other
OF FEDERAL WJY PUS
LICENSE MBE EXPIRATION DATE
FAX NUMBER
t`
ogitsmAIMNukew
l / O 0x
(Z7 ) - I
CO E XPIRATION DATE
E -MAIL ADDRESS
%1 i c
. r 7- M Z. D I ,-o
COMP NAME .�
APPL[ E
OFFICE ONE
c �
�v oL. ,�1 i5 yl
X 9Z h - 10 1)
MAILING RESS
, STATE, ZIP
CELL PHONE
stiv� ( '��
G uL
-
LA TIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ent ❑ Other
( "17 - A�
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Psr RCW 19. 27.095.
ndsr ir{/orma[io roJ�ct vales ;6,00
MAILING ACD
,
EXISTING ASSESSED /APPRAISED VALUE $_
SPR]NKLERED BUILDING? ❑ YES ❑ NO
WATER SERVIC)t PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE POSED WORK S
FIRE; SUP SYSTEM PROPOSED /REQUIRED? ❑ YES O NO
❑ INE ❑ TA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE IC)
AREA D RIPTION
EXISTING
8 . FT.
PROPOSED
$ . FT.
TOTAL
S < FT.
BASEMENT
a YES a NO
BASIC PLAN? n. TES
FIRST
ZONIMFG DESIGNATION
SECOND`
o NO
NEW ADDRESS REQUIRED?
a YES a NO
THIRD
UPJSEPA /SU? o YES
a NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? a YES
o NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
saersre
rsorosm
Torer.
mr.4csanm ffr
mr FROM= Ar
ror.¢er
"NEW HOMES OhIY** OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not include existing fudures to remain.
AWCU"CAL
Value of Mechanical Work e. COPY OF BID OR ESTIMATE MUST BE INCLUDED WHH APPLICATION)
AIR HANDLING UNITS COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC (Describe)
BOILERS FIREPLACE _INSERTS HOODS tcou-ud p
COMPRESSORS FURNACES RANGES
DUCTS. GAS LOG SETS REFRIG. SYSTEMS
BATHTUBS LAVS
WATER
SUMPS
URINALS
CLOSETS rnawq
0 MACHINES .
MISC (Describe)
I oM ft under penalty of perjury that I am the property owner or authorised agent of the property owner. I onto that to the best of my
knowledge, the information submitted in support qj this permit application is true and correeL I certfy that I will comply with all applicable
City of Arderai Way regulations pertaining to the work authorised 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 regulatbW construction or environmental laws.
I further agree to hold harmless the City of hdmuZ Wag as to any claim (including costs, sxPsMes, and attorneys' Joss 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 o $i
e reliance of the city, including its qcers and empioyeea, upon the accuracy of the information supplied to
the city as a part of this ap on.
8IGNATURE:� DATE
Property Owner and /or Auth nt
o NEW o ADDITION
o ALTERATION
a REPAIR o, TENANT DIPROVEMENT
BUILDING SHELL ONLY?
a YES a NO
BASIC PLAN? n. TES
ONO .
ZONIMFG DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED?
a YES a NO
UPJSEPA /SU? o YES
a NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED? a YES
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 k\Handouts\Permit Application