11-102421'
City of Federal Way Mechanical • • 11 1 2421-00-ME
Community Development Services ermit #. O
P.O. Box 9718
Federal Way, WA 98063 -9718 Ins ection Re uest Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 P q
Project Name: KING COUNTY AQUATIC CENTER
Project Address: 650 SW CAMPUS DR Parcel Number: 192104 9051
Project Description: Installing (2) new pool packs. Ducting on separate permit.
Owner
Applicant
Contractor
KING COUNTY
J P FRANCIS & ASSOCIATES
J P FRANCIS & ASSOCIATES
PO BOX 3482
8223 S 222ND ST
JPFRAA1022RU (1/8/13)
FEDERAL WAY WA
KENT WA 98032
8223 S 222ND ST
98063 -3482
KENT WA 98032
Mechanical Valuation ................... .........................104000
Air Handling Units ......................... 2
PERMIT EXPIRES 1
I hereby certify that the above inf rm<
the occupancv and the use wiile in
Owner or agent: 61--- `- -c-
Is this an Online or O.T.C. application ? .................No
Inesday, February 1, 2012
!day, August 5, 2011
I that the construction can the above described,prop6rty and
he laws, rules and regulations of the State of - Washington
of Federal Way.
Date:
crhr OF
Federal Way
PERMIT #:
• THIS CARD IS TO MAIN ON -SITE
Construction, In ection Record
INSPECTION REQUE TS: (253) 835 -3050
11- 102421 -00 -ME
Address: 650 SW CAMPUS DR
Project: KING COUNTY FEDERAL WAY, WA 98023 -8425
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)
13
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
G Date _ _
By
Date
By
Date _
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Feder PERMIT
COM w .c DiyEoVfEfAePr aMENau f cSERVICES 253L35 -2 6t07• eFd1X 245u3- 835.r263LN
% APPLICATION
n
VV � ^'
r CGi�ERAL A
SF MF C ME P DE EN FP
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SITE ADD S c�
S UITE /�,r #
6 50 �s� / iv& a�em/ 'l�t� , W/ °i 02
PROJECT VALUATION
ZONIN4Y
ASSESSO TAX /PARCELS
$ ll�`I U0v
-- -- — — -- --
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
•'� UFO-
QD 1 „ k / ( „
'�We 1w�t(��v�� VQL►`l('
PROJECT DESCRIPTION
:n 1` Mvt1k to lracn. V-J
N ¢.,.t
Detailed description of work to
be included on this permit only
PROPERTY OWNER
K
PRIMARY PHONE 4000
MAILING ADAMS,
5
E -MAIL
rA
CI
3TAT
ZIP
NAME
a
PHONE
253- 972-a2SD
MM- y`4 g�r_ s f
SC I
CONTRACTOR
CITY d
ZIP 9697 3 2
FAX 2,63—AV-4910
W STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PHONE
APPLICANT
MAILING ADDREZ A
(„
E -MAIL
CITY
STATE I
ZIP
FAX
PROJECT CONTACT
NAM
Lama
PHONE
--
(The individual to receive and
2a
MAILING ADDRESS
respond to all correspondence
this
concerning application)
CITY -
STATE
ZIP/ 003 Z
FAX 2,63 ` Z-8gS3
ALTERNATE CONTA NAME:
PHONE
u an
Z5
PROJECT FINANCING
NAME
Required value of $5,000 or more
OWNER - FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the irtformation submitted in support 4f this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized 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 regulating
construction or environmental laws.
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,
but only where such claim arises t of the reliant - of the city, including its officers and employees, upon the accuracy of the
information supplied to the city part of this app cation.
SIGNATURE: [ DATE dL,.,,,
PRINT NAME:
nuueun Ifluu - January 1, 6u l i
Page 1 of 3
k:\Handouts\Pem-dt Application
VALUE OF MECEIAMCAL WORK S (a copy of bid or estimate must be provided)
Indicate how many of each type of wture to be installed or relocated as part of this project. Do not include egistires to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c.00r taq
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as
part of this project. Do not include
existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo)
LAVS (hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet)
DRINKING FOUNTAINS
SINKS (Kitchen /uttuty)
WATER HEATERS (Elect tc)
y r / /
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
URES
r,
AREA DESCRIPTION Area Occupancy Group(s)
Construction
# of
Additional Information
In uare Feet
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet)
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EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
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❑ Yes ❑ No
❑ Yes ❑ No
r,
AREA DESCRIPTION Area Occupancy Group(s)
Construction
# of
Additional Information
In uare Feet
Stories
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
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FIRST FLOOR (or Mobile Home)
Area
Construction
# of
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GARAGE ❑ CARPORT ❑
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Area Totals
ERi87'If�IU
rROPosIM
TOTAL
.... _ ... ..-
ESTIMATED SELLING PRICE $ # OF BEDROOMS
r,
AREA DESCRIPTION Area Occupancy Group(s)
Construction
# of
Additional Information
In uare Feet
Stories
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ADDITION
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Construction
# of
AREA DESCRIPTION Occupancy Group(s)
Additional Information
in Square Feet
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Stories
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TENANT AREA ONLY
Bulletin #100 - January 1, 20 11 Page 2 of 3 k:\Handouts\Permit Application