09-102367City of Federal Way is
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MIRROR LAKE ELEMENTARY
Project Address: 625 S 314TH ST
01 Mechanical
Permit #: 09- 102367 -00 -ME
Project Description: Install (22) new unit ventilators within 22 classrooms
Inspection Request Line: (253) 835 -3050
Parcel Number: 082104 9035
Owner
li ant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
MCKINSTRY ESSENTION INC
MCKINSTRY ESSENTION INC
31405 18TH AVE S
PO BOX 24567
MCKINE1942JQ (12/9/09)
FEDERAL WAY WA 98003 -5433
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
all
Ott iwforml �� t
Mechanical Valuation ..................... .......................90645.00 is this an Online or O.T.C. application? ................. Yes
f5''F� 4j aa. -a. ��. .� �.�_ _ . �Mk , a.,..,w�,... .}°_.
Air Handling Units ......................... 22
hereby "r
the occupa
Owner or agent:
PERMIT EXPIRES Wednesday, December 23
Permit issued on Friday, June 26, 2006
b e info7ia n is correct and that the construction on the
s wiN be dordance with the laws, rules and regWation!
.I and the City of Federal Way.
Date: 6 —2 4— o /
I HAuk-D
o/ t If/Oct
R
- . THIS CARD IS TO MAIN ON -SITE _
C"OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 09- 102367 -00 -ME Address: 625 S 314TH ST
Owner: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003 -5214
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, tbp 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.
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Appm'ed Appmved
By Date By Date
�I
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By
_ I Date , L t - a
By
Date
By
t Date /Q _ ...
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Appm'ed Appmved
By Date By Date
�I
CIT/ OF � ( D O� � � v 7--
Federa \�/' PERMIT �`°
COMMUNITY DEVELOPMENT SERVICES SF MF CO dv E LPL DE EN FP
333258TH AVENUE SOUTH•PO BQ$,982 4 2009 APPLICATION
FEDERAL WAY. WA 98063 -9
253 - 835 -2607• FAX 253-835 -
www.cituo((ederalwau.com p /� � �p� /��
The foVoi�lif is(;*u j;r9= 4'bft � an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITEADDRESS 625 S 314th St., Federal Way, WA 98003 SUITE /UNIT#
ASSESSOR'S TAX /PARCEL # _ _ _ _ _ - _ _ — _ LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT • • •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING M MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlul
Install (22) new Unit Ventilators i 5!/-/
PROJECT NAME (Name of Business or Owner Last Name) Mirror Lake Elementary Mech. Upgrade
PEOPLE 1 • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
Federal Way Public Schools
(253 ) 954 _ 5935
MAILING ADDRESS
CITY. STATE, ZIP
E -MAIL ADDRESS
31405 18th Ave South
Federal Way, WA 98003
5005 3rd Ave. South
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
McKinstry
Erika Levin
( 206 ) 762 - 3311
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
5005 3rd Ave. South
Seattle, WA
❑ Architect ❑ Tenant ❑ Agent IX Other General Contractor
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
20 -06- 102906 -00 -BL
12/31/09
( 206 ) 832 - 8769
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
MCKINEI942JQ
12/9/09
COMPANY NAME
McKinstry
APPLICANT NAME
Erika Levin
OFFICE PHONE
( 206 ) 832 - 8269
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
5005 3rd Ave. South
Seattle, WA 98134
( 206 ) 786 - 3298
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent IX Other General Contractor
NAME PRIMARY PHONE E -MAIL ADDRESS
Patrick Paradise ( 206 ) 255 _ 0855 patp@mckinstry.com
NAME
N/A
Per RCW 19.27.095:
Lender Wormation is required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE Public Elementary School PROPOSED USE Public Elementary School
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ $ 9 O , 6 4 5
SPRINKLERED BUILDING? DE YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
I
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
FIRST
❑ NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
❑ YES
❑ NO
THIRD
DYES ❑ NO
UP /SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTDVG
PROPOSBD
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED SF
TOTAL SP
" "NEW HOMES ONLY" NUMBER 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 fixtures to remain..
MECHANICAL
Value of Mechanical Work $ 9 0, 6 4 5
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or l)rb /shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (Commercial)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS ('toilet)
WASHING MACHINES
WOODSTOVES
22 MISC (Describe)
Unit Ventilators
MISC (Describe)
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 irtjormation submitted in support of this permit application is true and correct. I cert(jy 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.
Ifurther 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 out of the reliance of the city, including its officers and employees, upon the accuracy of the irtformation supplied to
the city as a part of4his application.
SIGNATURE:
Owner and %r Authorized
�//z
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
DYES ❑ NO
UP /SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - January 1, 2008 Page 2 of 4 k\Handouts\Permit Application