16-103036City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: MIRROR LAKE ELEMENTARY SCHOOL
Project Address: 625 S 314TH ST
Mech ,an1c*1
Permit #: 16- 103036 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 082104 9035
Project Description: Replace old boiler with (2) new condensing boilers. Replace old hot water heater with (1)
new gas hot water boiler.
Owner
ARRIIcan
Contractor
FEDERAL WAY PUBLIC SCHOOLS
SCOTT HAMILTON
GENERAL MECHANICAL INC
33330 8TH AVE S
GENERAL MECHANICAL INC
GENERM'306QF (9/30/16)
FEDERAL WAY WA 98003 -5433
2701 S J ST
2701 S "J" ST
TACOMA WA 98409
TACOMA WA 98409
Additional Permit information
Mechanical Work Valuation ? ....... .........................230000 Is this an Online or O.T.C. application? ................. No
Mechanical Fixtures
Boilers ............. ............................... 2 Gas Piping....... ............................... 1 Hot Water Tanks ............................ 1
CONDITIONS:
All electrical work must he done on a separate permit.
PERMIT EXPIRES Wednesday, January 11, 2017
Permit Issued on Friday, July 15, 2016
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w'll be in zyl� he laws, rules and regulations of the State of Washington
of Federal W ay.
Owner or agent: Date: -7 — %
THIS CARD IS TO VTS!:t(]2!53)835-3050 ON -SITE
-- Construction Inon Record -
Federral Way INSPECTION REQ
PERMIT #: 16- 103036 -00 -ME Address: 625 S 314TH ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003 -5214
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TBIS 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 M ec anica oug in as Piping ma - Mechanical
Approved Approved to release test Approved
By Date By Date By *J Date 9
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RETIED
PERM IPAPPLICATION
CITY OF JUN N 2 3 2016
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003 -6325
Federal Way 253- 835 -2607 + FAX 253 - 835 -2609 + permiteentercOcitvoffederalway.com
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER � - I Q 10 _ -7/- %
— � — TARGET DATE v
SITE ADDRESS
SUITE /UNIT #
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PROJECT VALUATION
$
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ASSESSOR'S TAR /PARCEL #
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TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING 19- MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
NAME
PRIMARY PHONE
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PROPERTY OWNER
MAILING ADDRESS
E -MAIL
CITY ern
STATE
ZIP
NAME CYEI-8t �.- �' GCkkA1J,C_AL- 1 H C
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MAILING ADDRESS
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B-MAIL
CONTRACTOR
CITY
STATE
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ZIP
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FAX z-'7-Z- Z-7
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WA STATE CONTRACTOR'S LICENSE #
ii nn �0
EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
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NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
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PROJECT CONTACT
MAILING ADDRESS
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(The individual to receive and
respond to all correspondence
CITY
STATE
PIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER - FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I cerft under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(fy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I cert(fy that I will comply with
all applicable City of Federal 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 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 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 f t:lap lication.
OZ-3
SIGNATURE: DATE I
PRINT NAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
GC'°' -I
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many o each type ofjbcture to be installed or relocated as part o this project. Do not include exisTt?kq fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
T BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING /PREVIOUS USE
LOT SIZE IIn Square Feet)
$
Indicate how many of each type ofjbcture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub /shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE
LOT SIZE IIn Square Feet)
WaSTINO FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
[]Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
lip
GARAGE ❑ CARPORT ❑
OTHER (describe) w;t
....... _..___.____
E7IISTINO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL — NEW /ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
w IIi�
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\iiandouts\Permit Application