17-102333 pi
"`-Mechanical
City
nityDe Federal Development
Permit #:17-102333-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax(253)835-2609
Project Name: LAKE GROVE ELEMENTARY SCHOOL
Project Address: 303 SW 308TH ST Parcel Number:072104 9180
Project Description: Replace boiler with(2)condensing boilers,expansion tank and pumps.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS INTEGRITY ENERGY SERVICES AUBURN MECHANICAL INC
33330 8TH AVE S 4119 257TH CT SE AUBURMI163BA(9/12/18)
FEDERAL WAY WA 98003-5433 ISSAQUAH WA 98029-5110
2623 W VALLEY HWY N
AUBURN WA 98001
Additional Permit Information
Mechanical Work Valuation? 294644 Is this an Online or O.T.C.application? Yes
Boilers 2 Compressors/Heat Pumps 2
CONDITIONS:
Subject to field inspection with plans(attached to permit).
PERMIT EXPIRES Sunday,24 December,2017
Permit Issued on Tuesday,June 27,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way.
Owner or agent: f/�'k Date: fj 6f/7 -2//7
TRIS CARD IS TO REMAIN ON-SITE
"�� . .
Construction Inspection Record
federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 102333 00 Address: 303 SW 308TH.ST
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98023-3957
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
.By6Ask Date g-,3,1 l.-1 ..By hAQ, Date e_a 1..i1 ,4 By C 1 .d Date 9,..../...., ,)
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
`By Date By Date By Date
RECEIVED PERMIT APPLICATION04004, LIGATION
Federal Way MAY 16 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenterra:,cityoffederalway.cam
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / 0 ✓ _
TARGET DATE
SITE ADDRESS p�(p-3 SUITE/UNIT#
3o 491174441-• G✓'°Y✓ /1/4.9rww
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 29 /9 7 z / e - 9 / 1
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 15 6igg6/ 4/44, ,�ln„J`�, ,fir
PROJECT DESCRIPTION
"e",14‘65-
-/ `r � /0 - 60,77- z (�� ,Nt 954,41:5"
Detailed description of work to tetfri 2 j Ptiv/ , A/W J6P2/2S
be included on this permit only
NAME PRIMARY PHONE
AR
PROPERTY OWNER A/(r T .Z/L00 6 , 3' 72/GF Z$ �1c' 593
MAILING ADDRESS
/z// S; 33Z5vgarcrr #i�i✓6'Aff .its
CITY A041 S ZIP 99! i 3
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N PRIMARY PHONE
-74
APPLICANT MAIM G ADDRESS E-MAIL
625-7 ag ,527-^TY
-TcS A-4,0,4%2- `� V FAX
d Z
NAME �-�/ ��/ �RtI�AgY PHONE
PROJECT CONTACT p/ar1T'/ 97V c®7's /ebb �l�b 1p —5'7025
(The individual to receive and MAILING ADDRESS /� E- L
respond to all correspondence ;25-7L"1 �� //�f/ fOS/i �1J/ L�B�I'
concerning this application) cI s 4- sT T ZI ev,„.�c7,O FAX
NAME
/1/7/7- (�
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more 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 information submitted in support of 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 out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city a part oft is application.
SIGNATURE: , _ / DATE
PRINT NAME: i"�/
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
?MECHANICAL PERMIT $
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS
HOODS(commercial)
�. BOILERS Z- �/y1, S�
FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS or Tab/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)xitchen/Utiiity) 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(In Square Feet) EXISTING 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
DECK _--
GARAGE 0 CARPORT 0
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet P P( 1 Type Stories Additional Information
NEN SOUXONG
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in OccupancyGroup(s) Construction #of
Square Feet Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application