17-103604 i -4 f
Mechanical
City of Federal Way Permit #:17-103604-00-ME
Community Development Dept.
33325 8th Ave S
Fe8133;-13
deral Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: HIGH POINT EARLY CHILDHOOD LEARNING CENTER
Project Address: 1066 S 320TH ST Parcel Number:082104 9188
Project Description: Mechanical fixtures for associated tenant improvement
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS MIKE BENZIENFEDERAL WAY PUBLIC ALLEN-BRADBURY CONST LLC
33330 8TH AVE S SCHOOLS ALLENC*857MS(7/10/19)
FEDERAL WAY WA 98003 33330 8TH AVE S 901 ALGONA BLVD N SUITE A
FEDERAL WAY WA 98003
ALGONA WA 98001
Additional Permit Information
Mechanical Work Valuation9 190000 Is this an Online or O.T.C.application? No
Air Handling Units 12 Ducting 1 Fans 10
Gas Piping 1
PERMIT EXPIRES Sunday, 11 February,2018
Permit Issued on Tuesday,August 15,2017
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
Was!ington and the Ci of Federal Way.
Owner or =gent: --- F....../5:
' Date: `//7
DATE IySPFCTOR AREA ANI3 TN PF 01 IySPI:C1 JON
►°(4 [11 VUO Fart t2144514_ k i�ekcH
A
i S.
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103604 00 Address: 1066 S 320TH ST Bldg E-100
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY WA 98003
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
,Byn 1 Date .1,p -1"3_ t1 ..By Date f•By P Date 1 c ('Lo 1(-I
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
IP
,,,,..,,,,,w,,..a9111114%,414§6,......, PERMIT APPLICATION
CITY Of
Fe eral Way PERMIT CENTER+33325 8'h Avenue South+Federal Way,WA 98003-6325
Way 253-835-2607REOiVe e rt 7 c)zr t c l,rf erlrt rt,w z e nit
PERMIT NUMBER 17 _ to (e 04 JUL 2 7 2017 7.?efF/i7---
--- _.:._. _ :____ TARGET DATE
?IA LP'Pio* OP_ CITY OF FEDERAL WAY
SITE ADDRESS 10640
„fro
-1';-”"crotzLor COMMUNITY-DEVELOPMENT SUITE/UNIT M
FIS ` L Uofre-_s kA.M-_ ' -._I 0
C)
PROJECT VALUATION `ZONING ASSESSOR'S TAX/PARCEL e
$ c•G"F Q s, 4. 1 + ` - .` .1 , b
TYPE OF PERMIT D BUILDING PLUMBING MECHANICAL ❑DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT OrT04.94) ' 44.
Pewl I de1
treg-
PROJECT DESCRIPTION �`- ' {.ifk �'p. ' I Erie"C" Fag- r
Detailed description of work to
be included on this permit only
"wiz
_ NAME 9���.J in 80 -PRIMARY PHONE
PROPERTY OWNER Fel M roepe .1.e.44,1561.-#02 15'5. •Vi 46-
MAILING ADDREss ad_ EMAIL di,
30 M-16 46(.5W rytLek)gps.eitursatt
CITY STATE ZIP 4,014- 15.001,
NAME.. PHONE.
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE 4 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I -
/
NAME Mt - If_ 9.4 21 PRIMARY PHONE
4PelOelik"to i."T, t POS til4 rpt )V I' 24s414144.1 91 b
APPLICANT MAILING ADDRESS E-MAIL
CITY STAYS ZIP FAX
_ortiz 1, 1 ~
NAME ""�'""1I,t + j # 1 ititro os, PRIMARY PHONE
PROJECT CONTACT Go �1c:.�ws -t leg,"*+*4141.' 'fl 1
(The individual to receive and MAILING ADDRESS MAIL
respond to all correspondence '�"1 b E 13i '#6- i ;AIL
}f # .1 al,
concerning this application) CITY STM ill ATE ZIP J FAX
tP"`""' ,/ _. ' t Gorki
- G+ ki
ra.�
NAME
PROJECT FINANCING IN 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 authorised 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 farther 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 of this application.
SIGNATURE: J DATE
i /
*�� v II
PRINT NAME:.—_.L:;O�1..--� �C111173_,. -._-
Bulletin#100—January 29,2016 Page 1 of 2 k:1Handouts\Permit Applicatie
f
•
.. ...VALUE OF MECHANICAL WORK f
MECHANICAL PERMIT $ 19a
{Indicate how man each rt e o "lure to be installed or relocated as port of this project.Do not include cxistiny fix-tures to remain.
L AIR HANDLING UNITS ID FANS GAS PIPE OUTLETS �(7 OTHER(Describe)
MR CONDITIONER FIREPLACE INSERTS HOODS 1co,nnkrnaq t41)C11 /0
BOILERS FURNACES HOT WATER TANKS icF,,t _„.."..
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
itapDUCTING ZattuterGAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBIN' ��F�ftMIT / t :Lt�� �
Indicate how many a •ch type a 'r'-0.1E: i . • -% 4 r 1. -,i j�i..1 art of this protect.Do not include existing fixtures to remain 4
BATHTUBS l /show co , '�-"-�' E/ I v were TOILETS +",,,, „ WATER PIPING
DISHWASHE • i� RAINWATE 'ST - URINALS I OTHER(Describe)
Sp DRAINS _,. SHOWERS .CUUM BREAKERS .69 .dw'
DRINK k.'.'.•UNTAINS Ie) SINKS iw:d,rn/uw,ny
-•SE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR r ' SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
1.3/A. L,A-K-ett l�i!&�.� (44440-1.04.1)60 $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
t ¶ e4 e_ ,,. XYes I No I Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED I TOTAL FOR OFFICE USE
AViti
FIRST FLOOR(or Mobile Home)
(NI?
COVERED ENTRY
GARAGE 0 CARPORT 0
[7HiI F 341 r
EXISTING PROPOSED ( TOTAL
Area Totals �
ESTIMATED SELLING PRICE$ N OF.BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction M of Additional Information
AREA DESCRIPTION S uare Feet Occupancy Group(s) a Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction itbf Additional Information
AREA DESCRIPTION , Occupancy Groups)
S uare Feet
'04'4
Sq ." Z54; - e`m� $ :Stories,.
/ Fj
TENANT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application