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10-101242 City of Federal Way • Mechanical Community Development Services Permit #: 10-101242-00-ME P.O Box 9718 Federal Way,WA 8063-9718 Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: LAKOTA MIDDLE SCHOOL Project Address: 1415 SW 314TH ST Parcel Number: 072104 9143 Project Description: Installation of walk-in freezer/cooler box with controls, and associated piping. Includes exterior condenser unit located beneath stairway. Owner Applicant Contractor ROD LELAND UNIVERSAL REFRIGERATION INC UNIVERSAL REFRIGERATION INC FEDERAL WAY PUBLIC SCHOOLS (GENERAL) (GENERAL) 31405 18TH AVE S PO BOX 614 UNIVERI159RF(4/1/12) FEDERAL WAY WA AUBURN WA 98071-0614 PO BOX 614 98003-5433 AUBURN WA 98071-0614 WAX 4iflditionat Permit Information Mechanical Valuation 32340.00 Is this an Online or O.T.C.application? No itt Refrigeration Systems 1 PERMIT EXPIRES Wednesday, September 29, 2010 Permit Issued on Friday, April 2, 2010 I hereby certifythat the above information is correct and that the construction on the above described property and the occupancy and the use will be in accord-nce with the laws, rules and regulations of the State of Washington a 'd th- City o Federal Way. k Owner or agent: Date: '7 G fC.-' . LED 4, / fio iih... 0THIS CARD IS TO AIN ON-SITE CITY OF Construction Ins ction Record Federal Way INSPECTION REQU TS: (253) 835-3050 PERMIT#: 10-101242-00-ME Address: 1415 SW 314TH ST Owner: ROD LELAND FEDERAL WAY, WA 98023-4518 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 By Date By %�. Date )7/5//0 / IO lIES Date 8_k_,-(0 Rough Electrical ❑ Final Electrical Right of Way Approved Approved Approved By Date By Date By Date T iii7r-, _ o 2-. 2 .... CITY CII.A Federal Wa�uMAR 2 5 2010 PERMIT SF MF7(yCOME (EL PL DE EN FP COMMUMTI'DEVELOPMENT SERVICES � IC TI® �Jn'` "' / /0 253-835-2607•FAX 253-835,2609 LL��,ip1�!!x"22 VV i i CDS PROPERTY SITE ADDRESS / y/s S k -3/4744 sI SUITE/UNIT# ZONING ASSESSORS TAX/PARCEL# o7 1 0 4/ _ q // y ", PROJECT NAME or PROJECT L4 k L �,/(/'j' >� / (Tenant or Homeowner Name) �'�©7"( l l (J1�/ l ❑ BUILDING ❑ PLUMBING )(MECHANICAL/1�''✓`f q e t% e 5�, TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL)(MECHANICAL ❑ FIRE PREVENTION tib) h/• /. f.^e.e za-✓'/Go%.✓' j3o)c w/ce.474`0/5I PROJECT DESCRIPTION re�pj�pj 02--71--C.-G Detailed description of work to / be included on this permit only _ PEOPLE NAME _ •• �1 PRIMARY PHONE PROPERTY OWNER t4 (/ "/A V/ 5C4trD/ Ta's7-- (.z5 9 / - 2-000 MAILING ADDRESS,CITY,STATE,ZIP IC'.etteq/27(11/ E-MAIL 3/yob /est-A 41,e_. S. e78oz OWNER IS ALSO: Ary4 ❑ CONTRACTOR X NA 0 APPLICANT 0 PROJECT CONTACT NAME s T,� 7 s, PRIMARY PHONE C i'4?1l Ve.v-c 1 r&--11'N t OraCil (2-47) T z - ---5-(7)( v( MAILING ADDRESS,CITY,STATE,ZIP FAX (1 CONTRACTOR &(�-// /4(.4 tI , 1,v,1-. ‘7,4,c)7( (� �i)��r7-- `77`7~r;Z- , WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# c(N/v� / P;27;7\-7-7 Y / ( / ic3 /q-"77../c:)7C77-4'' '' tfL_ • 1 NAME PRIMARY PHONE ��, its el/DO V (zoG) 5/0 / (APPLICANT MAILING ADDRESS,CITY,STATE,ZIP FAX (3( r3c;�c C/V 4Lr 6,--v-,--1z '4- O7( ozc5) T3�- 3Y,z PROJECT CONTACT NAME PRIMARY PHONE (The individual to receive and K �N��s ( Z-57;) `f 71- f5-Df respond to all correspondence MAILING ADDRESS.CITY,STATE.ZIP FAX concerning this application) .f 1)4:77z--17( G../t( r*It 1 6c44Al'l t-a4 ggo7( ( 2 ) 7--.-,r 5`L, ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL i�cL'1y (c3 )7 V - 5-)i`( PROJECT FINANCING NAMEo OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE IRCW 19.27.095) ( ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city, but only where suc• claimout of the reliance of the city, including its officers and employees, upon the accuracy of the ci t information su PPLI th a p 2,this appli,4,n. %%� /�' DATE 3 2-5- /0 SIGNATURE: 1 PRINT NAME: C Y'/�5 'e'V eHr Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application 0 M , t MECHANICAL FIXTURES Value of Mechanical Work$ . 4 LIC 4.—(A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number 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 icommerctall BOILERS FURNACES HOT WATER TANKS(GOO) COMPRESSORS GAS LOG SETS / REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or rub/shover combo) LAVS(band sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Etectrlc) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ $ EXISTING/PRE OUS USE LOT SIZE(In Square Feet) I EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes ❑ Flo Yes - No RESIDENTIAL AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT _...._.__._. .:................_.._.........._.......,......._..........................................__......_..............._...__...... FIRST FLOOR(or Mobile Home) i SECONDFLOOR _._...__.__...__.._.....--.-.-.---...._._......_...._._._....._.....,...._......_..__.. COVERED ENTRY 7. DECK / GARAGE ❑ CARPORT ❑ OTHER(describe) / EXISTING PROPOSED TOT:il. Area Totals *NEW HOMES max-, ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Typa Stories Additional Information NEW BUILDING ADDITION COMMERCIAL - REMO,DFL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Construction #of Opeupancy Group(s) Additional Information in Square Feet Type Stories TOTAL BUILDING /./ TENANT AREA ONLY // PROJECT AREA ONLY / Bulletin#100-4/21/2009 Page 2 of 4 k:\HandoutskPermit Application