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09-103154 Mechanical' City of Federal Way • • Community Development Services - P.O.Box 9718 Permit #: 09-103154-00 ME Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: LAKOTA MIDDLE SCHOOL-GYMNASIUM Project Address: 1415 SW 314TH ST Parcel Number: 072104 9143 Project Description: Install gas piping-hook up of temporary gas meter to existing school Owner Applicant Contractor ROD LELAND LYDIG CONSTRUCTION INC LYDIG CONSTRUCTION INC FEDERAL WAY PUBLIC SCHOOLS 11001 E MONTGOMERY DR LYDIGC*264JC(9/11/09) 31405 18TH AVE S SPOKANE VALLEY WA 99206 11001 E MONTGOMERY DR FEDERAL WAY WA SPOKANE VALLEY WA 99206 98003-5433 Additional Permit information � .. Mechanical Valuation 20000 Is this an Online or O.T.C.application? Yes Mechanical Fixed Gas Piping..., 1 CONDITIONS. Subject to field inspection without plans. PERMIT EXPIRES Wednesday, February 10, 2010 Permit Issued on Friday, August 14, 2009 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 • -nd the City of Federal Way. Owner or ager : - 41011.PP Date: 4 -/S-e,7 F(M( Wir/it DATE INSPECTOR AREA AND TYPE OF INSPECTION 4A /' M/i DkI(' D0h 60 ©vim l Q ) �r • r�o� THIS CARD IS TO AIN ON-SITE e CITY OF ` - 0 Construction Ins tion Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 09-103154-00-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. 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By Date By,,. Date //s/j/ By MC Date Z�J,f�y' For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date 1. t• l o / �Si QTY OF PERMIT SF MF CO ,IYIE EL PL DE EN FP Federal Way COMMUNITY DEVELOPMENT SERVICES APPLICATION r-- �' ,1- 253-835-2607•FAX 253-835-2609 g :au!.�.ci[ua%.'.e;nia�ati.con: RE EIV D `�t5..:\ . � «,'''' '''‘.'0-, ` ,... ,.. fx','''' ��e- ".: ��III r b," _r- SITE ADDRESS !� AUG .i J SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# C F -,ERAL WAY5 7. 2 .6___...7 2 L NAME OF PROJECT (Tenant or Homeowner Name) I s4-k,j7r#I ,4f. 5• ❑BUILDING %PLUMBING ❑ MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION forts tPiw& - ,1o, u•O o, it y 6,4s -4' -- PROJECT DESCRIPTION 76, b-,e its 724 4 4yOoL Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER F 4) S is ( ) - MAILING ADDRESS.CITY.STATE,ZIP E-MAIL OWNER IS ALSO: 0 CONTRACTOR o APPLICANT if' PROJECT CONTACT NAME G yv/4 ( A).$7 eaG%/o1J (6-e9 )&s PRIMARY 7r/3 PHONE L % NTRACTOR MAILING ADDRESS,CITY,STATE.ZIP 99c . FAX I /!oo/ /eAvr,E,o 1)6' ( ) 873 �' W/A�ST�AjTE CONTRACTOR'S LICENSE# ±IONATE FEDERAL WAY BUSINESS LICENSE# IP/le 6 A44-re- / / N� PRIMARY PHONE APPLICANT ‘65 e�.e.�ei+X.4- Dj Ser. LCD )6g3 -79a MAILING ADDRESS,CITY.STATE,ZIP FAX r/C 1(5 £ QY*701X-.— 01a6),../All-1;575 PROJECT CONTACT NAME PRIMARY PHONE (The individual to receive and CE.S 4 /P tbJ, Z ( ) - respond to all correspondence MAILING ADDRESS,CITY.STATE.ZIP FAX concerning this application) ( ) ALTERNATE CONTACT NAME: PRIMARY PHONE L*so/tueetri, /dvyt� ajf iAl 567ei Q..t/oX.lWK- (507 Aro - 6749 `� PROJECT FINANCING mid ®/WNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS.CITY.STATE,ZIP PRIMARY PHONE (RCW 19.27 095) ( ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a art of this pplication. a , SIGNATURE: DATE O•'/TL'A9 PRINT NAME: Bulletin#100—4/21/2009 Page 1 of 4 k:\Handouts\Permit Application t• IP ' ,:',' MECHANICALFIXTURE Value of Mechanical Work$ (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(commcmiai) BOILERS FURNACES HOT WATER TANKS pas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING X GAS PIPING WOODSTOVES .�. s. -PLUM LU 'iNa.:FIX' RE ,, ; Indicate number of each type offuxture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(orTUb/Shower Combo) LAVS(Hand Sinks) TOILET) WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Eisen-in) HOSE BIBBS SUMPS WASHING MACHINES TOTAL.FIXTURES GENERAL l FORMATION PROJECT VALLUUAATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS O EXISTING REVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPRESSION SYSTEM? ❑Yes 0 No ❑Yes ❑ No \\ s. RE, TI1 1 AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ C ,(describe) s � EXISTING PROPOSED TOTAL Area Totals "`N HOMES ONLY"*'_ ESTIMATED SELLING PRICE$ #OF BEDROOMS r� I.:4, , .64_ mmx4.,„,...;i: cm,„.N.Ewt:,-,, AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) rype Stories Additional Information ` D1tNC' , _ ° ADDITION OMMER: , REMO .. ' FENAN' '. :s. .....R a L\ $ T AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information T ou,)(3I INa -':,',,,,-00'44---41---1-'4 ,,, TENANT AREA ONLY tOJEC1 AI AQNtY .,n -,* a : "` Bulletin#100-4/21/2009 Page 2 of 4 k:\Handouts\Permit Application