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05-104012 411 • City of Federal Way Plumbing Permit #: 05 - 104012 - 00 - PL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 fi Inspection re(IUCSt Ilne: (253) 835-3050 Project Name: TODD BEAMER HIGH SCHOOL Project Address: 35999 16TH S Parcel Number: 292104 9025 Project Description: Install of eye wash/drench showers in science labs.Rooms 141 &241 Owner Applicant Contractor FEDERAL WAY SCHOOL DIST#210 MCKINSTRY CO. MCKINSTRY CO. 31405 18TH AVE S 5005 3RD AVE S 5005 3RD AVE S FEDERAL WAY WA 98003 SEATTLE WA 98124 SEATTLE WA 98124 (253)764-1671 Plumbing Fixtures Description Quantity Description j�Quantityi Description Quantity ---------- j Other Plumbing Fixtures 2 Showers 2 PERMITEXPIRES August 10,2007. < < Permit issuon August 10,2005 I hereby certify that the above inform t t s Corect and that th construction ob the abo e described property and the occupandthe use will be in accordancewith the laws, lei regulationsf the State of Washington and the City of Fl thy. Owner or agent: Date: /762/315— anceydera A • THIS CARD IS TO MAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION.REQUEST PHONE # (253) 835-3050 PERMIT#: 05-104012-00-PL Owner: FEDERAL WAY SCHOOL DIST #210 Address: 35999 16TH AVE S FEDERAL WAY, WA 98003-7416 This card is part of your required inspection documents. 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 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) 0 Gas Piping(4125) Approved to cover Approved Approved to release test By Date By Date By Date ❑ Final-Plumbing(4075) Approved By G.. . Date j. M. Ci CITIk 1111 -' RECERD Or- I tZI2 Federal Way PERMIT COMMUNHYDEVELOPMENTS58WCES SF MF CO ME E �>tE EN FP 3332FS'''�RAL WI JE AY,` A 9.063971 9718 AUG 1APPLI CATI ON ID FEDERALWAY,1l¢A 98063-9718 253w-83w5wc6it0u7o•ifFeAXaw3a-83u.5m2609 TY / / CI OF FEDERAL WAY The following is required P9orrinDltt +arincomplete application will not be accepted. Please print legibly(in ink)or type. qqq • PROPERTY INFORMATION SITE ADDRESS S6-41619 4 ' I CO -S-r-. .5. SUITE/UNIT# ASSESSOR'S TAX/PARCEL# .- \ `^ I O i4 - O Z S LOT SIZE(sj) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) e ')QAW 1r'l 6)S (Attach separate page for lengthy legal description) I. PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING X'PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detniled description of work included on this permit onit,) I W STILL (C F_ye.- IotaS1+ / D—s(c.-} 5 lfin -I es LK & ENc_E 5 PROJECT NAME(Name of Business or Owner Last Name) 1 01:,b REI-WE-4--. 14 L CI(.4 sd.4 C 1-- N PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER fe,OF.LAL.- WAY 5G btupL ©l5-02-LC.7c (263) /ti/s-- 6-936 MAILING ADDRESS CITY,STATE,ZIP /d!o G 5 3 Za 311. F ¢a1- 1•/1aY , 1.►ip, 9 E3Cb3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE plc.KINsTRv Co. Atat RreezA-Tito k/ ( (Za• ) E32- - 928£ MAILING ADDRESS , CITY.STATE,ZIP CELL PHONE 5-(2,5- 3 A vE S . `�E-A-72.-E, IAA gQ13`( (2414, 57C - 3832 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER L L-zP Q-a. Q U _O. ?l.-B L 'Z/ 3 // /�s ( ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE d C_- -k- 1. Yilrt 2 ? g .P' / / 2- / UC, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 5;(41.E Ars CoN7P-f c ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS / PIEez,t%ILow s*i (2( , ) i7o -3IS3Z 6jzjxp a frk-k. err- . • LENDER er RC r 27 0 5 Lender u(formatcon is NAME equtre%f I/,project value exceeds$5 000 1 ' MAILING ADDRESS ", ,, ,�2. COY,STATE,ZIP 0 DETAILED BUILDING INFORMATION EXISTING USE Sc.(-FC1) t-- PROPOSED USE SC NCO— EXISTING ASSESSED/APPRAISED VALUE $ NIA VALUE OF PROPOSED WORK $ N(1' SPRINKLERED BUILDING? 13CYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES )(NO WATER SERVICE PROVIDER X LAKEHAVEN 0 HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER g,LAKEHAVEN ❑HIGHL NE o PRIVATE(SEPTIC) i i 440 PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT ` t FIRST YC KLR'S tF I lr c N _Lclee— SECOND 1 WI & t r_tr l� / a 50044 ,5 Fteutvg- THIRD ` FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT❑ =STEM PROPOS® TOTAL TOTAL EXISTING 6R !TOTALPROPOSID R :'t TY/iAL 6F'i NUMBER OF FLOORS '"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ q 50 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBgS FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING MISC(Describe) BATHTUBS forTtib/shower Combo) SHOWERS WATER CLOSETS tronet) DISHWASHERS SINKS DRINKING FOUNTAINS y _ Lifts Ef / GAS PIPE OUTLETS SUMPS RAINWATER SYST ,�n WASHING MACHINES URINALS HOSE BIBBS Q Rf-N vi r-�/ LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS acoAtra0 DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 filedagainst the City of Federal Way,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. NAME/TITLE M DATE Ii'it/c)5- (Signature) (title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent )(Contractor ❑Architect 0 Other FOR OFFICE TsIvpm Y y .: o"NEW a ADDITION o"ALTERATION. a=REPAIR= ci TENANT IMPROVEMENT BUILDING SHELL"ONLY? a YES ci NO BASIC"PLAN? DYES a NO ZONING DESIGNATION CHANGE OF USE? ©YES a:NO NEW.ADDRESS REQUIRED?" ©.YES a NO ITP[SEPAJSU? a YES"" NO 'PLATTED LOT? ❑YES n"NO,i DEMO PERMIT REQUIRED? a'YES ©NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application