10-105385 J ,
R
' S Plumbing
City of Federal Way
Community Development Services Permit #: 1 0-105385-00-PL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TRUMAN HIGH SCHOOL
Project Address: 31455 28TH AVE S Parcel Number: 092104 9054
Project Description: Install(1) ice machine, (1) backflow preventor and condensate pump in the faculty break
room
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOLS HERMANSON COMPANY LLP(GENERAL) HERMANSON COMPANY LLP(GENERAL)
31405 18TH AVE S 1221 2ND AVE N HERMACLOO5BJ(8/25/12)
FEDERAL WAY,WA 98003-5433 KENT WA 98032 1221 2ND AVE N
KENT WA 98032
ia3 '51153, 'Plumbing - E -,,t - .., ;,11.1,,,r,,,„4., • I
: , . „ 1 f
Other Plumbing Fixtures 1
PERMIT EXPIRES Saturday, June 25, 2011
Permit Issued on Monday, December 27, 2010
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 bordance with the laws, rules and regulations of the State of Washington
and the of Federal Way. .
Owner or agent; °I:ll CIL.,--\---\6) C`,1) (?" 1"---.'
Dater `2 '11 k ,D
i-I *I2ib /
• THIS CARD IS TO RENT NON-SITE
CITY OF - • Construction Inspegnon Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-105385-00-PL Address: 31455 28TH AVE S
Project: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-5003
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) El Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
El Final-Plumbing(4075)
Approved
By n Date i/ i1
•
❑ Rough Electrical El Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
•A. _. � a
_ s3��
CITYOF IIP PERMIT
Federal Way SF 1kECE 'E15 FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
:°f�b
www.ciluoffederolivou.com _1
Zmu
7
SITE ADDRESS CITY OF F At WAY
•_-•31,Lt S ,--) L-6-0-- Ac)-ye___ S ,
CDS
PROJECT VALUATION ZONING ASSESSOR'S X/PARCEL#� - ct 0 s 4
$ ---) 2_,C.) - C) W2_ O
TYPE OF PERMIT E BUILDING X PLUMBING IDMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Horneoumer Last Name)
�
PROJECT DESCRIPTION V
\� �� , (. .e
` 'U"
Detailed description of work to f \f �, ��� rl Y (\f
be included on this permit onlyt 1 i) ►v. i---
NAM ctr (� �^ t^ PRIMARY PHONE
PROPERTY OWNER 1(��)`J�1`/\ 1/`!1� \J1
il'l/\�
MAnAN,.....,`___,,[))J`Q R Ns S �, , E-MAIL
CITY STATE ZIP
re N V - \ 1 n )n V-‘;' PHONE
MAILING ADDRESS E-MAIL
, CONTRACTOR �� 2 �
'' CITY ;j ^ ` 1 ST .. ZIQc5 FAX
W STATE CONTRACTOR'S LICENSE ����wjjjVVV��y��• (4EXPIRATION DAN FEDERAL WAY BUSINESS LICENSE#
=e P -fin C` i / L
NAM)�,V k . �� P l U✓ I. W 7�1
APPLICANT MAILING ADDRESS E-MAIL
2.-IL ?-nC� - is. t ably S- h n
CITYSTATE ZIP FAX
_ '�(�e rl 1�,.( �J2 ` ---L til DSS li
PROJECT CONTACT NAME PHONE
�t C3`J" 'Cirpp\
(The individual to receive and 1(Y‘.
n
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP
g'7� FAX
ALTERNATE CONTACT NAME: PD`pI .N' ' UC , E-MAIL
PROJECT FINANCING NAME, ^, t 4
0 OWNER-FINANCED
Required value of$5,000 or more '��/ i
(RCW 19,27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 ou • .e reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to theccity asa part of th t .pplication.
! - lk ' t TI 1ci
SIGNATURE
: I/\ sem: 'w DATE
PRINT NAME: t' S\0 i • ' c
Bulletin#100—April 14,2010 Page 1 of 3 k:AITandouts\Permit Application
' • •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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 FURNACES HOT WATER TANKS pas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
__ __ PLUMBING FIXTURES
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.
BATHTUBS(or-rub/shower combo) LAVS(Hand Sinks) TOILETS I WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS 1— 0THF$(Describe)
DRAINS SHOWERS VACUUM BREAKERS go
DRINKING FOUNTAINS SINKS)Kitchen/utility) 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 ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application