04-102392City of Federal Way
lI. Co.,unity Developmery °4viees
33530 1st.NX ay S
Federal Way. WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: LAKOTA MIDDLE SCHOOL
Mechanical Permit #:04 -10235-2 - 00 - ME
Inspection request line: 253.835.3050
Project Address: 1415 SW 314TH t Parcel Number: 072104 9143
Project Description: Replace indoor unit w/ new rooftop unit and associated piping serving classroom.
Owner
Applicant
Contractor
FEDERAL WAY PUBLIC SCHOOL
DESIGN AIR LTD
DESIGN AIR LTD
31405 18TH AVE S
DESIGN AIR LTD
DESIGN AIR LTD
FEDERAL WAY WA 98003-5433
8657 S 190TH ST BLDG 190F
8657 S 190TH ST BLDG 190F
KENT WA 98031
1 (253) 854-2770
Mechanical Valuation..........................................22925 Over the Counter Permit ...................................... No
Mechanical Fixtures
Description Quantity _Description Quanti Description _ j�Quantity
Air Handling Units 1
CONDITIONS:
Per approved site plan, all rooftop appurtances in the vicinity (as defined on site plan) of the new rooftop unit are to be
painted to match existing wall color. Inspector to verify complianceprior to final inspection.
PERMIT EXPIRES January 29, 2005.
Permit issued on August 2, 2004
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 and
the City of Federal V4y.
Owner or agent:. _��-�r( �� Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF *.. _ V Community Development Inspection Record
Federal Wad' IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -102392 -00 -ME
Owner: FEDERAL WAY PUBLIC SCHOOL
Address: 1415 SW 314TH ST
FEDERAL WAY, WA 98023-4518
This card is pert 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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test Approved
�By Date By Date By Date Ie—Ie— d
' COM1HY WflY DEVELOPYfW SERVICES
e' S a 4 •~ 33530 FIRST WAY SOCRH . POBOX 9718
S S
FHDERAL WAY, WA 98063-9718
Nay PERMIT APPLICATION a&7-66141 IS- FAX 253-6
nuoe'�"a9
SITE ADDRESS: I 1r-) 31'-F+1-1 St SUITE/APT #F
ASSESSOR'S TAX/PARCEL ##: — — — — — — — — — — SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
{Attach separate page for lengthy legal descriphoN
TYPE OF PERMIT (This application): ? BUILDING ? PLUMBING '�MSCKMC ? DEMOLITION
? ELECTRICAL ? ENGINEERING ? FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed fksmption of work included on this permit onluk (cA fit.
1 �`
PROJECT NAME (Name of Business/Owner Last Name)- 1 `�C�(1 (--Twp 1 ��
PEOPLE INFORMATION
PROPERTY
OWNBRI
CONTRACTOR:
LENDER:
(If rropmea Vain > "'0001
F`! H Cby-N-dA
NAME:PRIMARY PHONE:
0 L'twt lL `Jc"ujs 1 (a'S3) -1f5
MAILING ADDRESS (STREAD ):� CITY, STATE, ZIP
W W 9 1-966�
NAM-.V��
^
f�COOiM�PANY
I ..�
OFFICE PHONE:
l-X-7-7o
CI J-1
(�)CELL
`�
- V'7 -7 O
MAILING AD (SfREET):._..1�.
lQ 5"1s� �� 19
CITY SfAT ,ZIP
�='►� `I� 0�
N
(o1bb) .l go
- I Lou
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
i - `1-.0 -1�i L
EXPIRATION DATE:
31
FAX NUMBER:
-(.013
CONTRACTORS REGISTRATION NUMBER: j�
(copy of cud ragnirod with oath appiieatien) 'J S
T
= 6: L � Ot ( V
EXPIRATION DATE:
310-? / p
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME:
P
COMPANY
A, ' ���
OFFICE PHONE:
0a 3)'14- S - at�s
MAILING ADDR (STREET ADDRESS):
(9jD' Brd l rvF
CITY, STATE, P
of
EVENING PHONE:
C ) -
RELATIONSHIP TO PROJECT: 1 f9
? Architect ? Tenant ? Other (Describej._C� 1'1 1�'�L�7Jr
FAX NUMBER: / -
(,- ) g-5 4t
CONTACT PERSON FOR TMS PRQJICCT: ? Proputy Gaster ? Coutmetcr ' AppHexat g-MAILADDRRSS! j
EMSTDAG USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED, VALUE S VALUE OF PROPOSED WORK: •
SPRINKLERED BUILDING? ? YES ? NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ? YES ? NO
WATER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? TACOMA ? PRIVATE (WELL)
SEWER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? PRIVATE (SEPTIC)
PROJECTFLOOR AREAS
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
suffA N(i SHELL ONLY?
?TES ?NO
SAW PLAN?
FIRST
? no
ZONIXG DESIGNATION;
SECOND
?T"
?NO
NEW ADMMS MS REQUIRED?
THIRD
VP/SXFA18V?
? YES
? AO
FOURTH
?TES ?N0
DEMO PRRAUT R20vW=?
? YES
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED1
GARAGEICARPORT
HOW MANY FLOORS?
70M PRDPOWD
%Mli Ensma Aim'pawo=D
""NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
ndicate number of each type of fixture that is tc
IfECHAMCAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tnblsh.wa Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAYS (Bathroom Sink
or relocated as part of this project. Do not
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (con .a j.4
RANGES
GAS WATER HEATERS
WATER CLOSETS (Toilets
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
RLECTRIC WATER HEATERS
to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(& 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 farther agree to holt 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 of Federal Way, but only where such claim arises out of the reliance of the city, including its a ficem
and employees, a the accuracy of a ormati supplied to the city as a part of this application.)
NAME/TITLE• DATE: �✓
(Signature) (ritle)
RELATIONSHIP TO PROJECT: ? Property Owner ?ppii t Contractors ? Architect ?
-.—
? NEW ? ADDITION
? ALTERATION
? REPAIR ? TENANT EKPROvvX
NT
suffA N(i SHELL ONLY?
?TES ?NO
SAW PLAN?
? YES
? no
ZONIXG DESIGNATION;
CM[ANGS OF USE? '
?T"
?NO
NEW ADMMS MS REQUIRED?
?IES ?NO
VP/SXFA18V?
? YES
? AO
PLATMD LOT?
?TES ?N0
DEMO PRRAUT R20vW=?
? YES
?110
Bulletin #100 - January 13, 2004 Page 2 of 4 k:\Handouts - Revised\Permit Application