16-100204Pluming
City of Federal Way
Commuhity & Econ. Dev. Services Permit #: 16 -100204 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 p Q
Project Name: NURROR LAKE ELEMENTARY
Project Address: 625 S 314TH ST Parcel Number: 082104 9035
Project Description: Replacement of boilers & pumps.
Owner
ARnlicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
MIKE DEAN
FEDERAL WAY PUBLIC SCHOOLS
33330 8TH AVE S
4119 257TH CT SE
33330 8TH AVE S
FEDERAL WAY WA 98003-5433
ISSAQUAH WA 98029
FEDERAL WAY WA 98003-5433
Plumbing Fixtures
Water Heaters ................................. 3
PERMIT EXPIRES Monday, Aug 15016
Permit Issued on Wed nesVWay.
7, 2016
I hereby certify that the above information is correct and thon the above described property and
the occupancy and the use will in accordance with the gulations of the State of Washington
and the City of
Owner or agent: Date:
Z-//7 ZC)I&
C
- 'A:&
CITY OF y
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE _
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -100204 -00 -PL Address: 625 S 314TH ST
FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-5214
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.
Final - Plumbing (4075)
Approved
By Date
Plumbing Groundwork (4190)
Rough Plumbing (4230)Gas
Final Electrical
Piping (4125)
1:1Approved
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
Cry OF ,A
Federal Way
REWIVED 0
JAN 14 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
625 South 314th Street
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ $250,000
RS7.2
0 8 2 1 0 4- 9 0 3 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING (MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Mirror Lake Elementary School Boiler Replacement
Replace 30 year old boilers with new condensing boilers. Pump replacement
PROJECT DESCRIPTION
Included.
Detailed description of work to
be included on this permit only
NAME Federal Way Public Schools
PRIM
253-945-5938
PROPERTY OWNER
MAILING ADDRESS
E -MAH,
33330 8th Avenue South
rbushaw@fwps.org
CITY
STATE
ZIP
Federal W2X
WA
98003
NA"= TBD
PHONE
L -
Zc> 6 - Z�'- 2Z
NAMING ADDRESS
7�0AZO
E-MAM
(2�
CONTRACTOR
CITYFAX
W
ZIP _ (X)S
ell- _6 7 —'
WA STATE CONTRACTOR' LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
Mike Dean
PRIMARY PHONE
206-228-7229
NAM1NG 4119 2567th CT SE
milted@iesinnovates.com
APPLICANT
CITY11WAR
Issaquah
TAT
ZIP
98029
FAX
425-677-8522
NAME Mike Dean
PROJECT CONTACT
206-228-7229P
NAMING ADDRESS
4119 257th CT SE
ZMAH,
mikedd@iesinnovates.co
(The individual to receive and
respond to all correspondence
CITY
Issaquah
STATE
WA
ZIP
98029
FAX
425-677-8522
concerning this application)
PROJECT FINANCING
NAME
IX OWNER -FINANCED
When value is $5,000 or more
NAMING ADDRESS, CITY, STATE, ZIP
PHONE
(?CW 19.27.095/
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& 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
igformation supplied to the ci as apart of this application.
SIGNATURE: DATE 1/14/2016
Michael L Dean
PRINT NAME:
Bulletin #100 —December 29, 2015 Page I of 3 k:\IIandouts\Permit Application
$Cd.
Ca Yri—
GENERALIPqORMATION
CRITICAL AREAS ON PRO
WATER PURVEYO
VALUE OF MECHANICAL WORK
MECHANICALIT
No
e aven
$
I cate how rplinY of each type ofibcture
to be installed or relocated as
part of this project. Do not include Oxisting fixtures to remain.
AIR HAN'bLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER//
2 BOI/LERS
FIREPLACE INSERTS
FURNACES
HOODS (commercial)
HOT WATER TANKS (Gaa
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type of fixture
to be installed or relocated as
part of this pr ' ct. Do not include existing tures to remain.
BATHTUBS (or Tub/Shower combo(
LAVS (Hand Sinks)
TOI
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
NALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility(
WATER HEATERS (Electric
OSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIRTURES
GENERALIPqORMATION
CRITICAL AREAS ON PRO
WATER PURVEYO
SEWER PURVEYOR
VALUE OF EXISTING IMPRO
No
e aven
Lakehaven
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE PRESSION SYSTEM?
363,271
El Yes X No
Yes X No
FOR OFFICE USE