14-104625t .'+
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
Plumbing
Permit #: 14 -104625 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY HIGH SCHOOL - TEMPORARY PORTABLE T76
Project Address: 30611 16TH AVE S Parcel Number: 082104 9001
Project Description: Connect domestic water supply to portable structure.
Owner
A Inn icant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
LLOYb ENTERPRISES INC
LLOYD ENTERPRISES INC
33330 8TH AVE S
PO BOX 3889
LLOYDI*238QB (4115115)
FEDERAL WAY WA 98003
FEDERAL WAY WA 98063-3889
PO BOX 3889
FEDERAL WAY WA 98063-3889
Plumbing Fixtures
Other Plumbing Fixtures ............... 1
PERMIT EXPIRES Sunday, March 8, 2015
Permit Issued on Tuesday, September 9, 2014
1 hereby certify that the above information is correct and that the construction on the above described properly 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 Way.
Owner or agent: J= I I Date:
I LM LM
-�- 'J -n' ^
f
A&
CrrY OF 1001
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -104625 -00 -PL Address: 30611 16TH AVE S
FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-4903
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 , _1 a,_, J
Plumbing Groundwork (4190)
Rough Plumbing (4230)Gas
Final ElectricalRight
Approved
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date , _1 a,_, J
Rough Electrical
Approved1:1
Final ElectricalRight
Approved
of Way--^
Approved
By
Date
By
Date
By
Date
J
CITY OF
Federal Way
OECEIVEL,
SEP 0 8 2014
/CITY OF FEDERAL WAY
PERMIT NUMBER --t"- Y_ _ / 0— T S _
M
PERMIT APPLICATION
F�,
TARGET DATE �&// Y
SITE ADDRESS
SUITE/UNIT #
1 i q - ` }
3o % v rpe-IQ"r C_ s. �tL t 1 W e
PROJECT VALUATION
ZO G
ASSESSOR'S T /PARCEL #
$
TYPE OF PERMIT
❑ BUILDING Z PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
f -c i�z,fa c- t( t"Ca(4 .SCAwL- 124c� &T Rj, D AAlD A &.,C <>
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME /� I ` /n/ / /� J -�[
rec&4 .SC l cca, .�K ru De' (l lL.l
PRIMARY PHONE
�L7 � ' t � � —�Uc� G
MAILING ADDRESS
3333c� ct-�. s
E-MAIL
rtP-lgw-Cw Ssa�
CITY
STA
ZIP
) e)oc) 3
NAME
LI (Y 'L G^ O-< .5 JJ✓1 C
HONE
PL -_7 -1, - ��/ (O L Ci 'L
MAILING ADDRESSn
ol . ,1 � 7
E-MAIL
CONTRACTOR
CITY
re_cl�lf c i.�i"
STAT�E
(,�/�
ZIP
Dl i/ (a ��
FAR
ZSR
WA STATE CONTRACTOR'S LICENSE #
�LoYL) 23Q
EXPIRATION DATE
�(i c� i ��
FEDERAL WAY BUSINESS LICENSE #
2c _ o �n I �-�Q -
NAME
,C�e2� �c✓Yvt� tit
PRIMARY PHONE
4 , -
MAILINGADDRESS
Pd &,x 3s
E-MAIL
ugh -lib �� I,55►
APPLICANT
CITYfie 'Le -d (r��
STAT�
�✓°�
ZIP
�i gGly
FAX
25^ 3 - v3 - c, 10 3
NAME
`
PRIMARY PHONE
255 �) 3
PROJECT CONTACT
4
-
MAILING ADDRESS /
E-MAIL
(The individual to receive and
respond to all correspondence
STATE
ZIP
o�3
FAX 9
2�3 6V3 L 3
concerning this application)CIT
PROJECT FINANCING
NAME
EJ OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
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 1 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 p ,rt of this application.
SIGNATURE: 4�;; _DATE / / 7 _
/
PRINT NAME:low A ti(
Bulletin #100 - January 1, 2013
Page i of 3
k:\Handouts\Perrnit Application
cc,7i
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
SECOND FLOG
"u,
COVERED ENTRY
LO'
DECK
GARAGE Ll CARPORT n
$ 0 -
Indicate how many of each type offixture
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 Icommaroiail
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
TOTAL BUILDING
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE WORK
VALUE OF EXISTING IMPROVEMENTS
SECOND FLOG
"u,
COVERED ENTRY
LO'
DECK
GARAGE Ll CARPORT n
�OFPLUMBING
6 crc
Indicate how many o each type offixture
to be installed or relocated as
part of this project. Do not include existing fix -tures to remain.
BATHTUBS (or Tub/SbowerCombo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
TOTAL BUILDING
DRINKING FOUNTAINS
SINKS (wmb,n/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
SECOND FLOG
"u,
COVERED ENTRY
LO'
DECK
GARAGE Ll CARPORT n
OTHER (describe)
$ hme-
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ESTIMATED SELLING PRICE $
# OF BEDROOMS
❑ Yes io No
❑ Yes VNo
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
Construction
a
SECOND FLOG
"u,
COVERED ENTRY
Information
DECK
GARAGE Ll CARPORT n
OTHER (describe)
EXISTING PROPOSID
Area Totals TOTAL
"NEW HOMES ONLY*"
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
in S uare Feet
Occupancy Group(s)
Construction
a
#=Additional
St
Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AKEA ONLY
PROJECT ARTA ONLY
—L...
Bulletin #100 —January 1, 2013 Page 2 of 3 k:Wandouts\Permit Application