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14-104624City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2609 Plumbing Permit #: 14 -104624 -00 -PL w" Inspection Request Line: (253) 835-3050 Project Name: FEDERAL WAY HIGH SCHOOL - TEMPORARY PORTABLE T-5 Project Address: 30611 16TH AVE S Parcel Number: 082104 9001 Project Description: Connect domestic water supply to portable structure. Owner ARRIIcant Contractor FEDERAL WAY PUBLIC SCHOOLS LLOYD ENTERPRISES INC LLOYD ENTERPRISES INC 33330 8T11 AVE S PO BOX 3889 LLOYDI*238QB (4/15/15) 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 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 Way. Owner or agent: Date: A�k I I CITY OF V Federal Way PERMIT #: Project: THIS CARD ISTO MAIN ON-SITE Construction In ection Record INSPECTION RETS: (253) 835-3050 14 -104624 -00 -PL Address: 30611 16TH AVE S FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 980034903 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 Final - Plumbing (4075) Approved By Date L Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Plumbing Groundwork (419) Rough Plumbing (42 0) Gas Piping (4125) Approved to cover Approved Approved to release test By Date By Date By Date 0 Final - Plumbing (4075) Approved By Date L Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 4 Federal Way RWEIVED SEP 0 8 2014 PERMIT APPLICATION CITY OF FEDERAL VVAY / CDS / PERMIT NUMBER / I _ / 0- y j C-/ _ e L AOI -13 L, 7-5 TARGET DATE ZC? Y 1 SITE ADDRESS )) ) SUITE/UNIT # 3G � v Pike-tf"t c t s �.Q x I Lick PROJECT VALUATION ZO G ASSESSOR'S T /PARCEL # $ TYPE OF PERMIT ❑ BUILDING e PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECTr _r�Iz c t /yl_ ( W Z,(J Sr�I{ OL Pf1C'�/0-T ` 1?;4)7 1D kyaACL, < I e ej C,�Mv5dIZc���, PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME t r�CIO LIC PRIMARY PHONE 2^Qr1 � MAILING ADDRESS E-MAIL CITYSTA C ZIP NAME PHONE MAILING ADDRESS 1 r UMAIL CONTRACTOR CITY e-je',c, t p ZIP FAX ��—2,30,�-0\63 WA STATE CONTRACTOR'S LICENSE # Ltelybr EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M 10 -00--02)39-CO- NAME k4ilo PRIMARY PHONE L.5'3- $"35- t,(e 1 3 I t MAILING ADDRESS 3b2fi E-MAIL In'b Ft5?S[ APPLICANT CIT/FAX /O,Pu �I G,✓1 3� i /h — G 3 2-'5^ NAME / �- PRI MARY PHONE 27 - U3 PROJECT CONTACT r 4 MAIIILING ADDRESS / G< E -MARL. I (The individual to receive and respond to all correspondence e�t5,J U�r_L STATE ZIP FAX ' 3-03s�- t�'3 concerning this application)CIT PROJECT FINANCING NAME ❑ OWNER -FINANCED Required value of $),000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW ]9.27.095) 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 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 information supplied to the rt of this application. �cityasap fL SIGNATURE: C-< `' DATE b: / 7 — PRINT NAME: Bulletin #100—January 1, 2013 Page I of 3 k:\Handouts\Permit Application Ic , cc, C ; k cvy GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OFMECHANICAL WORK MECHANICAL PERMIT # of Stories LO 'z) NEW BUILDING $ U Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing tures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (cornm—iaq OTHER (Describe) BOILERS FURNACES HOT WATER TANKS (cast TOTAL BUILDING COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT # of Stories LO 'z) NEW BUILDING $ �,00 , C,Y, Indicate how many of each type o Ixture to be installed or relocated as part of this project. Do not include existing ixtures to remain. BATHTUBS (or Tub/Snow« combo( LAVS (Hand sinks( TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS TOTAL BUILDING DRINKING FOUNTAINS SINKS (Eimhen/Utility( WATER HEATERS (Eleario( HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS # of Stories LO 'z) NEW BUILDING $ hm4e EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes O No ❑ Yes V No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE :BASEMENT FIRST FLOOR (or Mobile Home) SECOND FLOG COVERED ENTRY DECK GARAGE ❑ CARPORT 11 OTHER (describe) EXISTING PROPoSID TOTAL Area Totals *"NEW HOMES ONLY" ESTIMATED SELLING PRICE -$-- it OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Tjpe # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL — REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Groupls) Construction Type # of Stories Additional Information TOTAL BUILDING TENANT AkEA ONLY PROJECT AREA ONLY Bulletin #100—January 1, 2013 Paue 2 of 3 k:AHandouts\Permit Application