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14-104622Aimbing City ofFederalay Community & Econ. Dev. Services Permit #: 14 -104622 -00 -PL 33325 8th Ave S Federal Way, WA 88003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609Q Project Name: FEDERAL WAY HIGH SCHOOL - TEMPORARY PORTABLE T-3 Project Address: 30611 16TH AVE S Parcel Number: 082104 9001 Project Description: Connect domestic water supply to portable structure. Owner Aggiicant Contractor FEDERAL WAY PUBLIC SCHOOLS LLOYD ENTERPRISES INC LLOYD ENTERPRISES INC 33330 8TH 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: • THIS CARD IS TO MAIN ON-SITE Federal Vtl'V;bi� a Construction In ection Record Way INSPECTION REQ TS: (253) 835-3050 PERMIT #: 14 -104622 -00 -PL Address: 30611 16TH AVE S Project: 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 Plumbing Groundwork (4190) Rough Plumbing (4230)El Final Electrical Approved as Piping ( 125) Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date � RifEIVE® SEP o 8 2ot4 FERMI APPLICATION Federal Way n CITY OF FEDERAL WAY f'%'7�3 t - CDS PERMIT NUMBER / _ D _ _ v ,/L/., V L �( TARGET DATE GY SITE ADDRESS SUITE/UNIT # -�,© is v PROJECT VALUATION ZOditG ASSESSOR'S T /PARCEL # `V Z -&O ` ct, - - TYPE OF PERMIT ❑ BUILDING .0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT L (oq-i We tJ Sc_t+{�L , PlIc ce-T f ID .4 D A9>L% & S 044rd1z A& Af -A 6PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME q / J'� J-.,[ �'Q6&4C�tI/� Ld _ '�-, ID, 'U lc.l PRIMARY PHONE 2_�5 Q �J - l MAILING ADDRESS F -MAIL CITY e. �1,.., �� STUC', NAME ` ./�•�/ LQ Y/ � PHONE - �(�2'0� �Z MAILING ADDRESS �+ F -MAIL CONTRACTOR CITY f �ltCJ i,I%v STAT ZIP D,�,^j(, 3 FAX Zj-�, -`'v3c _C iG 3 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # in 4)3S/ -c -P, NAME - PRIMARY PHONE MAILING ADDRESS Pd ��C' t7"� E-MAIL APPLICANT CITY STATS� f'e�✓� (�'�c C✓°, ZIP cz' C��Gly 3 FAX 21 3 -- �3 � - �� 0 3 NAME PRIMARY PHONE PROJECT CONTACT 2�1 �� MAILING ADDRESS �� ( �� > E-MAIL. C�Nt A �O r) Qm rttsp) iv (The individual to receive and respond to all correspondence cIT}F�c n / STATE ZIP O 6 3 _/J/' 3 - C l Z concerning this application) PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 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/city as a p 'rt of this application. SIGNATURE: -Z� V DATE / 7 r PRINT NAME: 6� ki Bulletin #100 -January 1, 2013 Page I of 3 k:AHandouts\Permit Application ,ic. cel L., C(`/), 0 GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT SECOND FLOOR COVERED ENTRY LO � �� DECI: GARAGE ❑ CARPORT ❑ 'OTHER (describe) $ O 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 ic-emiw) OTHER (Describe) BOILERS FURNACES HOT WATER TANKS )ces) 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 SECOND FLOOR COVERED ENTRY LO � �� DECI: GARAGE ❑ CARPORT ❑ 'OTHER (describe) $ �'0 , C,-,' Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing ixtures to remain. BATHTUBS (o Tnb/Sh—w C. -bo) LAVS )H—d Sink.) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS TOTAL BUILDING DRINKING FOUNTAINS SINKS )xitehen/Utility) WATER HEATERS (Eieetrie) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS SECOND FLOOR COVERED ENTRY LO � �� DECI: GARAGE ❑ CARPORT ❑ 'OTHER (describe) $ k2m e_ EXISTING/ PREVIOUS USE LOT SIZE (In Squ— Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ YeS,0�0 F Yes w*' No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION fin square feet) EXISTING PROPOSED TOTAL BASEMENT s FOR OFFICE USE FIRST FLOOR (or Mobile Home) Construction Type SECOND FLOOR COVERED ENTRY Additional Information NEW BUILDING DECI: GARAGE ❑ CARPORT ❑ 'OTHER (describe) Area Totals PMSMG PROPOSm TOTAL ADDITION "IVEW HOMESiONLY' ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUILDING `- ADDITION CONINIF.RCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction pe # of Stories Additional Information TOTAL BUILDING TENANT ARRA ONLY PROJECT AREA ONLY Bulletin #100 — January I, 2013 Page 2 of 3 k:AHandouts\Permit Application