14-104619r- f 0 0 ,Plumbing
City of Federal Way
Community & Econ. Dev. Services Permit #: 14 -104619 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (2
53) 835�i050Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: FEDERAL WAY HIGH SCHOOL - TEMPORARY PORTABLE P-4
Project Address: 30611 16TH AVE S Parcel Number: 082104 9001
Project Description: Connect domestic water supply to portable structure.
Owner
Applican
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 informl3tion 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: Date:
-�- Lf -'SL
• THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -104619 -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.
0
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)Gas
Final Electrical
Approved
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
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
RECEW® •
Cl" OF PERMIT APPLICATION
Federal Way SEP 092014
CITY OF FEDERAL WAY
D
PERMIT NUMBER _ /�/y^D / / _ �L vZo
TARGET DATE [�
SITE ADDRESS I
SUITE/UNIT #
PROJECT VALUATION
ZO G
ASSESSOR'S T /PARCEL H
TYPE OF PERMIT
ElBUILDING Z PLUMBING ❑ MECIIANICAi. ElDEMOLITION -1 ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
_U�
FCCXQ,[CU( (t! _ ( 0i /L�
PRIMARY PHONE r�
2-: p
ai • `�
MAILING ADDRESS
t� S
E-MAIL
Q-CWP,,'±0VeA
CITY
SU,,
I
ZIP
LD Doo 3
AME
N Ll 61 ocvy c
PHONE
MAILING ADDRESS 11 �±n
v' J 7
F-MAIL
CONTRACTOR
CITY
rioe', ca
STAT
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 8
Z_toY �� 23°>�
EXPIRATION DATE
y� /S�
FEDERAL WAY BUSINESS LICENSE 8
2Q -ot -- io 4)3S -co
NAME
PRIMARY PHONE /
MAILING ADDRESS
06 &,x 3b2O
t�"�
E-MAIL
4( h ``b Y IS�SI
APPLICANT
CITY
l�'ec � f/J�c
STATS
C✓°,
ZIP
�i �JOry 3
FAX
2� 3 - �v3 S o 3
NAME
PRIMARY PHONE _
Z 5� g i 3 —" 3
PROJECT CONTACT
MAILING ADDRESS
� 3,,w�t
&MAIL. jj t
(The individual to receive and
respond to all correspondence
7,t;,.j
ZIP
6�o 6 3
FAX
}
153 L t C 3
concerning this application)STATE
FINANCING
NAME
OWNER -FINANCED
E]PROJECT
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 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
%too thecity as a p "rt of this application. (�
SIGNATURE: Luh "' .—. _DATE
--
PRINT NAME: AJ
Bulletin #100—January 1, 2013 Page I of 3 k:AHandouts\Permit Application
1r-, Ct�
C- ; cC/Y
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Construction
Type
Lo'
Additional Information
EXISTING
$ U
Indicate how many of each type offixture
to be installed or relocated as
part of this ro' ct. Do not include existing tures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS(colnmerciw)
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (Gas(
Additional Information
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Construction
Type
Lo'
Additional Information
EXISTING
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do: include existing ixtures to remain.
BATHTUBS (or nm/shower Combo(
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Additional Information
DRINKING FOUNTAINS
SINKS (Kitchen/Utility(
WATER HEATERS (Eteetric(
HOSE B1BBS
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OFF IMPROVEMENTS
Construction
Type
Lo'
Additional Information
EXISTING
$ k?o be_
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes xe-No
❑ Yes � No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING PROPOSID TOTAL
Area Totals
"*NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ I #I OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application