14-104618City 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 -104618 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY HIGH SCHOOL - TEMPORARY PORTABLE P-3
Project Address: 30611 16TH AVE S Parcel Number: 082104 9001
Project Description: Connect domestic water supply to portable structure.
Ownr
A1212111cant
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:
CITY OF 4'-�
r"r , ,
Federal Way
PERMIT #:
14 -104618 -00 -PL
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
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)
Final Electrical
Approved
Gas Piping (4125)
IJ
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
IJ
Right of Way
Approved
By
Date
By
Date
By
Date
r
RElfIVED
"ryOF` SEP 0 8 2014
Federal Way
PERM I1#APPLICATION
CM OF FEDERAL WAY
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PERMIT NUMBER CD5
/ V_ _ �l/ 7 (o- L _
/)0— 7-13 L W- 3
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZON4&G
ASSESSOR'S TMC/PARCEL #
Q
TYPE OF PERMIT
❑ BUILDING Z PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
-L D,�Ua L (�1 "`( Gey Zw4 SC/kt9L_ , P12c &T i fi)4D IWD kdaA&X<-
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
6ti 4CLQ G4/ _ -moi Lu�
PRIMARY PHONE
MAILING ADDRESS
3"333o` S
E-MAIL
r1121gtnd2-Cw Scor'
CITY
STA"[EcI
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zip� ��
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
(� c� %%>'
S��TAT7_�
it✓�
ZIP
� iW 3
FAX
253--33�,-c �G 3
WA STATE CONTRACTOR'S LICENSE #
�Lc�YDT * 23 °,
EXPIRATION DATE
C(�
FEDERAL WAY BUSINESS LICENSE #
/n `i 3/ -co
NAME
,�c� c.Mt�
PRIMARY PHONE
1.52-V3s-�fe`3
MAILING ADDRESS
/06 /mac �g
EMAIL
u�>a h Ilo c� u V rls2si
APPLICANT
CITY
�e��( 0)��
STAT
ZIP
91v3
FAX
2S^3r-
NAME
PRIMARY PHONE
Z 5;
PROJECT CONTACT
PP 4
MAIILING ADDRESS
/Ijo �i 3� . >
EMAIL
'F�� to d d2 t1 ri$PS
(The individual to receive and
respond to all correspondence
respond
CIT
STATE
ZIP
`�)o G 3
FAX 9
-2-53
concerning this application)
PROJECT FINANCING
NAME
E] OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
1 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: `' DATE
PRINT NAME: —_
Bulletin #100 -January 1, 2013 Page 1 of 3 kAHandouts\Permit Application
1C. 6-_2
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
# of
LQ "�>
WD
Occupancy Group(s)
$ O
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 c.o,_. ap
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS caa)
¢'
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
LQ "�>
WD
Occupancy Group(s)
$ 2�� ` C»
Indicate how many of each type o
ixture to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
¢'
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Eiear;e
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
LQ "�>
WD
Occupancy Group(s)
$ hm4e-
EXISTING/ PREVIOUS USE
LOT SIZE tIn Squue Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Stories
❑ Yes je No
❑ Yes X No
COMMERCIAL - NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in S uare Feet
a
Stories
VIEW BUILDINii
s'g
x_
z
E
I
_
¢'
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a
Stories
TOTAL BUILDING.
TENANT AREA ONLY
PROJECT ARFA ONLY
Bulletin #100 — January I, 2013 Page 2 of 3 k:\Handouts\Permit Application