14-104616City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
iPlumbing
Permit #: 14 -104616 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY HIGH SCHOOL - TEMPORARY PORTABLE P-1
Project Address: 30611 16TH AVE S Parcel Number: 082104 9001
Project Description: Connect domestic water supply to portable structure.
Owner
ARnlicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
LLOYD 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
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 CW o i� f '
Federal Way
PERMIT #:
THIS CARD IS TOMAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
14 -104616 -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 (419)
❑
Rough Plumbing (4230)
0
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
By Date
. v
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
REWIVED
i
CITY GF SEP 08 2014 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY PrTl3L 44 I
• CDS '/� T�
PERMIT NUMBER 1 _ / / � / ^ / / _ _ t' � v7/��//
l/ lll��f /// .L SLJ {{{ TARGET DATE ? Y
•
•
SITE ADDRESS
SUITE/UNIT #
30 6 v PA-e-tf� C 1 Li
.
ECT VALUATION
PIRROJJ,�i
$ C).
ZO G
ASSESSOR'S T /PARCEL # /
/ /�
/ ) g � -/ O ( f V 0 /
_
J❑—
TYPE OF PERMIT
El�PLBUILDING UMBING El MECHANICAL E] DEMOLITION ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
%&ID A -JD AJa7
rLW4 C (0=i (C 6J SC jt_ , P/1CVr_&r i.,/ 73 5
� � l `C - &rf 1 S
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
riod" a 14k� d f
PRIMARY PHONE
2� '2j - q �r 5 —2�� 6
�� ! /L
MAILING ADDRESS
� 3.3 7,3 J �C E 5
E-MAIL
t' tQj i Kd ? 4,0 S . 0 r
CITYSTA'�C1
Q. � � Cs-.
�,WW'' 11
600) 3 ZIP
OJT
•
NAME
I/ 6/ /Klit c
PHONE
253-17�(-r���z
MAILING ADDRESS
G 6` �,
E-MAIL
CONTRACTOR
CIP
TY c� Q
�I. 0
�Dbo (' 3
FAX
Z5"i
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
2)32'-c -,
NAME
;� 'w
PRIMARY PHONE
ZS - 33 �- (Q ` 3
MAILING ADDRESS
Pd / oc 3b2O
E-MAIL
ktw h @I�o �e r,s�sl
APPLICANT
CITY /
STAT
ZIP
FAX
NAME
PRIMARY PHONE
`2 5� "
PROJECT CONTACT
c�l
MAILING ADDRESS //
�� 7
E -MAH`,.
E'M Vl �O 6211 i I$P3
(The individual to receive and
respond to all correspondence
n
1IFFCC a.CK//%F�
STATE
t�
ZIP o G 3
FAX
concerning this application)CITjYQ
PROJECT FINANCING
NAME
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 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 asaLrt this application.
SIGNATURE: DATE
PRINT NAME: �(
Bulletin #100 -January 1, 2013 Page I of 3 k:AHandouts\Permit Application
1C. C -61M
C;cvlyM
•
•
• 0
MECHANICAL PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF MECHANICAL WORK
$ O
Indicate how many of each type of
fixture to be installed or relocated as
part of this project. Do not include existing JLxtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS(commerdaq
OTHER (Describe)
BOILERS
FURNACES
HOT WATER TANKS (Gast
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
HOSE BIBBS
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING PERMIT
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
$ Ey c, -o
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing Lrtures to remain.
BATHTUBS (or Tub/shower combo(
LAVS (Hand Sinksl
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric(
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
1�1)
WD
Area
Construction
# of
$ hc.+Vl
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes j-,�o
❑ Yes V No
Bulletin #100 —January 1. 2013 Page 2 of 3 k:\Handouts\Permit Application
COMMERCIAL — NEW/ADDITION
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Type
Stories
NEW BUILDING,
ij,rc�_--`:
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in S uare Feet
a
Stories
TctrAL BUILDINdW
TENANT ARTA ONLY
•
PROJECT AREA ONLY
Bulletin #100 —January 1. 2013 Page 2 of 3 k:\Handouts\Permit Application