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16-101666A. City of Fedbral Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA '98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Building - Cominercia Permit #: 16 -101666 -00 -CO Inspection Request Line: (253) 835-3050 Project Name: WILD WAVES DOUBLE SHOTRIDE-(MECHANICAL CONTROL ROOM BLDG) Project Address: 36201 ENCHANTED PKWY S Parcel Number. 282104 9026 Project Description: ADD - Construct mechanical control shed building to house air compresser for new ride. Mechanical included. No plumbing. Owner Al2plicant Cbntractor Lender CLP ENCHANTED VILLAGE LLC TODD SUCHAN ALLEN-BRADBURY CONST LLC 36201 ENCHANTED PKWY S WILD WAVES THEME PARK ALLENC*857MS (7/10/17) FEDERAL WAY WA 98003-7109 36201 ENCHANTED PKWY S 901 ALGONA BLVD N Surk At FEDERAL WAY WA 9800 ALGONA WA %800 i mercial alt Census Category: 437 CoM Xconverse Includes: #1 #2 #3 16 #4 Occupancy Class: Construction Type: Occupancy Load. Floor Area (sq. ft.) 0 0 0 Add pi* InforlNliqW Mechanical to be Included? .................................... yes Mechanical Work Valuation? ................................ 5000.00 Number of Stories......................................ft PeAit for Building Shell Only?............................No No Plumbing to be Included? ........................... 44posed. Structure Valuation ................................ 20000.00 MechanleamuNres . " 0.%& Compressors /Heat Pumps... . N MIT EXPIRES Ae Inesday, October 19, 2016 -ACTPermit Issued on Friday, April 22, 2016 J I hereby certifyh bove information is correct and that the construction on the above described property and the occupancy an ";;tuse will, be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: U%WC, F<" Date: 4 — -2--'-- —1 ('.. CITY CW Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 16 -101666 -00 -CO Address: 36201 ENCHANTED PKWY S CLP ENCHANTED VILLAGE LLC FEDERAL WAY, WA 98003 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 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. Footings Setback (4110)1:1 Foundation Wall (4115) Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill By Ckk.� Date ko" ` 5_� ` By Date k. -1 +�� By Date Re -steel (4215) Slab/Concrete Floor (4255) Final Electrical Approved Underfloor Framing (4285) Approved to place concrete or grout By Approved to place concrete Approved to sheath floor By Date By Date By Date Floor Sheathing (4105)Shear Walls (4245) Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By K4 Date (0 30 (, By Date Mechanical Rough -in (4165)Gas Piping (4125) Fire/Draft Stops (4095) Approved Approved to release test Approved By Date By Date By Date Prior to scheduling a Framing inspection, Framing (4120) Insulation (4150) Electrical, Plumbing & Mechanical Rough -in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed -off and IBC 1093.4 By Date By Date approved Gypsum Wallboard Nailing (4130) Suspended Ceiling Grid (4265) Final - S K F & R (4060) Approved to install mud & tape Approved to drop tile Approved By Date By Date By Date Final - Mechanical (4065) Final - Building (4050) Approved Approved By Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date C17Y OF Federal Way Building Division 33325 Eighth Avenue South Federal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 3by01 IF-=VV•wkf."ll rv.wv S. PERMIT#: ilO- tollv(ife- eo - Co WVdd FV -t -~A lkwv%i!4t-104- 61AI�veweA 0vr-w(!4. Proyi& R�c-svf ry,,C+w D✓'awi" To Ct}j PIAA V�uytuPcv by OTC F1OIA 9-GV►cW IAaje,roVu1 �Fi� &(434 tycvi cww . PA V+ia l rr'.41- 61F Tb O fe."A ,' yl -i dG . p-e_-C&t( Filial l�srcc),'u.► f7�w hlG� %.icw Prot,{ss �s Cov4�l��.u(. IF YOU HAVE QUESTIONS CALL �A"4" (253) 835- 2`23 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. -717,4 111, ATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of Department of Labor and Industries APPLICATION FOR AMUSEMENT RIDE Electrical Section - OR AIR SUPPORTED STRUCTURE PO Box 44460 Olympia WA 98504-4460 OPERATING PERMIT www.Lni.wa.gov $10.00 FEE PER RIDE DECAL ISSUED MUST ACCOMPANY COMPLETED APPLICATION This application must be used to receive your operating ermits —We do not accept personal made forms Name: Phone number: Todd Suchan (253) 661-8008 Firm name: FAX Number: CLP Enchanted Village LLC, DBA, Wild Waves Theme Park 98003 Address: City: State: ZIP + 4: Wild Waves Theme Park Federal Way WA 98003 36201 Enchanted Pkwy S Email address: TSuchan@wildwaves.com NOTE: An original copy of the insurance policy must be on the file with Applicant's signature (REQUIRED): the Dept. of Labor & Industries, Electrical Section, before an operating permit can be issued The Dept must be listed as a volicy holder on your certificate. _ AMUSEMENT RIDE OR STRUCTURE CERTIFICATE OF INSPECTION INSPECTOR: I hereby i5;ld affirm that on the date shown below I personally performed the mechanical safety inspection of the amusement rides) o(s) e v d y rides) or structures) meets the standards for coverage as required by Chapter 67.42 RC Inspection date Ins Print Name: Phone Number: 7/27/2016 Clell A Woodcock (253) 838-8291 F500-010-000 application for amusement ride operating permit 3-2009 DCALNUIYIB$;v Eme en Corrections RIDE Depa_dment;nsp gnlyz., r SERIAL NUMBER NO YES Completed? Drop Tower 72499-1663-37074-1 ✓❑ ❑ ❑ Nothing Follows... �, �=� XXX ❑ ❑ ❑ � XXX XXX ❑ ❑ D XXX XXX ❑ ❑ XXX 1 mit f�,,�; R1 t XXX ❑ ❑ ❑ i' t sk dFf` 0.t iY ❑ ❑ ❑ l � 3 Y u ! F } F �A ❑ ❑ ❑ orF�•'. ❑ ❑ D `J� Y ❑ ❑ ❑ IF CORRECTIONS HAVE BEEN ISSUED, PLEASE ATTACH ALL INSPECTION REPORTS TO THIS APPLICATION. PERMITS WILL NOT BE ISSUED UNTIL EMERBENCY CORRECTIONS ARE COMPLETED AND MARKED OFF BY INSPECTOR NOTE: An original copy of the insurance policy must be on the file with Applicant's signature (REQUIRED): the Dept. of Labor & Industries, Electrical Section, before an operating permit can be issued The Dept must be listed as a volicy holder on your certificate. _ AMUSEMENT RIDE OR STRUCTURE CERTIFICATE OF INSPECTION INSPECTOR: I hereby i5;ld affirm that on the date shown below I personally performed the mechanical safety inspection of the amusement rides) o(s) e v d y rides) or structures) meets the standards for coverage as required by Chapter 67.42 RC Inspection date Ins Print Name: Phone Number: 7/27/2016 Clell A Woodcock (253) 838-8291 F500-010-000 application for amusement ride operating permit 3-2009 Department of Labor and Industries Amusement Ride unit PO Box 44460 Olympia WA 985044460 Phone 360 902-6278 FAX 360 902-5296 TEMPORARY OPERATING PERMIT Amusement Ride or Structure Date 7/27/2016 'er94-16-335 THIS PERMIT AUTHORIZES THE OWNER OR OPERATOR NAMED BELOW TO OPERATE THE AMUSEMENT RIDE OR STRUCTURE IDENTIFIED BELOW FOR A PERIOD NOT TO EXCEED 15 DAYS UNLESS REVOKED OR CANCELLED. r City State ZIP+4 Federal Way WA 98003 Ride Location Same as above city Same as above c°kIng Received by F500-036-000 temp operating permit 042008 White - Owner/Operator Electrical Section Department of Labor & Industries PO Box 44460 Olympia WA 985044460 Canary - Olympia Office Pink - Inspector Kennedy/Jenks Consultants 13 June 2016 Memorandum To: Todd Suchan, Wild Waves CC: Aaron Taylor, PE, & Janet Snedecor, PE Kennedy/Jenks Consultants Rick Noble, Oak Hills Construction From: Milt Larsen, PE Subject: Double Shot Foundation Structural Observation K/J 1397020.00 Met with Rick Noble at 8:00 am, 13 June 2016. Weather overcast. One carpenter and special inspector (Mayes Testing Engineers) on site. Special inspector reported reinforcing in conformance with plan except clearance at the forms was 3 inches rather than 4 inches noted on plans. Aaron Taylor indicated that 3 -inch clearance was acceptable. Embed weldment now supported on a cast concrete footing (see photographs). Two Ufer grounds in place near two of the embed weldments (see photographs). Concrete placement planned for 6 am Tuesday. c:Wsers�niltlldocumentsWld waves12016 double shot & scramblerldoubfe dwt106132016 double drat structural observation m .doc - r;nKs i ant,. mc. Kennedy/Jenks Consultants Memorandum Todd Suchan 13 June 2016 1397020.00 Page 2 9, T ... l WI RMW1M Photograph 1 Double Shot embed weldment with Ufer ground and vertical stirrups ciusers\mJt ldocumentsWId waves12016 double shot & scramblerklouble shot106-13-2016 double shot structural observabon memo.doc © KennedyUenks Consultants, Inc. Memorandum Todd Suchan 13 June 2016 1397020.00 Page 3 Kennedy/Jenks Consultants #MCA Mrs - I 41L n.J ,. 1._ Photograph 2: Double Shot foundation mat with embed weldments, conduit and air compressor piping C'. Wsers\miIMdocumentstwlld wavest2016 double shot & scramblerldouble sholW&13-2016 double shot structural observation memo.doc © Kennedy/Jenks Consultants, Inc. Kennedy/Jenks Consultants Memorandum Todd Suchan 13 June 2016 1397020.00 Page 4 Photograph 3.- Conduit and ground between Double Shot Foundation and Compressor Pad cWsersVmltlldocumentslwild waves12016 double shot 8 scramblerldouble shot106-13-2016 double shot structural observation memo.doo © Kennedy/Jenks Consultants, lnc. Memorandum Todd Suchan 13 June 2016 1397020.00 Page 5 Ifrrr "i Photograph 4 Copper ground cable to Ufer grounds Kennedy/Jenks Consultants / °" . ... `'fir" c:WsersWiIBdocuments\wild waves12016 double shot & scramblerWouble shot\06-13-2016 double shot structural observation memo.doc © Kennedy/Jenks Consultants, Inc. MAYES TESTING ENGINEERS, INC. July 27, 2016 City of Federal Way Building Division PO Box 9718 Federal Way, WA 98063-9718 Re: Wild Waves Double Shot Tower 36201 Enchanted Parkway South Federal Way, WA Project No. T16126 To Whom It May Concern: Seame Office 20225 Cedar Valet' Road Sure 110 LW rmood, wA98036 ph 425.742.9360 frac 425.745.1737 Tacoma Office 10029 S. Tamma way SLde E-2 TaoWla, wA 98499 ph 253.584.3720 f3K 253.584.3707 Pbrm.)dOrlce 7911 NE 33rd Dme Sud 190 Portland, OR 97211 ph 503281.7515 Final Letter W503281.7579 Permit # 16 -101795 -00 -CO This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you. Special inspection was provided for: Reinforced Concrete — Cast in Place To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust that this provides you with the information, which you require. Should you have any questions give us a call. Sincerely, Mayes Testing Engineers, Inc. Timothy G. Beckerle, P.E. Vice President S&S WORLDWIDE Engineering Excitement Annual Tower Inspection Turbo Shot/Space Shot/Double Shot/Combo Annual Inspection (If not applicable to the tower type being inspected, please enter N/A next to the check box.) Tower Structure Tower is properly welded to the foundation. Tower joint alignment is smoot h and flush. Bolts are made of the correct materials and marked accordingly. Bolts are torqued and painted with torque stripes. Surfaces are properly coated and free of rust. Ladder is clear and climbing device is present. Maintenance platforms around valve and in the tower are secure and free from obstructions. All items attached to the tower are secure and will not interfere with ride operation Marquee/Bridge N/A ❑ The marquee is securely fastened to the tower. N/A ❑ The marquee is intact and there are no loose items. N/A I ❑ The lighting and electrical components are properly installed. Coptrol System Components are securely mounted in their appropriate locations. Verify that all electrical components are properly installed and appear neat and clean. LJ Gauge lines are properly installed. All lights and gauges are functional. Power lock -out is installed in its proper position. Climate control system is present and operational. Start-up procedures and failure tests have been completed. Poyer and Lighting Electrical boxes and pipes are properly fastened to the tower. Liquid -tight flexible conduit is installed so it is weather resistant. Annual Inspection Report Page I S&S WORLDWIDE Engineering Excitement Turbo Shot/Space Shot/Double Shot/Combo Annual Inspection Liquid -tight flexible conduit is run in a clean manner and in the appropriate position. Lighting is properly and securely mounted to the tower. Panels are properly installed. tern Compressor is properly installed with the correct ventilation. Incoming air supply is properly installed and free of leaks. Tank is properly centered in the tower. Proper bolts have been used to assemble tank joints. Tank joint bolts are torqued and painted with torque stripes. Verify all attachments to tank are secure and tanks are free of leaks. Gaskets are in place between the air tank sections. Air tank is free of leaks. Verify that all air lines are properly fastened to the tower. Fill valve is properly installed and limit switches are functional. Gaffe Valve/Turbo Valve Verify all air lines are properly terminated on the gate valve assembly. Gate valve assembly is securely mounted to the air tank and is free of leaks. Verify that all components on the gate valve assembly are in place and secure. Verify that all components on the gate valve assembly are functioning properly. Limit switches on the guide rod are activating properly. Pa enger Cart Passenger cart frame is properly assembled. Passenger cart wheels are not worn or damaged. UHMW guides are adjusted to within 1/2" of tower frame. Restraints are mounted with appropriately sized mounting pads. Restraints are mounted with proper grade 5 bolts. Contact switch is properly installed in order to operate the restraints. ,,,-----� Verify that each restraint operates properly. lam' Check contact plate and pins for mounting and connection. Restraint arms are securely locked when the solenoid valve is closed. Verify all Lexan panels are installed correctly and mounted securely. Annual Inspection Report Page 2 Turbo Shot/Space Shot/Double Shot/Combo S&S WORLDWIDE Annual Inspection Engineering Excitement ,LJ Verify that there are no "danger" areas when sitting in any of the seats. LJ Verify that the banners are properly installed. ❑' Banner ropes do not have any loose ends or tails that may become caught. Y Battery charger is in place and is functional Passenger Cable System Cables are appropriately attached to the pistons. Passenger cables are free of kinks or damaged spots. Lam' Sheave assemblies are properly aligned to prevent cable seal wear. Sheaves spin freely without resistance. Clip rings and spacers are properly installed. Cables are appropriately fastened to the cart. Shear pins are not over torqued. Cable tension is adjusted correctly. WW! igh System Position and proximity sensors are mounted appropriately. Cart lifts to the proper position and is stable during the weigh process. Positive stops are properly installed. Flag is properly mounted to the cart and adjusted to a distance of 1"from the proximity sensor as the cart passes the sensor. Sty Backup System Shocks are properly aligned with the cart. Pads are positioned properly on the bottom of the cart. The stops are positioned so the shocks will not bottom out. Impact is smooth and quiet. Pads on the top of the shock are in the proper place. Hoses to the shocks are neatly run. Annual Inspection Report Page 3 S&S WORLDWIDE Engineering Excitement Turbo Shot/Space Shot/Double Shot/Combo Annual Inspection L`J Oil system is free of leaks. Oil system has the proper air pressure to lift the shocks. ,�Lu ncation system ,/ Hoses are run neatly and are attached with no pressure on the nozzles. LJ Air supply is properly hooked up properly. Lubricating pump is receiving lubrication. Air pressure to pump is 35-40 psi. Operational Function Maintenance mode operates smoothly to move the passenger cart to the pulleys and returns it to the ground safely. Weigh system operates properly ranging from a low of 0 to a high weight of 2100lbs LJ Low weight ofdfires at 69.00 psi (shot), fires at n/a psi (turbo). High weight of 2100 , fires at 72.00 psi (shot), fires at n/a psi (turbo). LJ Ride has gone 100 cycles without any apparent problems. S4ty System Enable button is functional. Ride will not operate if the enable button is not pressed. Visually verify that each of the 4 letdown valves indicators are opening and closing properly during a ride cycle. Verify that the entry/exit gates are functional and the inputs from the contacts (if used) are being monitored by the processor. Pressure Sensor System Disconnect Cylinder 1 pressure sensor during the ride cycle and verify correct failure messaging. Disconnect Push 1 pressure sensor during the ride cycle and verify correct failure messaging. Annual Inspection Report Page 4 S&S WORLDWIDE Engineering Excitement Turbo Shot/Space Shot/Double Shot/Combo Annual Inspection Disconnect Shot 1 pressure sensor during the ride cycle and verify correct failure messaging. Disconnect Supply I pressure sensor during the ride cycle and verify correct failure messaging. Disconnect Turbo 1 pressure sensor during the ride cycle and verify correct failure messaging. Dual Processor System N/A ❑ Disconnect the wire from I:0/0 on the Micrologix 1000 assembly. Weigh, fill and fire the ride. Verify that the ride goes into safe mode when the upvalve starts lifting the cart. The message displayed should be "Gate Error MicroLogix". Reconnect the wire . N/A ❑ Disconnect the wire from 1:0/1 on the Micrologix 1000 assembly. Verify that the ride goes into safe mode. The message displayed should be "Turbo Valve Error MicrooLogix". Reconnect the wire. Comments: Tower has been refurbished and recommissioned in Federal Way. Washinaton USA Maintenance, Letdown, Fill and Fill Blocking valves have all been upgraded to newest systems along with the Oiler system. Gate Valve has been fully rebuilt and thoroughly tested. 1/0 checkout has successfully been completed and all systems tested. Pistons are to be inspected on a monthly basis to check for any abnormal wear. New Cables installed upon refurbishing, check tension weekly or as needed. Annual Inspection Report Page 5 S&S WORLDWIDE Engineering Excitement Turbo Shot/Space Shot/Double Shot/Combo Annual Inspection This ride, (tower type) Double Shot , (serial number) 2001 -DBS -3X3 -MSA -009 , has been inspected and approved by S&S Power, Inc, by: Authorized Inspector Jesse Brown Title Service Tech Date 7/28/16 I, (name of authorized park employee) authorize on behalf of Enchanted Village / Wildwaves (park name), do hereby approve acceptance of the annual inspection on the above noted tower ride. Park Official Title Date Annual Inspection Report Page 6 `CITY OF Federal Way CONSTRUCTION ALERT Building Division 33325 Eighth Avenue South PO Box 9718 Federal Way, WA 98063-9718 Phone 253-835-2607 Fax 253-835-2609 ADDRESS: 3U7-01 15-vv-�&Kfq 9V"'5• #: bouWc- 5VCJ 9 -t -Ac. For Your Information NwL 11� • 2�! �V�Glas t- T� ,nes ekeA os kur>Ls SL.a l l Fit k s }x.flzil Ok-s' To TIALiv Sfwic Lis+,'KA . VJ iblc Ca v-, A-PLc JrIJ �r�1riKq A s PotsiLjle- Pt 3f-- le:VAC'Voskycs St -CH yc, lits• O v P✓�o c}�' M S IAc, l 1 p,� fir- s }� l l L,( Ili {- Vt w� i r� I�x't-c� f o r h rw c k 1" Ac. IE�ti +V- d f W-(2 i c �U v -AAA 601A)f7-6,41 W fit^ f%I Lam, c� 1 Ck Lii W Ka.,.+ - IF YOU HAVE ANY QUESTIONS CALL hn f, 4t 253-835- 2b 7,3 This Construction Alert is intended as a proactive measure to provide early notification of code issues. Items listed above have been noted on this alert as a courtesy and should not be viewed as a comprehensive list of code violations for the job or any portion thereof. Necessary corrections will be noted during formal inspections. This is not an Inspection Notice. 'T Is -1l/ DAT INSPECTOR Page of At N� CITY OF Federal Way PERMIT NUMBER ( � _ ` 0 • PERNWAPPLICATION APR 0 5 2016 CCm OF FEDERAL WAY '4'f/Z MSDT DATE SIITTEE ADDRESS /��// f4lt-Lw C� 1 SUITE/UNIT # 14Y , PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL # TYPE OF PERMIT BUILDING ❑ PLUMBING )� MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT tP 0 U i3L-U, 'C t� (Prl- 110c", j� (I �� Y , /S �v U� 511017 / C a7 PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME 1j � � �� PRIMARY PHONE 53 —. (, 1 _ � PROPERTY OWNER MAILING ADDRESS E -M MLL ,(/J�� { t _ ITY STATE ZIP 3 PHONE MAILING ADDRESS e)/ E-MAIL CONTRACTOR CITY O SKATE K; 7601 FAX IK'4 /!Y WA ATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # l NAME\P.. \ ` A 13 1N PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL Gy -t ,-J Q �1 a ,o�ji STATE � t ZIP FAX 1'1 $J 7-5 3 -- a 5 NAME PRIMARY PHONF Z �' PROJECT CONTACT (The individual to receive and MAILING ADDRESS E-MAIL \ 3ea 1,121 i d respond to all correspondence . �-t - ..^ < sCi E� i� z- FAx _ concerning this application) PROJECT FINANCING N�� AME ` 1 1/ OWNER -FINANCED When value is $S, 000 or more (RCW ]9.27095) MAILING ADDRESS, CITY, STATE, ZIP PHONE #r— % dC ?-53 r.G' _ r r FF':>a O I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner. II 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 ederal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such clai , w ich may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out o the elwnce of the city, including its officers and employees, upon the accuracy of the information supplie city as of t s application. SIGNATURE: DATE 11 ,, CC PRINT NAME: �-d� C , t� Bulletin #100 - February 22, 2016 Page 1 of 2 k:\l-landouts\Permit Application M) VALUE OF PLUMBING WORK PLUMBING PERMIT Is Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res 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 (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT FOR OFFICE USE BASEMENT $ �/, f Indicate how many of each type o re to be installed or relocated as part of this project. Do not include existing res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS (Gas) Occupancy Group(s) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DECK DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Is Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res 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 (Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS FOR OFFICE USE BASEMENT NEW BUILDING EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ADDITION ❑ Yes ri No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW BUILDING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Group(s) Construction Type # of Stories Additional Information DECK GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY ................ --- — — Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** 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 COMMERCIAL — REMODEL/TENANT 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 — February 22, 2016 Page 2 of 2 k:\Handouts\Permit Application