19-103585 RECEIVED
JUL 25 2019 PERMIT APPLICATION
CITY OF
PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 +pennitcenter@cityoffederalway.com
COMMUNfTY DEVELOPMENT
PERMIT NUMBER / /— � 5 X L _ r p
0 L TARGET DATE
SITE ADDRESS SUITE/UNIT#
3600 S. 344th Way, Federal Way, WA 98001 N/A
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
S.aa.'eee•OO 1) 00 0 OP-1/OP-3 726120-0221
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING X FIRE PREVENTION
NAME OF PROJECT FWPS Elementary School No. 24 (ES24)
Scope will be to relocate the existing power generator to new location on site per
PROJECT DESCRIPTION Attached plans.
Detailed description of work to
be included on this permit only
--
NAME PRIMARY PHONE
Michael Swartz, Federal Way Public Schools (253) 945-5992
PROPERTY OWNER MAILING ADDRESS E-MAIL
1211 S. 332nd Street mswartz@fwps.org
CITY STATE ZIP
_ Federal Way__ WA 98003
NAME PHONE
FORMA Construction (360) 754-5788
MAILING ADDRESS E-MAIL
CONTRACTOR 2823 29th Ave. SW ryanw@formacc.com
CITY STATE ZIP FAX
Tumwater WA 98512 (360) 943-5868
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAT BUSINESS LICENSE#
FORMACC878OR Exp. 9/19/19 20-18-104415-00-BL
NAME PRIMARY PHONE
Glenn Steiner, Federal Way Public Schools (425) 749-8271
APPLICANT MAILING ADDRESS E-MAIL
1211 S. 332nd Street gsteiner@fwps.org
CITY STATE ZIP FAX
Federal Way WA 98003 NVA
NAME PRIMARY PHONE
PROJECT CONTACT Glenn Steiner, Federal Way Public Schools (425) 749-8271
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1211 S. 332nd Street gsteiner@fwps.org
concerning this application) CITY STATE ZIP FAX
Federal Way - WA 98003 N/A
NAME
PROJECT FINANCING Federal Way Public Schools ✓ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095) 33330 8TH Avenue South, Federal Way, WA 98003 (253) 945-2000
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 holdle the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and def elof ch cl int), which may be made by any person, including the undersigned,and filed against the city,
but only where such clafin,�aris out f the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t!j the'City a p of this application.
SIGNATURE: DATE July 24, 2019
PRINT NAME: Glenn Steiner
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ N/A
Indicate how many of each type of fixture 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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ N/A
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS)HandSinka) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(I(rtchen/Utthty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A N/A N/A
$_N/A
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
N/A N/A ❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT ' N/A N/A N/A .
FIRST FLOOR(or Mobile Home) N/A N/A N/A
SECOND FLOOR N/A N/A N/A
COVERED ENTRY N/A N/A N/A
DECK N/A, N/A N/A .
GARAGE IDCARPORT ❑ N/A N/A N/A
OTHER(*sally} N/A N/A N/A
EXISTING PROPOSED TOTAL
Area Totals N/A N/A N/A
**mwavats o a.
ESTIMATED SELLING PRICE$ N/A #OF BEDROOMS_
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
Mow OunpuoN/A
N/A N/A N/A N/A
ADDITION N/A
N/A N/A N/A N/A
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction N of Additional Information
Square Feet Type Stories
,N/A' ' N/A ..N/A N/A i :N/A
TENANT AREA ONLY N/A N/A N/A N/A N/A
ratuscct,An cioir , , '- N/A N/A N/A N/A N/A
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application