04-104920 •
• •
City of Federal Way Mechanical Permit #: 04 - 104920 -'00=ME
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: FEDERAL WAY YOUTH DEVELOPMENT CENTER
Project Address: 31455 28TH S Parcel Number: 092104 9054
Project Description: Install HVAC equipment and ducting for a new,one-story 16,000 sqft teen center with gymnasium,game
room,learning center,computer center,arts room,&administrative and service space.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL ADVANCED FILTER AND MECHANICAL ADVANCED FILTER AND MECHANICAL
31405 18TH AVE S 418 VALLEY AVE NW SUITE B115 418 VALLEY AVE NW SUITE B115
FEDERAL WAY WA PUYALLUP WA 98371 PUYALLUP WA 98371
98003-5433 (253)770-2440
Mechanical Valuation 29580 Over the Counter Permit No
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Air Handling Units 6 Ducts 6 Fans 4
PERMIT EXPIRES August 1,2005.
Permit issued on February 2,2005
I hereby certify that the above information is correct and that thenstruction on the above described property and
the occupancy and the use will be in ccordance with the laws,,rules and regulations of the State of Washington and
the City of Federal . 'f
Owner or agent: / ! /� Date: � Z C�
* GNAA>NQrF*Ammo/
8F 00/00
/.19 9 oo2F
THIS CARD IS TO MAIN ON-SITP � . , ,
CITY OF "�ommunitY P Inspection m nt Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104920-00-ME
Owner:
Address: 31455 28TH AVE S
FEDERAL WAY, WA 98003-5003
This card is part of your required inspection documents. 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.
❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) ia, Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By(j Date (iCt (.65.'--
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Federal Way p PERMIT �2 ' 'f) '� _ _- Z -0
COMAlUN(7YDUE MENTSEOX CEIV SF MF C���) EL PL DE EN FP
33325 D AVENUE SOUTH• B 9718 p p L I C A 7'
FEDERAL WAY,WA 98063-9718 ION p
253-w852a60 •FAX m2l5u3a3rn5-m2609 D E 0 6
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The following is re.uire. i• ,,,,v,: incomplete ap.lication will not be accepted. Please
p print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS ) L S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL _ _ _ _ - _ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach mate page for lengthy legal descnpoonl
' - ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING .MECHANICAL
ill 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DE CRIPTION(Provide detailed description of work in ded on this e t on1
•=2.4--' •-+E,1.1.4e€._ c-% •-(SZ, -..._ . 1
PROJECT NAME(Name of Business or Owner Last Name)
- II PEOPLE INFORMATION
PROPERTY NAME PRIMARY ONE
OWNER * A'C c Q...-\_.3 „...
' \ —
d _
MAILING ADDRE111111 �o ` J V�`CITY`,STATE,ZIP _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS � �• '� \� 11112.14. ) a ay(10
CITY,ST E,ZIP e CELL PHONE L
CITY 0 FEDERAL WAY B A S LICENSE SuMBER EXPIRATION DATE FAX NUMBER
T.0
-0 t--I Q L 'I GA-(- B L /2- /3/ /C4( 77a = '4443
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
i�• -F-4\r,. .._‘4�g-t _ / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRES CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT • FAX NUMB ER
❑ Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTPRIMARY PHONE E-MAIL ADDRESS
LENDER Per RCP:,19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION -
EXISTING USE ._1-‘),.. 10 NQ Ca"lpu.�� PROPOSED USE
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? `i 'YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
' WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
64 SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTUG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED—
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
--7W.';`4....1;� .. _-. -.- -: _ '-:-:.7.-.:::-.2:-.---1.7,:: ;FIRTURES : -
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL 6e2Value of Mechanical Work �c�lf�.D•
C AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG SYSTEMS
BBQS i• FANS HOODSIcomm<rroml WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Show<r Combo) SHOWERS WATER CLOSETS troa<q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS{Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
'•' '-.'_} �'.-• F .- ,''- . _:_ 5:'DISCLAI R/SIGNATIIREBLOCK-. - ,.----:::•17. -i...1-1 -,. _- - ,
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owne the above premises to perform the work for which the permit application is made. I further agree to hold
F
harmless the City of eral Wa as to any c/a' rncluding costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which-May be made by any perso ,i luding theu**}}dersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the .ity, includi g i officers and,�mployees, upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE �S`s �� i'� i `>DATE 3 ° Y
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent contractor 0 Architect 0 Other
( FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES a NO
{ ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Rcvised\Permit Application
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