05-103516 City of Federal Way Mechanical Permit #: 05 - 103516 - 00 - ME
Community Development Services
P O.Box 9718
FederalWay,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-305C
Project Name: FEDERAL WAY HIGH SCHOOL
Project Address: 31031 PACIFIC S Parcel Number: 082104 9001
Project Description: Installation of purge fans for emergency fume evacuation
Owner Applicant Contractor
FEDERAL WAY SCHOOL DISTRICT MCKINSTRY CO. MCKINSTRY CO.
31405 28TH AVE S 5005 3RD AVE S 5005 3RD AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98124 SEATTLE WA 98124
(253)764-1671
Mechanical Valuation 4800 Over the Counter Permit... . Yes
Mechanical Fixtures
Description Quantity Description IlQuantity r _ Description IQuantity
Fans 3
PERMIT EXPIRES January 15,2006.
Permit issued on July 19,2005
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.
—7A/ �-
Owner or agent:s— Date: `�
THIS`CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103516-00-ME
Owner: FEDERAL WAY SCHOOL DISTRICT
Address: 31031 PACIFIC HWY S
FEDERAL WAY, WA 98003-4903
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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) 0 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By / rvf Date j/Dr
F
lileG . en
CITY OFIA' y 0 5�L
Federal Way PERMIT ,U` 1 9 Z�SF MF C EL PL DE EN FP
COMMUMTY DEVELOPMENT SERVICES
33325 8'^'AVENUE SOUTH•DERAL WAY,WA 63 BOX 9718 AP P LI CATI O. T E
233- 607 FAX 253-835-2609 F F Ep RA /
www.citeoffederalwm!wm Gt 50.01NG 003I.
The otlowing is re•aired information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
r- (� E.
M PROPERTY INFORMATION
SITE ADDRESS 10(-e7 I1 O' ' . ) (� (� 1 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL* 0 C% 2 I/�/0 ! - y��l- Tom" 0J- -----1) LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme EstntPs,Lot 1) /�- -� ^ 1 '- +'
Uoafh separate page fa-lengthy Regal description)
ii PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING KPLUMBING KMECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detrnlPd description of work inch trfPd on this permit only)
- 1,41011,t-- Fl y QHS FU;- 6:404ga y r . E ,1°C-V k l
i i re.
PROJECT NAME(Name of Business or Owner Last Name) f e,OE,12AL— WAY L4 i4 Sc.f GOL
MI PEOPLE INFORMATION
PROPERTY I NAMEPRIMARY PHONE
OWNER 1 FooEecit__ W Ry PLi t L. Sc“cot-5 (253) gas- -S q3 d
MAILING ADDRESS CITY,STATE,ZIP
/( (a - 32°44b- FFAf✓l2AWAY 14 9$do3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
AC*irtsny d'4) . ER-!K RSC-7471/V-a/1Sk./ (24° ) 7G2-- - 331/
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
57Z 3 A S- - -m-E, L4 9t513f ( .ct„) sic) - t332.
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 C1-lc Q- c, cc% ; 03-B L ( 2-' ( 'C (Z{'(c) 7 ,L/ - /V7I
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
MC-rte. L i yti. .2VI ' O7-'CC
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAµ5 lis &c iic-v32_ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
REIATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant a Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
illk— ?,CGZN' ws'1 (2c&) QV.- - eaZteg igA(K.p Mckifistry cot_
LENDER Vi:`!1;,, :WP I9�` " 95l rider ir(forrimatlon is NAME
f egriir'e � j jeetsufit*ezceeds;$5;OOf) ;
MAILING ADDRESS CITY,STATE,ZIP
il DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAKEB EVEN ❑HIGBLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC)
Legal Description:
Federal Way High School
30611 — 16th Avenue South
Federal Way WA 98003
0821041 NE 1/4 OF NE 1/4 LESS CO RD IN SEC 8-21-4 & S 590 FT M/L OF
NW 1/4 OF NW 1/4 OF SEC 9-21-4 W OF NEW PAC HWY &VAC 16 AVE S LY
WITHIN S 120 FT THOF LESS CO RD & N 400 FT OF POR OF S 3/4 OF NW
1/4 OF NW 1/4 WLY OF CO RD & VAC CO RD THEREIN
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. sg.FT. sg.FT.
BASEMENT
FIRST Sct Loa, (�-cti s
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE U CARPORT❑
=arm PROPOSED TOTAL TOTALEMSTING aF TOTALPROPOSIO TOTAIME
NUMBER OF FLOORS ' :ii
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
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
Value of Mechanical Work $ YI V v v
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 3 FANS P S HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rolkt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS Wifi 51#E5
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom amlu) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 part of
this application.
NAME/TITLE l717-0a.-GT A(A>1rAcl ereATE 7/ /,/0 6—
(Signature)
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 0 Contractor ❑Architect 0 Other
I,FOR OFFICE :USE•ONLY' ,M-
n NEW = n ADDITION - ❑ALTERATION - b REPAIR _ _ ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? _ n YES n NO - - - BASIC,PLAN? -= n YES ❑NO
ZONING DESIGNATION =`-_ --_ - - - CHANGE OF USE? - - _- ❑YES o NO
NEW ADDRESS REQUIRED? o YES-n NO - _ - UP/SEPA/SU? ❑YES ❑,NO -
PLATTED LOT? - -- - _ ❑YES -n NO - , DEMO PERMIT REQUIRED?--__ - -In YES - in NO - -
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application