05-103515 City of Federal Way Mechanical Permit #: 05 - 103515 - 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: DECATUR HIGH SCHOOL
Project Address: 2800 SW 320TH Si' Parcel Number: 122103 9034
Project Description: Install of purge fans and installation of chemical vent piping
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL MCKINSTRY COMPANY MCKINSTRY COMPANY
31405 18TH AVE S 5005 3RD AVE S 5005 3RD AVE S
FEDERAL WAY WA SEATTLE WA 98124 SEATTLE WA 98124
98003-5433 (206)763-5399/486
Mechanical Valuation .10800 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description 'Quantity Description 'Quantity
Fans it 7 J Gas Piping 8
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.
Owner or agent: Date: 7 ?
6
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103515-00-ME
Owner:
Address: 2800 SW 320TH ST
FEDERAL WAY, WA 98023-2207
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 j Date 8— q -- pS"'"."
JUL 1 9 2005
CITY OF FEDERAL,W'
e1TY Of
Federal way PE it t
DEVELOPMENT SERVICES
COMMUMIY SF MF C LPL DE EN FP
33325 8T"R LWA SWATH•PO BOX 9718 AP pLI CATI O N
FEDERAL WAY,WA 98063-9718
71 8
253-835-2607•FAX 253-835-2609
www,diyoffederalwmi.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
,, PROPERTY INFORMATION
SITE ADDRESS 2-1e06 S y / 3"2 / a)2`3 SUITE/UNIT#
_ r (4))
ASSESSOR'S TAX/PARCEL* 1 � � / () �l LOT SIZE(�- � �
LEGAL DESCRIPTION(e.g.Acme Estntes,Lot 1) ('
Mach separate page far lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 4t'PLUMBING )(MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on thispermit onlu)
)4.- k Y IN-1— uet��- cA-1-1,s ��.� a2-0V0/44.4_ c ru-y F(44E- c 4 IIG1 f
-
(r4 524 t-t trzt,t c k t. U1rKT P t r+te( -M-«A Ls IN Tlfv___
PROJECT NAME(Name of Business or Owner Last Name) 1 k
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER f 'OvALAL- 4 )Y Put,t.tL SC ktet2s 'I%--5930
MAILING ADDRESS CITY.STATE,ZIP
-/at(O S. 32- ' 0 3 7) few-424(j klAyj •7) /.8c-r4)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/`lCALAttVP-NI C0 ER lK— l�trztza�nvrooi.?(6Z- 33(I
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
51 3" pti,E S _ 5verrn-f, 1�►`P t e1�v ' (2Ge)S!C- -3 is3Z-
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE I FAX NUMBER
10 - 6C-CCC C: c3 -B L / 05 - I( 1
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATIOn DATE
K_- LN_ .Z 0/ / /C
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SANE P s C�i►.II►zALZt7R- ( ) -
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Ft2 c Pt EC.ZA Tlwltil 5k-I (Z44) 4332-- 52-Srd fra_ALP Q Ac_k_IK smY,s-0/K-
LENDER Y`^=`Per2tClD49:27 098 Lendei-'.iriformdtion is NAME
}�,+�'requeedyifproject.valeu-tiecee�s$5,000 '�•:�{.
MAILING ADDRESS CITY.STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLI E ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE ❑ PRIVATE(SEPTIC)
1
s
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sg.FT. Sg.FT. SQ.FT.
BASEMENT 1 �, N/A
FIRST 5c-tertci� L _�, {�- 1�-coI
Ks ' x. ITA
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS msrmo PROPOSED TOTAL ror�s>onrrno IF _ xar�neoroama zoreuu
- -'-;. i
"NEW HOMES ONLY"' NUMBER OF BEDROOMS - ESTIMATED SELLING PRICE $ _
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ /01 900
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS 7 FANS (Pcox cart) HOODS(commem(.1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING X
BATHTUBS or Tub/Shower Combo] SHOWERS WATER CLOSI.lb mile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS (4 VONT I P ifiC4
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks] 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 ci ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITL''ii'— g&r A, et(0.A2—_DATE 1/44/0S--
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor 0 Architect 0 Other
;FOR OFFICE"USE ONLY IN ?
Et NEW - ❑ADDITION- ---._= , ❑ALTERATION_ ❑REPAIR ❑TENANT IMPROVEMENT - _
BUILDING SHELL ONLY? _ a YES o NO = _ _-- BASIC,PLAN? o YES n NO -
ZONING DESIGNATION - - _ - CHANGE OF USE? -- -- o YES o NO
-NEW ADDRESS REQUIRED? a YES _n NO - -- _=_ - IIP/SEPA/SU? - - a YES a NO -
PLATTED LOT? - - a YES a NO _ ; DEMO PERMIT REQUIRED? - ., o YES a NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application