05-103514 City of Federal Way , Mechanical Permit#: 05 - 103514 - 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) 835-305C
Project Name: TODD BEAMER HIGH SCHOOL
Project Address: 35999 16TH Sp Ave 5 Parcel Number: 292104 9025
Project Description: Install of purge fans
Owner Applicant Contractor
FEDERAL WAY SCHOOL DISTRICT MCKINSTRY CO. MCKINSTRY CO.
1066 S 320TH 5005 3RD AVE S 5005 3RD AVE S
SEATTLE WA 98124 SEATTLE WA 98124
\FEDERAL WAY WA 98003 (253)764-1671
Mechanical Valuation .12000 Over the Counter Permit. .Yes
Mechanical Fixtures
Description Quantity Description Quantity _ Description Quantity
Fans 6
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.
- ..011111111111.P.
7//
Owner or age Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community 'D velopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103514-00-ME
Owner: FEDERAL WAY SCHOOL DISTRICT
Address: 35999 16TH AVE S
FEDERAL WAY, WA 98003-7416
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 074.5.-Date
1
cmof i ' REG k�••1 Y ED V s- ( 0 3 3__ L1-L
Federal Way PERMIT
COMMUMIYDEVEWPMENT SERVICES 9 2.005 SF MF CO iii)EL PL DE EN FP
33325 8.AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 APPLI CA M NRAL WAY i /
253-835-2607•FAX 253-835-2609
www.cituoffederalwmi.cam C f'�(QF FED
RR ILDING DEPT.
The allowing is required information-an incom•lete applicLi on will not be accepted. Please •rint le.ibly(in ink)or .
3 7 • PROPERTY INFORMATION
SITE ADDRESS 16 A f_ S. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 �� �' • .0 LI- q -_ i ...-7 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 6-Et. Aff-rfkc +44—:-D
(Attach separate page far lengthy legal dei
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING Ar PLUMBING ArMECNANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
M' I r(s r i_c- R.,Rca'v__ PAt4s fie- t rz►.EK.-Y 'Ftir1e vpc.vr4n f�
. . _ - - CWS
PROJECT NAME(Name of Business or Owner Last Name) 101)1 ZE�fn• ifi (.4 if SC-14 COI—
N
OLN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER r eki_ WAY LC- < t-fHDLs (267) qq -S130
MAILING ADDRESS Cr!'?.STATE.ZIP
l 5. 32n14` 5T . FEQE1241- Ir IA Y, Wrk 99e6-3
3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MC IL(61STIZ Y Col alt -Pc (tel ?`Z -33#
MAILING' ADDRESS lift-
S Cl'!'?,STATE.ZIP ��..f�,J�Jy� CELL PHONE M
C1 -eOF -- 3WAY"BLICENSE NUMBER Se ,�EXPIRATION 1 TE ' FAX mac)E67 ) -3 Ca 2-
1 CI-Yc Q -Cl Q Q C l 2 -B L 2-/ J t / Or (7-.0(, -7(C(+ - f V Z
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SAKE- &S - 4 ( )
MAIaIT1G ADDRESS CITY.STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant o Agent ❑ Other(Describe) ( ) -
CONTACTNAME PRIMARY PHONE E-MAIL ADDRESS
CiN P a-C L0)4 c te-( (PI, )b 2- -f 288 pe_ ,lck,,vs !c a' t
LENDER :`.Per'RCW X9 2 O95:;Leiniler ir)formation is ``,: NAME
• __;:l eivd ect` ;iiittjabt value exceeds$5.00U:'- _.
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? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
1 SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
Legal Description:
Todd Beamer High School
35999 — 16th Avenue South
Seattle WA 98003
292104 25 NE 1/4 OF SE 1/4 LESS S 1/2 LESS CO RD TGW POR S 1/2 SD NE
1/4 DAF - BEG NXN WLY LN 16TH AVE S & N LN SD S 1/2 TH W 596.76 FT
TO POB TH S 6-34-43 E 14.26 FT TH S 83-25-17 W 13.05 FT TH N 6-34-43 W
16.08 FT THE E TO TO POB PER SURV REC #8312069002 LESS POR FOR
RD AS PER REC # 20030827000045
r s
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST C (Wv� t M j
SECOND JG ✓n,7
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT❑
EXISTING PROPOSED TOTAL TOTALsnRra IF TOTAL PROPOSED IR TOTAL _
NUMBER OF FLOORS
"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 $ 19,044
AIR HANDLING UNITS EVAPO TIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS CSE) HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe
BATHTUBS(or Tub/Shower Combo) 2 SHOWERS(F.A(�i/t-GIIi� WATER CLOSP.IS awe)
DISHWASHERS SINKS DRINKING FOUNTAINS H T_ye WASfd OrfVolYS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TIG -DATE
(Signature) (flue)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor ❑Architect 0 Other
,',FUR OPPICE"USE ONLY ; ;r;1,:f4,24
a NEW ❑ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC.PLAN? a YES a NO
ZONING DESIGNATION CHANGE OP USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application