05-102984 I
J
City of Federal Way Mechanical Permit #: 05 = 102984 - 00- ME
Commtnity 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 Parcel Number: 122103 9034
Project Description: Replace(16)vented wall heaters&(4)fan coil units in main building.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL ACCO ENGINEERED SYSTEMS ACCO ENGINEERED SYSTEMS
31405 18TH AVE S 835 N CENTRAL AVE SUITE 132 835 N CENTRAL AVE SUITE 132
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98003-5433 (253)854-8444
Mechanical Valuation 8000 Over the Counter Permit.. .... . ... Yes
Mechanical Fixtures
Description___ ,Quantity Description Quantity Description Quantity
Fans 4 Furnaces 16
PERMIT EXPIRES December 20,2005.
Permit issued on June 23,2005
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: /O/2 S/OS
O
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THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102984-00-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) 0 Gas Piping(4125) /:1 Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By \A '
V Date � 1
RECEIVED '
1.
CITY
JUN 232005 Q5 - _/ Q _ g �
OF
Federal Way i BVI IT
COMMUNITY DEVELOPMENT SERVICES CITYB OF FE DEPT. SF MF CO al L PL DE EN FP
33325 8ThAVENUE SOUTH• BOX9718 � " ,LI CATI O N
FEDERAL WAY,0FAX
98063.97188326 �� /
253-835-2607•FAX 253A35-2609
www.atuoffederalwau.com
The ollowin• is re•uired• ormation-an incom•lete a• •lication will not be acce•ted. Please • •nt le•••1 (in ink)or
• PROPERTY INFORMATION
SITE ADDRESS 2_800 51.%) 3ZO' Sk, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# \ 2- Z I C) 3 - 9 O 1 4 LOT SIZE(sf) 1) 1O,1S0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) A .....Ltl.
(Attach separate page for lengthy legal descrtptton)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ld,MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONI (Provide detailed description of work included on this permit onlu) `
Lice C- L;Ke .s v.)„ n b 01.A.* o•t (ib) ve6 ball k 4ers ((A.:,vr4
I (L ) ra.,. 00;1 U & r- •
PROJECT NAME(Name of Business or Owner Last Name) e.a��W" 14,'L SIDo`
• PEOPLE INFORMATION
PROPERTY NAME � PRIMARY PHONE
OWNER �e.A.Aral UJ •t>A 11r 5C o l s ('2.53) q 14 s-- -?.900
MAILING ADDRESS i CITY,STATE,ZIP
Y`%OS 1$ ` AJ4-• S• FeA&ro Waal , IAA 9$oe3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ACCO Secefwa MY-01 (zs3 ) ? 1 - 71414
�,N.er-.� SK s+e«�S
MAILING ADDRESS CITY,STATE,ZIP # I CELL PHONE
73S A). Ce,t4ka1 Le . (3l- 16Ot;', /7012- (.
iA /7o3zs3 ) -4—
CITY OF FEDERAL WAY BUSINESS LICENSE•I,UMBER EXPIRATION DATE FAX NUMBER
I o - p 2- ) o o 3 1)-13 L li / 3\ / o S (zs3 ) nil - 7vLO
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
ACC 0esig4L tk 10 / 13 / 0g"
APPLICANT C0,1APANY NAME APPLICANT NAME OFFICE PHONE
ACC 4;Atere.A .S4 s4......s -.3•treokii Mc (as3 ) Ts - afi'Jli
MAILING ADDRESS CITY,STATE,ZIEJ CELL PHONE
83S N. Cei .NroA Ave. A(3t Kevt4- WA 'Mu-'Mu- (zs3 ) (S'3 - O292-
RELATIONSHIP TO PROJECTFAX NUMBER
0 Architect ❑Tenant 0 Agent XOther(Describe) 1'�p I t a•., e 0•\.41tApr 1 (Zr3 ) nil - Bzzo
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
3ere.+wj Mc1e1 (Zs3) BSM - NO 3 6AcLIN Q acz.oes•
LENDER Per RCW 19.27095: Lender Information is NAME IA
required(t project value exceeds$5,000 /V
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE SC\...o n 4 PROPOSED USE Sc e0 k
EXISTING ASSESSED/APPRAISED VALUE $ II i 5'\Ia 1-7 00 VALUE OF PROPOSED WORK $ KI o00
SPRINKLERED BUILDING? o YES pt NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES (NO
WATER SERVICE PROVIDER til LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER $LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS memoPROM= TOTAL TOTAL=ATM er TOTAL PROPOSED IF TOTAL se
*"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 $ B 00 o
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commenclag WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES 20 MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS NZ J!A:4e1 w+A l'icAirS
DUCTS GAS PIPE OUTLETS ('1 FaN.Cio.A
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(tone) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
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 city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE (0/7i /OS
Signature) / (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent IG s ntractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION d ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application