05-104702 • t • • I
City of Federal Way Mechanical Permit #: 05 - 104702 - 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 5 5 Parcel Number: 092104 9054
Project Description: Seperate mechanical hood permit.To replace mechancial hood permitted under permit#03-105430-00.
Owner Applicant Contractor
FEDERAL WAY PUBLIC SCHOOL WEINSTEIN COPELAND ARCHITECTS W G CLARK CONSTRUCTION CO
31405 18TH AVE S 121 STEWART ST SUITE 200 408 AURORA AVE N
FEDERAL WAY WA SEATTLE WA 98101 SEATTLE WA 98119
98003-5433 (206)624-5244
Mechanical Valuation 1000 Over the Counter Permit Yes
Mechanical Fixtures
Description Quantity Description Quantity_ Description Quantity
r Ducts 1 Hoods 1 1
PERMIT EXPIRES March 13,2006.
Permit issued on September 14,2005
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: P �'fi'�f�C.L S Date: ! l
1
THIS CARD IS TO REMAIN ON-SITE
CITY OF .A. ' Community Deyelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104702-00-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) ❑ Final-Mechanical(4065)
Approved Approved to release test fr./ Approved �By Date By Date By Date I //✓Ar
1
RECEIVED
-49-5 �
[- �
Federal Way EP 1 4 2005 PERMIT
COMMUNITY DEVELOPMENT SERVN SF MF CO 2 EL PL DE EN FP
33325 aTM AVENUE SOUTH•PO BOXX 9718
53FE��607.FAX?53i797sb1 OF FEDERA APPLICATION
Eirfirariaa
I .www.duredemtwou.com BUILDING DE •
The (Moroi • is • ired in ormation-an .c •tete a••lication will not be acre•ted. Please •rint le• ,1 in in or p .
11/1 PROPERTY INFRMATION
SITE ADDRESS �', j �q l '� --- --"0.--- SUITE/UNIT if
ASSESSOR'S TAX/PARCEL it d ( Z ! C`> *- f Q �.- LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach separate paged lengthy legal description)
1A PROJECT INFORMATION
t
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESSCRIPTION(Provide detailed description of work included on this permit only)
`
PROJECT NAME(Name of Business or Owner Last Ne • � �/-e# JAI �r `., -F Ce-t_
1111PEOPLE INFORMATION C-4-71.
PROPERTY
OWNER NAME G � / ''..-:—,',-,Z
Z ^, /1:--7-,..-,C.
-- ' ` PRIMARY HONE -
MAILIAG ADDRESS CITY,STATE,ZIP
'.3 6.7) -4- ),C727-5();-; Tbo 'T -i '- WAD/
CONTRACTOR COMPANY NAME )) APPLICANT NAME OFFICE PHONE
�!� C. 7L > - ti� (2c .)6 2¢- -S2-(7/5‘ZIP
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
io/2/ X�
--2--E-- 47"-----7-0---.C_ 7gkjWOW !ted 9 '/77c-
Cl7R OF FEDIL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTORS REGISTRATION NUMBER(copy of card:wicked with each application) EXPIRATION DATE
1/../ L4 c*r 7. CI /,c o / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect 0 Tenant a Agent a Other(Describe) ( ) -
CONTACT NAM PRIMARY PHONE _ E-MAIL ADDRESS
\.1,4--Gi-c.--4-_,p,‘_,___r- CM) cizi,-.)- ---.1YY •
LENDER , ;<r.,, • v ,i_:a ,.,(•?,- t,4r,,,/,...f;1;i 3, NAME
r" "r_,.
MAILING ADDRESS CITY,STATE,ZIP
• a DETAILED BUILDING INFORMATION
EXISTING USE ..t■3NIPIA1 PROPOSED USE C C7--L2_
EXISTING ASSESSED/APPRAISED VALUE $ / i'4- VALUE OF PROPOSED WORK $ /C o
SPRINKLERED BUILDING? p-fEs ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO
WATER SERVICE PROVIDER IAKEHAVEN a HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER I1,.J IO;HAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
-
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOT 4
SQ FT. SQ.FT. .FT. •
BASEMENT
FIRST A
ECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) J
_../..
�..
GARAGE 0 CARPORT 0
=STOW ROPOSm TOTAL --—. �, I- -
NUMBER OF FLOORS
**NEW HOMES ONLY NUMB • • 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.
r
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS 'V HOODS(commereus WOODSTOVES
BOILERS FIREPLACE INSERTSRANGES ' MISC(Describe)
• MPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
+PLUMBING
BATHTUBS(or Tub/Shower Combo, SHOWERS WATER CLOSETS pus MISC(Describe)
DISHWASHERS SINKS NKING FOUNTAINS ---`
'�LP7� URINALS O E ATIBSSYST \
ASHING MAC
LAVE mobroo=sinko VACUUM BREAKERS ELECTRI WATER ATERS
DISCLAIMER/SIGNATURE BLOCK
•
1
I cert(fy under penalty of perjury that the - •tion 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 oft city ing its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE Allir—,meta ?././ 52-1 DATE
er'ure) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor ❑ Architect ❑ Other
•
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Bulletin 1100—January 7,2005 Page 2 of 4 k\HandoutsTermit Application