05-103698 •
City of Federal Way Mechanical Permit #: 05 - 103698 - 00 - ME
Comtnunity 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 HIGH SCHOOL FOOD LAB
Project Address: 30611 16TH 4 hklL 3 Parcel Number: 082104 9001
Project Description: New hood,ducting system,and(2)new ranges two hoods
Owner Applicant Contractor
FEDERAL WAY SCHOOL DISTRICT GREENE GASAWAY ARCHITECTS *CAL MOUNTAIN CONSTRUCTION
1066 S 320TH PO BOX 4158 , 7457 S MADISON ST
TACOMA WA 98409
\FEDERAL WAY WA 98003 \FEDERAL WAY WA 98063 (253)474-5281
Mechanical Valuation 15000 Over the Counter Permit.. .... . No
Mechanical Fixtures
Description Quantity Description Quantity Description ,Quantity
Ducts 1 Hoods 2 Ranges 2
PERMIT EXPIRES February 22,2006.
Permit issued on August 26,2005
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 b5 in accor nce wyith the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: _ _ Date: 2
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103698-00-ME
Owner: FEDERAL WAY SCHOOL DISTRICT
Address: 30611 16TH AVE S
FEDERAL WAY, WA 98003
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 Approved
By Date By Date By Date Date 1OP3 ✓—S
HECt j VED
er A_,. JUL 2.72000,5_ 3 Gy
Federal Way CD 1
COMMUNITYDEVELOPMENTS RMS PERM
ITCITBOF FEDERAL
DEP 1---- CO E LPL DE EN FP
-
33325 1' AVENUE S00771•POBOX 7M BUILDING DEPT.- ��
FEDERAL WAY, X S3435l711 APPLICATION
253-1.15.2607.akah eses 09 • / w / 05
♦ •
The ollowi • is {red in ormation-an Inco •lete . - •libation will not be acce,ted. Please •tint le.{bI in or
•
MI PROPERTY INFORMATION
SITE ADDRESS .• Fg-TE MI. WAY tf(r.(( SG(♦/JaL 3001 16 AVS SUITE/UNIT#
ASSESSOR'S TAX/PARCEL* Q Z O Ftr�.r>,C#J.- kra Y ism ?toe 3
— J a�',A3 — — — LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) NE OSA. of THE N6 Wile OF SIM g , *rwr 2..I N 1 RA1 Q-tr. %/$(
ot.**> MI fir len"Sega• a • CouNT WAS Hi rn3-r0ot
• ■ PROJECT INFORMATI!'•
TYPE-OF PER .4r7 pit - _ ,_ �� -
t i 1,tnl�if�:,
• 0 DEMOLITION ■ ELECTRI. • ■ G 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description-rework-included on thle'l> it=oiilu)
•.1M<-!m e'Vg.st•-•.'Zoc:KI 06.: - L-4M., Ir Loo.. tg...s -,...... --.4'."'!' - • . < imo.
.•`� •.
.
A / _--_ 1/I Ia ..1 A Alf,.a.1 ♦ � `ri r/i
i . /If / A II
PROJECT NAME(Name of Business or Owner Last Name) Fool L III 8 t.t P a-r{/4 D ES Ft- E&A L k h ' Htcif Scoot.
PEOPLE INFORMATION •
PROPERTY NAME •
OWNER F D b� L W/4 PRIMARY PHONE
Bei Y • '7061-tc S c-t(oo L 5 (15'3 ) ctit5 -593 5
MAILING ADDRESS CITY,STATE,ZIP
10 I` t 3adp-rft I Ft:)'e'en t. 10/Ay WA 9roo3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CEL,PHONE
s.. } _ ,-.
CITY—OF FED�RAI.WAY BUSINESS LICENSE NUMBER •
EXPIRATION DATE FAX NUMBBR
_� L / / ( ) -
CONTRACTORS REGISTRATION NUMBER(Dopy st sari malted with sack application) EXPIRATION DATE
I /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•
G-C-i9 C(•i.v1,4 G-ASA .I 4 y . (253) i `r 1 -`A 3 7
MAILING ADDRESS
PO BOX IVISVG
CITY,STATE,ZIP CELL PHONE
re c,-1,ale A I— WA y (.206 ) g'(t--Sq-C 6
RELATIONSHIP TO PROJECT ' Wlk 89063 FAX NUMBER
Architect o Tenant ❑Agent ❑ Other(Describe) . (16.3 ) 944--572-2-
•
CONTACT NAME PRIMARY PHONEE-MAIL ADDRESS
err. G ...ii
tLVIN CAS/�wAY I (253) qi ( _ 6f 537 ICd1vzn �s._l9areks e
LENDER ,,,- ;dc;r :; ,p.4Y:4-1, r,;',.4-,r;r- - NAME •Oo
MAILING ADDRESS CITY,STATE,ZIP .
' ® DETAILED BUILDING INFORMATION
EXISTING USE Goo k I,NI Cr- L 46 PROPOSED USE CoD/t 11V& L 14S,
EXISTING ASSESSED/APPRAISED VALUE ;l ,
C
ry, I g VALUE OF PROPOSED WORK" $ 20 Dar,
SPRINKLERED BUILDING? RYES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER XLAKEHAVEN a HIGHLINE O TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER X LAKEHAVEN a HIGHLINE • 0 PRIVATE(SEPTIC)
•
.. PROJECT FLOOR AREAS t
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. S I
BASEMENT
•
FIRST -
SECOND
. i .. - I
THIRD
•
FOURTH . ,.
'
ADDITIONAL FLOORS(DESCRIBE) '
' DECK(CORED?) - • - - -- -
GARAGE 0`'CARPORT 0 S.
NUMBER OF FI.00:. ssrITssta Paorosss TOTAL _vt_.___-,i,-;,•;:f; •.0,r•,w' ,,: i;,r;a t ;;,.'�,f .
**NEW HO, i:,-- 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.
-- M
I/al ue ofMechanical Work $ JV, 900
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS .. FANS •• - HOODSaq WOODSTOVES
BOILERS 'f , FIREPLACE IN •
SERTS ' Z lit RANGES " , ,. IS
MC(Describe),
• COMPRESSORS - ' ' FURNACES GAS WATEit HEATERS
f DUCTS GAS PIPE OUTLETS
R .
DING
BATHTUBS Or' Tub/atuwarc..daq SHOWERS WATER CLOSETS cram ' MISC(Describe)
DISHWASHERS
� SINKS 1 `�T DRINKING FOUNTAINS - • rte,
GAS PIPE OUTLETS SUMPS RAINWATER SYSTV
WASHING MACHINES URINALS HOSE BIBBS
11
LAVE(e.tluwmai,la� VACUUM BREAKERS ELECTRIC WATER HEATERS
` DISCLAIMER/SIGNATURE BLOCK •
I certify wider penalty of peyary that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised 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 I Wag as to claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which by it,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the ret o ci Inc ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. / f-1)I
. iffe#14
pg. .I Mild
.RELATIONSHIP PRO ,a r0 Agent, • a Contractor 0 Architect a Other
c3: :,;,; , , rte;- , •
LI / ,v4)0E+0(4)1 ,ut,r't,}:,:,t'r;(0,E - •- ,d-, t5,4q\_;.024.\, E,i i YcA° SlGljt t'
c ,1 i ;(c', ;1;ef i,t; (.24_ '} ^y:; �(t; iy,4;1(c iu;,t r.1 _A✓ i _ '4ot '
';c)CS,�-,ta .,oj:'I )5:• ''4�jt 2(c, ,
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Bulletin#100—Januaiy 7,2005 Page 2 of 4 lalandoutslPc mit Application