20-101131 Mechanical
City of Federal Way Permit #:20-101131-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MIRROR LAKE ELEMENTARY SCHOOL
Project Address: 625 S 314TH ST Parcel Number:082104 9035
Project Description: Installation of(2)walk-in coolers.
Owner Applicant Contractor
MIKE BENZIENFEDERAL WAY PUBLIC OPTIMAL HVAC LLC OPTIMAL HVAC LLC
SCHOOLS 19010 135TH STREET CT E OPTIMHL833CC(2/3/21)
33330 8TH AVE S BONNEY LAKE WA 98391
FEDERAL WAY WA 98003-5433 19010 135TH STREET CT E
BONNEY LAKE WA 98391
Additional Permit Information
Mechanical Work Valuation9 8000 Is this an Online or O.T.C.application? No
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Refrigeration Systems 2
PERMIT EXPIRES Saturday,26 September,2020
Permit Issued on Monday,March 30,2020
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: FILE
Date:
THIS CARD IS TO REMAIN ON-SITE
�' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 20 101131 00 Address: 625 S 314TH ST
Project: MIKE BENZIEN FEDERAL WAY WA 98003-5214
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) 1 ® Gas Piping(4125) r® Final-Mechanical(4065)
Approved I Approved to release test Approved
By Date 1By Date By Date
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF �../ MAR 11 2020
PERMIT APPLICATION
Federal Way /^cis OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
C...sUUNT Y DEVELOPMENT
PERMIT NUMBER 0 _ / Cl / ` 3 / - M TARGET DATE / i —172 o
SITE ADDRESS / SUITE/UNIT#
(0/2_,c,,---,) ' ' --); Nth \ Fe,J,(2,ra kb c,)t
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 't0CC , 13G 0 _gcLt0 - 10 3 5
TYPE OF PERMIT E BUILDING ❑ PLUMBING .MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT di i (Kw- / a-
PROJECT
DESCRIPTION a (�
Detailed description of work to 3� i i(1 c y�) p Q.— C&�ri C(+-t (0L 1 '
be included on this permit only. ( 601Q
r , J(A 1
NAME � PRIMARY PHONE
PROPERTY OWNER Peak r a . W ov\ SC h O 1 d(S -ri( `}-E-MAIL
MAILING ADDRESS /
CITY STATE ZIP/� -7
_. _ NAME 11/46t. - \ c - L. V Z6 (J Jq l �✓-i
MAIIj'LI G DRESS L •E-MAIL /
CONTRACTOR 110 0 6 1 4- r i I� j� [� a)Q,0 O4 LLC.
1 vi,ia. I ��q,)y(J�l�.c:
CI '1,C Let 'j . Sw E� ZI6 'Z-1 � FAXFOVI LLC co
vv)
O R/� T,OT I` Ely ;��� � EXPIRATIONLDATE U(O C! ) -3
NAME ��nV J`1 \V (�{J PRIMARY PHONE `/['/,
MAILING AD RESS 7CE-MAIL J 1
APPLICANT 11 V 1-77S4-1" 5 c/�, E- ��1 ty e 31 1'ln��t 1 .1Uac
CITY 1-510V\�e. 1,01V E ZIP 3 9 I FAX L.1,�� CO'
NAME ! _ /11L PRIMARY PHONE_ -
PROJECT CONTACT .k&- C \/ Z) '1 1 Y'i:i 7'C i,:- _ / - ,� ---' ,'
(The individual to receive and MAILI G ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
— NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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. (�/� 1^ ,x
SIGNATURE: �� 1 ,�! �t�/ DATE !V a tie/`' ` I ;u z. b
PRINT NAME: -k1OLI Ly �� , 1 ;�1���i ,
Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application