09-103330City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Plumbing
_�. Permit #: 09 -103330 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: NAUTILUS ELEMENTARY SCHOOL
Project Address: 1000 S 289TH ST
Project Description: Installation of (5) expansion tanks
Parcel Number: 052104 9005
Owner
Applicant
Contractor
FEDERAL WAY PUBLIC SCHOOLS
MCKINSTRY CO LLC (GENERAL)
MCKINSTRY CO LLC (GENERAL)
31405 18TH AVE S
PO BOX 24567
MCKINCL942DW (3/16/10)
FEDERAL WAY WA 98003-5433
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
Plumbing Fixtures
Other Plumbing Fixtures................. 5
PERMIT EXPIRES Tuesday, February 23, 2010
Permit Issued on Thursday, August 27, 2009
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: pate:
i KALW-�>
lo�lv/01
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction In, aection Record
INSPECTION REQUATS: (253) 835-3050
09 -103330 -00 -PL Address: 1000 S 289TH ST
FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-3709
Scheduled inspections maybe failed if this card is not on-site. DO NOT LOSE Tl IIS 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.
❑
Plumbing Groundwork (41 i0)
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
El
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
❑ Final - Plumbing (4075)
Approved
By Date
EJ
Rough Electrical
Approved
E]
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
PERMIT
Federal Way
COEVEIIOJ
253-835-2607• FAX 2mEmAkk&E5P1 � (! APPLICATION
5845.2509
n wur.c[ttoffc[FerpinYU�,ra115
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SF MF CO ME E L E EN FP
1
V PROPERTY
SITE ADDRESS C DS
SUITE/UNIT #
ZONING
ASSESSOR'S TAX/PARCEL # _
PROJECT
NAME PROJECT
j�
/�L 1
L � /`t -M �P��
or
(Tenant or Homeowner Name)
T� C /y[ycs
ElBUILDING °�LUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
L ,�T 4 J'i9nl •-ref 4ks
PROJECT DESCRIPTION
Detailed description of Mork to
be included on this permit only
PEOPLE
NAME
Ste_ ()L 7-/ EC
PRIMARY PHONE
���) 0
?40
PROPERTY OWNER
{-k` -//.-S C
J�
MAILING ADDRESS, CITY, STATE, ZIPr+- �
E-MAIL
�
[] CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
G
PRIMARY PHONE
) fp ` -
M&ILMGADDRFSS. CITX.STATS, ZIP
.2� fr�� ����
PAX
76z- -W
ONTRACTOR
06(
WA TE CONTRACTOR'S LICENSE R
#I( -K
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
4"003-aj gc
NAL
PRIMARY PHONE
APPLICANT
MAILING ADDRESS. CI .�ST%ATE, ZiP rA �L/'
IC C� S , "1()
]/�
% 'JFK 26,4—
! �cf- - 26 rt
PROJECT CONTACT
PROJECT
NAME
` ��"r' '"` �"' 1 ��L�7-4
PRIMARY PHONE
(/ 1
L
(The individual to receive and
ING DRESS, CITY STATE, ZIP y
- � - � 7 rAF-egl �L
FAX
(� - 14j 7
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
oo rr46m+Imj r
PRIMARY PHONE
- 3 too
E-MAIL
mA-'T-C,aI 4,1-445 -62/,
PROJECT FINANCING
nnME � a f � ` � ��TY
C ` J
� OWNER -FINANCED
Required for projects with
MAILING AVDRFSS, CI7TY ST TE. 'LIP�
I � l
PRIMARY PHONE
�)
value of $5,000 or more
(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 eta" arises out of the reliance of the city, including its aBlicers and employees, upon the accuracy 4i the
information supplied to the cit as a part of this app Iica ian.
1 1 �' `� `��
SIGNATURE: DATE ✓
PRINT NAME:
Bulletin #100 - 4/21/2009 Page 1 of 4 - k:\Handouts\Permit Application
mm RESIDENTIAL
MECHANICAL FIXTURES
Value D Mechanical Work $ 1A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type
o/jWure to be installed or relocated as part o ' this project. Do not include existing j'Wures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS HOODS [commerciaq
BOILERS
FURNACES HOT WATER TANKS (Gaal
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
DUCTING
GAS PIPING WOODSTOVES
mm RESIDENTIAL
PLUMBING FIXTURES
EXISTING
Indicate number 01 each tjjpe
of 8!xq! e. to be installed or relocated as part qf this pgVect Do not include exfstirl
tures to remain.
BATHTUBS (or Tub/Shower Combo) LAVS )HandSlnks) TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS URINALS Z
OTI.1 FP.;1)rscrlbear
DRAINS
SHOWERS VACUUM BREAKERS
I� 77
DRINKING FOUNTAINS
SINKS (mtmje /utuity) WATER HEATERS W -bio
COVERED ENTRY
HOSE BIBBS
SUMPS WASHING MACHINES
TOTAL FIXTURES
DECK
PROJECT AREA ONLY
GENERAL INFORMATION
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
i,
OTHER (describe)
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
TOTAL
❑ Yes ❑ No
❑ Yes ❑ No
ESTIMATED SELLING PRICE $
mm RESIDENTIAL
AREA DESCRIPTION (in square feet)
BASEMENT
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
TENANT AREA ONLY
DECK
PROJECT AREA ONLY
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
ERISTENG
PROPOSED
TOTAL
:'NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s)
in Square Feet
Construction
TYIW
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area W Occupancy Group(s) Construction I # of Additional Information
in Square Feet Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — 4/21/2009 Page 2 of 4 kAHandouts\Permit Application