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09-102369City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: NAUTILUS ELEN#VENTAky Mechanical Permit #: 09-102369-00-M E Inspection Request Line: (253) 835-3050 Project Address: 1000 S 289TH ST Parcel Number: 052104 9005 Project Description: Replacing (1) boiler system & related duct work Owner Applicant Contractor FEDERAL WAY PUBLIC SCHOOLS MCKINSTRY ESSENTION INC MCKINSTRY ESSENTION INC 31405 18TH AVE S PO BOX 24567 MCKINE1942JQ (12/9/09) FEDERAL WAY WA 98003-5433 SEATTLE WA 98124 PO BOX 24567 SEATTLE WA 98124 Additional Permit Information Mcchanical Valuation............................................33770 Is this an Online or O.T.C. application? ................. Yes Mechanical Fixtures Boilers............ "..:....... m .... :.............. 1 CONDITIONS: Subject to field inspection without plans. I 1A1 . a PERMIT EXPIRES Wednesday, December 23, 2009 Permit Issued on Friday, June 26, 2009 I hereby certify that the ab ve Informati n s correct and that the construction on the above described property and the occupancy and the se II be in cc rdance with the laws, rules and regulations of the State of Washington and the City of Federal Way. / Owner or agent: ` ��'" Date. � ��/ter A CITY OF �� Federal Way PERMIT #: THIS CARD IS TO "':MAIN ON-SITE Construction Inspection Record INSPECTION REQU TS: (253) 835-3050 09 -102369 -00 -ME Address: 1000 S 289TH ST Owner: FEDERAL WAY PUBLIC SCHOOLS FEDERAL WAY, WA 98003-3709 Scheduled inspections may be failed if this card isnot 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. E Mechanical Rough -in (4165) ❑ Gas Piping (4125) Final - Mechanical (4065) Approved Approved to release test Approved By Date 8 _ Z! _ By Date By Date�� For infector reference onl ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date Fe RECEIVE�RMIT Federal Way COMMUNITY DEVELOPMENT SERVICES SF MF CO SME^ LPL DE EN FP 333256a'AVENUE WA 9. BOX 9718 N APPLICATION IT' FEDERAL WAY. AK 53- 35-26 8 ' • 253-835-2607•FAX 253-835-2609 A�(/ rru t. La r �g��l T'he following is requited i��re ilhiCbrleilete application will not be accepted. Please print legibly (in ink) or type. PROPERTY• • SITE ADDRESS 1000 S. 289th St., Federal Way, WA 98003 SUITE/UNIT# ASSESSOR'S TAR/PARCEL # LOT SIZE (sf LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page f r lengthy legal description) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) Replace 1 boiler ¢ PROJECT NAME (Narne of Business orOumerLast Ntarrle) Nautilus Elementary Mech. Upgrade PEOPLEi • • • PROPERTY OWNER CONTXCTOR 0 APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE Federal Way Public Schools ( 253 ) 954 - 5935 MAILING ADDRESS CITY, STATE, ZIP E-MAIL ADDRESS 31405 18th Ave South Federal Way, WA 98003 5005 3rd Ave. South COMPANY NAME APPLICANT NAME OFFICE PHONE McKinstry Erika Levin ( 206 ) 762 - 3311 MAILING ADDRESS CITY, STATE, ZIP CELL PHONE 5005 3rd Ave. South Seattle, WA ( 206 ) 786 - 3298 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 20 -06 -102906 -00 -BL 12/31/09 ( 206 ) 832 _ 8769 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS MCKINEI942JQ 12/9/09 COMPANY NAME APPLICANT NAME OFFICE PHONE McKinstry Erika Levin ( 206 ) 832 - 8269 MAILING ADDRESS CITY, STATE. ZIP CELL PHONE 5005 3rd Ave. South Seattle, WA 98134 ( 206 ) 786 - 3298 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent If Other General Contractor NAME PRIMARY PHONE E-MAIL ADDRESS Patrick Paradise ( 206 ) 255 - 0855 patp@mckinstry.com NAME N/A Per RCW 19.27.095: Lender information is required jf project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE Public Elementary School EXISTING ASSESSED/APPRAISED VALUE $ PROPOSED USE Public Elementary School VALUE OF PROPOSED WORK $ $ 3 3, 7 0 0 SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLDYE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL SQ. FT. BASEMENT HOODS (Commemiall FURNACES RANGES FIRST REFRIG. SYSTEMS CHANGE OF USE? ❑ YES ❑ NO SECOND c YES ❑ NO ❑ YES ❑ NO UP/SEPA/SU? ❑ YES DEMO PERMIT REQUIRED? ❑ YES ❑ NO ❑ NO THIRD ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS E%ISTING PROPOSED TOTAL TOTAL E%IS- SF TOTAL PROPOSED SF TOTAL 9F "ATEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing frxhues to remain. MECHANICAL Value of Mechanical Work $ 33,770 AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS )orTub/Sho—,Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES FANS GAS WATER HEATERS MISC (Describe) FIREPLACE INSERTS HOODS (Commemiall FURNACES RANGES GAS LOG SETS REFRIG. SYSTEMS LAVS (Bathroom Sinks) URINALS MISC (Describe) RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS teo;te0 SINKS WASHING MACHINES SUMPS 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. Ifurther 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 that reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as apart of tiffs applica on. Ze SIGNATURE: � _ J DATE " L4 O r Property Owncr and/or Authorized Agent FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? PLATTED LOT? c YES ❑ NO ❑ YES ❑ NO UP/SEPA/SU? ❑ YES DEMO PERMIT REQUIRED? ❑ YES ❑ NO ❑ NO Bulletin #100 - January 1, 2008 Page 2 of 4 k\Handouts\Permit Application