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