21-102555-Building Permit Application-06-21-2021-V1CITY OF
Federal Way
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 811 Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitccntc r+cityo[%deralway.00m
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
2450 S Star Lake Rd Federal Way, WA 98003
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
$ 23,000.00
RS7.2�:I720480-0010
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Mark Twain Elementary Portable Classroom Building Permit
PROJECT DESCRIPTION
Install new 28'x32' Modular classroom. See attached design drawings.
Detailed description of work to
be included on this permit only
NAME
Federal Way Public Schools
PRIMARY PHONE
253-945-2000
PROPERTY OWNER
MAILING ADDRESS
33330 8th Avenue South
E MAl
smc�ean@fwps.org
CITY
Federal Way
I STATE
WA
ZIP
98003
NAME
Aries Building Systems, LLC
PHONE
425-644-3571
MAILING ADDRESS
4122 Factoria Blvd SE Ste 420
E-MAIL
syantzer@ariesbuldings.com
CONTRACTOR
CITY
Bellvue
STATE
WA
ZIP
98006
FAX
WA STATE CONTRACTOR'S LICENSE #
603422258 001 0002
EXPIRATION DATE
07i 31 i22
FEDERAL WAY BUSINESS LICENSE #
16-103404-00-BL
NAME
Kiewit Infrastructure West Co.
PRIMARY PHONE
253-943-4200
APPLICANT
MAILING ADDRESS
2505 S 320th St
E-MAIL
erik.nelson kiewit.com
CITY
STATE
ZIP
FAX
Federal Way
WA
98003
PROJECT CONTACT
NAME
Andi Szikza
PRIMARY PHONE
360-844-0105
MAILING ADDRESS
2505 S 320th St
E-MAIL
andrea.szikszay@kiewit.com
(The individual to receive and
respond to all correspondence
CITY STATE
Federal Way I WA
ZIP
98003
FAX
concerning this application)
PROJECT FINANCING
NAME
Federal Way Public Schools
OWNER -FINANCED
When value is $5,000 or more
(RCW 1927.095)
MAILING ADDRESS. CCTV, STATE, ZIP
33330 8th Avenue South
PHONE
253-945-2000
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 flied 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 pa77e�7F
SIGNATURE: 1) U C2 la % 2,
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how mango[ each type offtyture to be installed or relocated as part o this ro'ect. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (cammereil)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many o each type 5f),
ixture to be installed or relocated as
art o this ro ject. Do not include existingfixtures to remain.
BATHTUBS (—Tub/shower combo)
LAVS (Hand Sink,)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kicehe /UHiiry)
WATER HEATERS (Eieecrce)
Y
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
No
Lakehaven
Lakehaven
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Educational Service
405,078
XYes ❑ No
❑ Yes X NO
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTIIER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
."NEW HOMES ONLY""
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
887 Sf
E
`/
V B
I
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy GrouPls)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application
CITY OF 4A
Federal Way
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER
SITE ADDRESS: 2450 S Star Lake Rd Federal Way, WA 98003
SUITE/UNIT/SPACE #
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ 23,000.00
720480-0010 _
PROJECT NAME
(Tenant or Homeowner Last Name)
Mark Twain Elementary Portable Classroom Building Permit
Install new 28'x32' Modular classroom. See attached design drawings.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Federal Way Public Schools
( 253) 945 -2000
MAILING ADDRESS
E-MAIL
33330 8th Avenue South
smclean@fwps.org
CITY
STATE
ZIP
FAX
Federal Way
WA
98003
( ) -
NAME
Kiewit Infrastructure West Co.
PRIMARY PHONE
( 253) 943 -4200
MAILING ADDRESS
E-MAIL
ELECTRICAL
2505 S 320th St
erik.nelson@kiewit.com
CONTRACTOR
CITY STATE
Federal Way WA
ZIP
98003
FAX
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
KIEWIIW904M1 3i 1 12022
19-104030-00-BL
APPLICANT
NAME
Kiewit Infrastructure West Co.
PRIMARY PHONE
( 253 943 -4200
MAILING ADDRESS
E-MAIL
2505 S 320th St
erik.nelson@kiewit.com
_
CITY STATE
Federal Way WA
ZIP
98003
FAX
PROJECT CONTACT
NAME
Andi Szikzay
PRIMARY PHONE
( 360) 844 -0105
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 rielfa oft city, inr ding its officers and employees, upon the accuracy of the
information supplied to the city as a part o this ap !ic is
SIGNATURE: DATE n f2 iL
PRINT NAME:
Bulletin #160 — April 14, 2016
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente n cityoffederalway.com
Page 1 of 1 01-landouts\Electrical Permit Application