15-100903 4 ` II •
CITYOf RECEIVED APPLICATION
Federal Way Mill,
FEB 2 5 Z015 '01417
AVAY
PERMIT NUMBER / �'rI+N OVr �.`� � O - /J
TARGET DATE
SITE ADDRESS SUITE/UNIT#
35100 ENCHANTED PARKWAY S, FEDERAL WAY, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 27,000 2 1 9 2 6 0 0 1 8 0
-
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Costco #061 Freezer and Cooler
Fire Systems West (FSW) will modify the existing freezer system and tie into the
PROJECT DESCRIPTION
Detailed description of work to existing 4" Main to accommodate the new freezer.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Costco Wholesale Corp
MAILING ADDRESS E-MAIL
35100 Enchanted PKWY S
CITY STATE ZIP
Federal Way WA 98003
NAME -.. _ - PHONE
Fire Systems West 253-833-1248
MAILING ADDRESS E-MAIL
206 Frontage Rd N Suite C AlexK@firesystemswest.com
CONTRACTOR
CITY STATE ZIP FAX
Pacific WA 98047 253-735-0113
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI140b1 12 / 31 / 15 19-87-000014-00-BL
NAME `PRIMARY PHONE
Alex Kawalec 253-833-1248
APPLICANT MAILING ADDRESS E-MAIL
206 Frontage Rd N Suite C AlexK@firesystemswest.com
CITY STATE ZIP FAX
Pacific WA 98047
NAME PRIMARY PHONE
PROJECT CONTACT Alex Kawalec 253-833-1248
(The individual to receive and MAILING ADDRESS E-MAIL
206 Frontage Rd N Suite C AlexK@firesystemswest.com
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
Pacific WA 98047
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$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/lito the city as a part of this application. 1
SIGNATURE: ( > ' ' -00
/ DATE �/1
Al-- -) J/ /r' ,
PRINT NAME: / [I-f/X 1\(/l W et, le, Ci
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS 48 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commeroi1) Fire Sprinklers
BOILERS FURNACES HOT WATER TANKS p.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS or Tub/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/ut;hty) WATER HEATERS(Electhc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
DI Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
S.
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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Area Totals
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION in S.uarea Feet Occupancy Group(s) Stories Additional Information
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COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTIONiffligm Occupancy Group(s) Stories Additional Information
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Per mit Application