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" CONSTRUO ON PERMIT APPLICATION
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**The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: 2201 S T ( TAX ASSESSOR'S TAX/PARCEL # 7622400010
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING X FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
Fire S" stems West F will Install 3 wet i e automatics rinkler systems to rotect the entire buildirl . FSW will start work inside
The buildin , at ate 8" u I flan a left b others• All under rotund work to be!jy others. Sprinkler pstemsaredesi ned utilizin an
Electric fire pump
PROJECT NAME: Ter et'T-1947
PROPERTY OWNER: NAMEt DAYTIME PHONE:
Tareet Co oration --
MAILING ADDRES$ (SIREE"T ADDRESS CITY, STATE, ZIP).,
OWNER MAILING ADDRESS
CONTRACTOR: NAME, DAYTIME PHONE:
Fire Systems YUest: Inc. 253-833-1248
MAILING ADDRESS (STREET ADDRESS; CITV, STATE, ZIP), EVENING PHONE:
219 FRONTAGE ROAD NORTH, SUITE B, PACIFIC, WA 98047
CITY OF FEDERAL WAY BUSINESS LICENSENUMBER. FAX NUMBER:
19-87-000014-OOB1 253-735-0113
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) FIRE S W I 1 4 0 B 1 12/31/2004
APPLICANT: NAME;"" DAYTIME PHONE:
Richard Move SAME AS ABOVE
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP). EVENING PHONE:
SAME AS ABOVE
RELATIONSHIP TO PROJECT: FAX NUMBER:'
❑ ARCHITECT ❑ TENANT X OTHER ( DESCRIBE):SPRINKLER SAME AS ABOVE
CONTRACTOR
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER X APPLICANT ❑ RIhardm firesv mswest rim
CONTRACTOR
IN
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 147 467
SPRINKLERED BUILDING? X YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: X LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS.
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACEINSERT(S) RANGE(S) MISC.
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAINS) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.
INTERCEPTORS) SUMP(S)
•111110 11!•
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
d in the
re City of
of the information supplied to the
NAME/TITLE: �
❑ PROPERTY OWNER X APP"LI
ses out of the reliance of the ci
part of this application.
DATE:
FOR OFFICE USE ONLY:
NEW ❑"ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE DF USE? ❑ YE5 ❑"NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129
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