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rifi_EUERAL AN SUITE/UNIT N
SITE ADDRESS
CDS
35100 Enchanted Parkway South, Federal Way, Washington 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
72,000 CB 2 1 9 2 6 0 _ 0 2 9 0
0 BUILDING 0 PLUMBING 0 MECHANICAL & any other permit that
TYPE OF PERMIT is required
0 DEMOLITION 0 ENGINEERING OFIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Costco Gasoline (Loc. No. 61)
retrofit existing Fuel Additive tank system (see plans for full scope)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Costco Wholesale (425) 313-8100
MAILING ADDRESS E-MAIL
999 Lake Drive drogers@costco.com
CITY STATE ZIP
Issaquah WA 98027
NAME PHONE
Out to Bid
MAILING ADDRESS E-MAIL
CONTRACTOR'*.
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE F
/ /
NAME Alexia Inigues, Project Planner PHONE
Barghausen Consulting Engineers, Inc. (425) 251-6222
APPLICANT MAILING ADDRESS E-MAIL
18215 - 72nd Avenue South ainigues@barghausen.com
CITY STATE ZIP FAX
Kent WA 98032
PROJECT CONTACT NAME Alexia Inigues, Project Planner PHONE
Barghausen Consulting Engineers, Inc. ( (425) 251-6222
(The individual to receive and E-MAIL
to all correspondence
MAILING ADDRESS
concerning this application) 18215 - 72nd Avenue South ainigues@barghausen.com
CITY STATE ZIP FAX
Kent WA 98032 (425) 251-8782
AI TERNATE CONTACT NAME: PHONE E-MAIL
Mary Weber (425) 251-6222 mweber@barghausen.com
PROJECT FINANCING NAME t OWNER-FINANCED
Required value of$5,000 or more Costco Wholesale
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
999 Lake Drive, Issaquah, Washington 98027 (425) 313-8100
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 to the city as a part of this application.
SIGNATURE:
"111111111111'.14r+ DATE 2/8/2012
PRINT NAME: M. Alexia Inigues, Agent for Costco
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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M RANI
VALUE OF MECHANICAL WORK $ N/A (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLEib OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBI$G FIXTURES „„ ..
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Strike) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utllity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES N/A TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes le No ❑Yes 'No
Fueling Facility 216,582
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
'BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**BEVY HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
3.1Viri'ERcI -*N 'AIME` oN,,.
AREA DESCRIPTION Area Occupancy Group(s) Construction of Additional Information
in Square Feet Type Stories
NEWBIJILDINO :.; N/AUST Fuel Additive
Tank
N/A" Storage Tank
ADDITION
COMMERCIAL RE ODEtirti T RoR V
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOI"AL BUILDINfi.
TENANT AREA ONLY
PROJEcT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:U-Iandouts\Permit Application