17-102118 •
E ['WED PERMIT APPLICATION
CITY OF
( PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal ay " ;i ly 117 253-835-2607+FAX 253-835-2609+permitcenterAcitvoffederalway.com
C,I7i"OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / _ / b c / / E
TARGET DATE
SITE ADDRESS505 S 336TH STREET Mgt 33 io SUITE/UNIT#
FEDERAL WAY,WA.98003 / / (_/ 7 '3 36
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# (P /� [O b
a v k 9264800270
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING IRE PREVENTION
NAME OF PROJECT FOUNTAIN PLAZA SUITE',-5O
AUU 9 MENDEN I SPRINKLERS I 0 CONFORM 1U I tNEN I IMYRUVEMEN I ANU REPLACE EMS I INU S I ANDARU RESPONSE SPRINKLERS
WITH QUICK RESPONSE PENDENTS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME RH FOUNTAIN PLAZA ASSOC LLC PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
505 S 336TH ST
CITY FEDERAL WAY STATE ZIP 98003
WA
NAME COSCO FIRE PROTECTION PHONE 2064383383
MAILING ADDRESS 4308 131ST PLACE E-MAIL NIKKIA@COSCOFIRE.COM
CONTRACTOR
CITY TUKWILA STATE ZIP 98168 FAX
WA
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
COSCOFP110NM 20-01-101889-00-BL
NAME NIKKI ANDERSON PRIMARY PHONE
2064383383
APPLICANT MAILING ADDRESS 4308 S 131ST PLACE E-MAIL
N IKKIA@COSCOFIRE.COM
CITY TUKWILA STATE ZIP 98168 FAX
NAME NIKKI ANDERSON PRIMARY PHONE
PROJECT CONTACT 2064383383
(The individual to receive and MAILING ADDRESS 4308 S 131ST PLACE INIKKIA@COSCOFIRE.COM
respond to all correspondence
concerning this application) CITY TUKWILA STAVTAE ZIP 98168 FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 to the city as a part of this application.
SIGNATURE: DATE 05-05-2017
PRINT NAME: NIKKI ANDERSON
Bulletin#100—January 29,2016 Page 1 of 2 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 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerciap
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 of each type offixture 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/Utility) WATER HEATERS(Electric)
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 FII7 SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes ❑ No ❑Yes ❑ 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 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ J # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDINti
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(e) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY LIGHT HAZARD 1
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application