17-100208 •
- - PERMII APPLICATION
CITY OF
�1L/
Federal Way PERMIT CENTER+33325 8th Avenue South+ +Federal Way,WA 98003-6325
JAN 1 s i1j 253-835-2607+FAX 253-835-2609 permitcenteracitvoffederalway.com
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PERMIT NUMBER _ 0 0 `ik _ TARGET DATE H.
SITE ADDRESS SUITE/UNIT#
33434 8TH AVE S, FEDERAL WAY, WA 98003 SUITE 202
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 6,600.00 IP 0 q 0 - 0 0 0 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING FIRE PREVENTION
NAME OF PROJECT KELLER WILLIAMS REALTY
ADD/ RELOCATE (28) NEW SPRINKLER PENDENTS FOR NEW
PROJECT DESCRIPTION OFFICE LAYOUT IN
Detailed description of work to
be included on this permit only KELLER WILLIAMS REALTY PER NFPA 13.
NAME PRIMARY PHONE
KELLER WILLIAMS REALTY
PROPERTY OWNER MAILING ADDRESS E-MAIL
33434 8TH AVE S
CITY FEDERAL WAY STATE ZIP
WA 98003
NAME COSCO FIRE PROTECTION PHONE 206-438-3360
MAILING ADDRESS E-MAIL
CONTRACTOR 4308 S 131ST PL
CITY STATE ZIP FAX
TUKWILA WA 98168
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERALWAY BUSINESS LICENSE#
COSCOFP110NM 12 31 / I - 2001 - tol��ba- 00 et.,
NAME PRIMARY PHONE
DEARIO BIARE 206-438-3384
APPLICANT MAILING ADDRESS E-MAIL
4308 S 131ST PL dbiare@coscofire-com
CITY TUKWILA STATE FAX
WZIP 98168
NAME PRIMARY PHONE
PROJECT CONTACT SAME AS APPLICANT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP 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.
'111I•I
SIGNATURE: I_ ► DATE
PRINT NAME: t /244a-I V 1151,9-R
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
• 410
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 a HOODS(commercial)
BOILERS FURNACES /' •� H6T WATER TTANK4(Ga.)
COMPRESSORS GAS LOG SETS 7 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 factures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sink.) 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 FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
OFFICE XYes IDNo ❑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 ❑ CARPORT ❑
OTHER(describe)
...----•------------•----_ ._.— __..-----------------
Area Totals EXISTING PROPOSED TOTAL
**NEW HOWES ONLY**
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEw BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application