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3332E FEDERAL8Th R ENUE WAY,WA SOUTH•PO 6390X97 t".kOW."'"
O 1" PLICATION TD
2538 -2 07 FAX 253-835 2609! V 1 V,Fv / /
www.cituoffederalwau.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 33330 8th AVE SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# 9 2 6 5 0 0 - 0 1 2 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)PARK CENTER II TENENT IMPROVEMENT
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING XT1 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniu)
FIRE SPRINKLER UNDERGEROUND SUPPLY
-4i l-2r -t M ,
PROJECT NAME(Name of Business or Owner Last Name) PARK CENTER II
MI PEOPLE INFORMATION
PROPERTY NAME S ( ^ • � PRIMARY PHONE
OWNER YTC. ��K•I}rr• ry�/,V, 2 0 6 J`4 4 2 - 2743
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
74.1.—P4-RE-51 . 5U±'1'1•; 2lUO SEATTLE, WA. 98101
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
COSCO FIRE PROTECTION NIKI RHODES (426 )686 - 6355
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
15000 WOODINVILLE-REDMOND RD #B-800 WOODINVILLE, WA. 98072 (559 )308 - 3704
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
01 101889 00 BL DEC 31, 2007 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COSCOFP110NM DEC 31, 2007 nrhodes@coscofire.com
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
COSCO FIRE PROTECTION NIKI RHODES ( 425) 686 -6355
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
15000 WOODINVILLE-REDMOND RD #B-800 WOODINVILLE, WA. 98072 (559 )308 - 3704
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant X Agent ❑ Other (425 )6 7 0 - 2675
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT NIKI RHODES (425 )686 - 6355 nrhodes@coscofire.com
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
U DETAILED BUILDING INFORMATION
EXISTING USE OFFICE PARK PROPOSED USE OFFICE PARK
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $14, 2 2 5 . 0 0
SPRINKLERED BUILDING? X YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER N LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER N LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
23, 900 23 , 900
SECOND
24, 004 24, 004
THIRD
24, 316 24, 316
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL=STING SF TOTAL PROPOSED SF TOTAL SF
3 3 72, 220 72, 220
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commeretap
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 o such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises o of the reliance of the city,including its officers and employees, upon the accuracy of the information supplied to
the city asap of th' a plication. //'
SIGNATURE: DATE /J/ Z.10. `7 7
operty Owner and/or Authorized Agent
r,
n NEW o ADDITION D ALTERATION n REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑NO BASIC PLAN? n YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—August 16,2007 Page 2 of 4 k\Handouts\Permit Application