19-103639 . - ilk
RECEIVED PERMIT APPLICATION
cm,OF ° + Q
Federal Way
JUL �+ 0 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
R 253-835-2607+FAX 253-835-2609+permitcenter'dc:ityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBERiq _ 1 D 3 39 _ Ii?
qa _
TARGET DATE "'
SITE ADDRESS SUITE/UNIT#
303 S.W. 308th Street Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 150,000 0 7 2 1 0 4 - 9 1 8 0
TYPE OF PERMIT El BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING )4 FIRE PREVENTION
NAME OF PROJECT Lake Grove Elementary School
PROJECT DESCRIPTION NFPA 13, New System. Install 1 wet system and 1 dry system into
Detailed description of work to the building. Total sprinkler heads: 436
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Federal Way Public Schools SSC 253-945-5937
MAILING ADDRESS EMAIL
1211 S 332nd ST
CITY Federal Way STATE WA98003
NAME
Fire 206- 232-8569
1L11 S Findlay Street lE-MAIL
aoli columbiafire.net
CONTRACTOR g @
CITY STATE ZIP FAX
Seattle WA 98108 206-340-6100
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
COLUMFI952MG 07 24 21 20-09-100457-OOBL •
NAME ri
Irina Burdeyna 206-232-8569
APPLICANT MAILING ADDRESS E-MAIL
111 S Findlay Street inna@columbiafire.net
CITY STATE ZIP FAX
Seattle WA 98108 206-340-6100
NAME r PRIMARY PHONE
PROJECT CONTACT Li 1) 206-232-8569
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 111 S Findlay Street ligaolia.columbiafire.net
concerning this application) CITY STATE ZIP FAX
Seattle WA 98108 206-340-6100
-
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 Iocal, 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 the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t city as a p , of this application.
SIGNATURE: � V DATE 7/30/2019
PRINT NAME: Irina Burdey a
Bulletin#100 January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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(Commercial)
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 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 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 FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No X Yes o No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
IlkCPSSECOND
Y
COVERED ENTRY
GARAGE ❑ CARPORT ❑
a
F ` z
EXISTING PROPOSED TOTAL
Area Totals
• Z ,; '..
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL..—NEW/ADDITION
SqAuraerea in et �i i
13 � Construction #of DESCRIPTION Occupancy Group(s)
Additional
a InformationPe Stories
§ry 3
4
ADDITION
COMMERCIAL,—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Construction ddi
S uare Feet Occupancy Group(s) $ petl oeS Additional Information
TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application