19-103745 •
RECEIVED PERMIT APPLICATION
• 411/4,
CITY OF �'1M� I�Ma ✓
AUG 0 6 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
Federal Way 253-835-2607+ FAX 253-835-2609+permttcenterii,citvoffedera1way.com
CITY RAL WAY
COM UNfiY DEVELOPMENT
PERMIT NUMBER \ _ ( b ,' 7 1 5--_ F TARGET DATE 01/4-
SITE ADDRESS SUITE/UNIT N
625 S 314th Street Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ 175,000 0 8 2 1 0 4 - 9 0 3 5
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING XI FIRE PREVENTION
NAME OF PROJECT Mirror Lake Elementary School
NFPA 13, New System. Install fire pump, 1 wet system and 1 dry system
PROJECT DESCRIPTION
Detailed description of work to into the building. Total sprinkler heads: 442
be included on this permit only
NAME PRIMARY PHONE
Federal Way Public Schools SSC 253-945-5937
PROPERTY OWNER MAILING ADDRESS E-MAIL
1211 S 332nd ST
-
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Columbia Fire 206-232-8569
MAILING ADDRESS E-MAIL
CONTRACTOR 111 S Findlay Street ligaoli@columbiafire.net
CITY STATE ZIP FAX
Seattle WA 98108 206-340-6100
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
COLUMFI952MG 07 24 21 20-09-100457-OOBL
NAME PRIMARY PHONE
Inna 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 PRIMARY PHONE
PROJECT CONTACT Li Li 206-232-8569
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 111 S Findlay Street ligaoli(c�columbiafire.net
concerning this application) CITY STATE ZIP FAX
Seattle WA 98108 206-340-6100
NAME
PROJECT FINANCING El 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 authorised 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 authorised 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 suc claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises ut of the reliance of the city, including its officers and employees, upon the accuracy of the
information suPp ' the ty as part of this application.
1
SIGNATURE: t DATE 8/06/2019
PRINT NAME: Inna Burdeyna
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(Descnbe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercmal)
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 offvcture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(HandSmks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(wtehe,/utmty) WATER HEATERS(E1 rtnc)
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(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No XYes ❑ 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 0
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NXWH$ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION `�Oa in Occupancy Group(s) Construction #of Additional Information
Squaree FeetType Stories
NNW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in 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