98-103340 �-�33 Ya
CITY OF FEDERAL WAY FIRE PROTECTION OTECTION SYSTEM PERMIT PERMITNO.: FPS98-0045
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 09/10/98
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 3.914 S SEATAC MALL BLVD
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: TI - fire sprinkler - relocate 32 heads
OWNER CONTRACTOR LENDER
BATH AND BODY WORKS COSCO FIRE PROTECTION
1 1928 S SEATAC MALL BLVD B-14 10910 117TH PL NE
FEDERAL WAY WA 98003 KIRKLAND WA 98033
1 4111
-644-4909 827-9654
COSCOFP110NM
r
SPRINKLERS? •Y HOOD & DUCT? •7 FEES:
# ZONES • 0 OTHER FPS PRMT ISSUANCE. $ 20.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:MOD
• SPRINKLER FEE * $ 90.00
# ZONES • 0
STANDPIPE? 7
UG FIRE SERVICE? 7
FIXED SYSTEM? 7
TOTAL FEES $ 110.00
INSPECTION RECORD
•
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _
DATE
fps_prmt 07/01/92
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RECEIVED
m,a City of Federal Way
\S FD' APPLICATION FOR uILDING PERMIT
GTBUWAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: / FS [0-c2oits-
f SITE LOCATION : Address (4 2 12' S � N11 C 1-,t Pt-(--t_, E-n -R-(\-L U-)k(F (-2--)N 8 tp°3
Tenant(if known) Lot # Assessor's Tax #
3�1-krk Ek =D-! c�a rL« T' - s 'L\ - Q - 14 ( 2 24 0 -- O O % 0
Building Owner Name Address
Li c-\k) *--\ A Ni iJ&C e,Thw CST Pk-Z. s((' 7-Ti e,S 'IS'2 I -2-4- -"k- 1\v(_ .
City cbc_t_Lav LIE. State W N zip si SociC., Phonk253> ( 44 -`ISSS
Nature of Work `e.0-L0 C: (��. 0 w Cf -LR.v_, 5 '\Z. . NJ V.A.,£ $ NQ_c_0 r.--k. DA_TE_,D 10 QA.s.j C.GLLt.KiCi,
CI(2_ `:-SY(Z1M1e_i-Tr_iZ \•\V5) ,
APPLICANT
.....:....
Name (F,M,L)
C.-‘, SC--. F LIZ p rz.- T-c-r i 0 ry t t.)C .
-
Address
t o `i t J -- I i'7 FL N.ti.. .
City le-(cLii. 4 k.)Q State W Cl.., Zip 9 CD 3�j
Contact Person Day Phone Other Phone Fax
t\, ei7St Wit—L +1.‘`P L 2 5) -2-1 -9 (a S
F"akING CONTRACTOR
pany Name
C=API-a L CAN S \ 1L .)CA"l n) fLo U P
Address
City LX.: t4 tiX-c-(,tN a'1 State
i L. Zip (o CQ 9 eU
Contact Person hone
s-x- v�� LcNti phone 12)0 -06004:92.3 4'2iZ-'1633
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
•RCHITECT
Name
P.- -t AiL DE.-S t GK.) C-2-e.°P
Address 'Itt-R-f-E..r i--i'I-kv-CE..0 P 1Z4-L I•1
City C7LL1Mlv5 State 4C)`-k. 10 Zip 43230
Contact Person Phone Fax
CA L V-tV R_ISN S e ►V QCQL4) 4 t 5_-T c o v
EGAL DESCRIPTION
- •
•
S i
Please Complete Reverse Side
STRUCTURE Existing Use Proposed Use
Permit includes: LI Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential ❑ New 0 Remodel 0 Number of Units 0 Deck
❑ Commercial ❑ Addition 0 Garage 0 Shed 0 Other •
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ 6, 015 0
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
•
MECHANICAL CONTRACTOR
Contractor Name Address
>;c-:_% 'TA ?2C \ _-C_T( 0 tv t K.)(.--- l c%"t L C 1(7 T14 ?L . tv E-_
City Lt,c?..-V-L- 1'c\' ) State j iS., ' Zip sl ee U%-3‘-
Contact
3�Contact Phone Fax _
KvC�` T0 C_tA�fv -L (t`� �•ZS)s21-� LSyc4-2-�) �,` -/-7474_
License # CO5L-C E= Q ( ( 0 1,- 4-' Expiration Date "CZ--3 (Aii Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor Name Address •
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT ,
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture.Count
MECHANICAL.UNrr.COUNT MECHANICAL VALUATION ONLY $
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count •
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defense eh claim),which may be made by any person,including th ndersigned,and filed against the City of Federal Way,
but only where such claim arises out of e r fiance of th ,including its officers and employees,upon the accurthe information supplied to the City as a part of this
application. --'S .- s1 2
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