02-104204 • 0 A
City of Federal Way Community Development Services Fire Prevention System Permit #:02 - 104204 - 00 - FP
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: PAVILION CENTER II(BUILDING E)
Project Address: 31625 PACIFIC S Parcel Number: 082104 9126
Project Description: FPS-Install fire sprinkler system in new building.
•
Owner Applicant Contractor
L L C Acrocapital S D DEACON CORP OF WASHINGTON SMITH FIRE SYSTEMS
13010 NE 20TH ST#C PO BOX 3070 1106 54TH AVE E
BELLEVUE WA BELLEVUE WA 98009 FIFE WA 98424
98005-2034 (253)926-1880
PERMIT EXPIRES April 9,2003,IF NO WORK IS STARTED.
Permit issued on October 11,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Fed ay.
Owner or agen . (�--) _ Date: IZ ( II i7 L
ror (4),\ .)\\ 0
rn
, c_...UCONS I RUC I ION PERMIT APPLICATION
CE. 7� lr
p, uV F-Ty 1Z 'Z -)�Z 4. APPLICATION NUMBER: �'2 - C O U - C�,-
�eG 1oQ� APPLICATION NUMBER: - _
APPLICATION NUMBER:
SAP 2 � �Pv - - - - - - - - - -
F�O ,PP� **The following is required information-Please print(in ink)or type**
r�� •
OF % - C riease note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. . - ■ PROPERTY INFORMATION
•
•
SITE ADDRESS: 3 l% it -P[i.C4i c; i S S. ASSESSOR'S TAX/PARCEL It: -
v
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
"`= " °` ' . ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ] FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): ' ]�,1 _—f:��L,,��- -7fl2 •/ '/'/j, Le j? i y.f/29'1
1 \\ E
PROJECT NAME: � 7k \kj`y, C �`('elc �U,S,ka ` i(
■ PEOPLE INFORMATION
PROPERTY OWNER: WOWS
�E:� � ��� DAYTIME PHONE:
\ftwsCIA ‘VIV SA-"M v\+ 'yv lc t_S (Sb3 ) 2L Z - 2900
MAILING ADDRESS(STRE ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME:
�KK ,�,,�� DAYTIME PHONE:
MAILIN32//�G ADDRESS ETA CITY ATE%2'IPryn� ( k2--') L1M -Sb3g
): 1 EVENING PHONE:
ka6.. ,-,5 ' AW _ o - `r' y?r-J (•a04_) ` n -\Zs
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
HZS ) LSLt -1& 2
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME:
C) +i�J��`�, {{� h DAYTIME PHONE:
ADDRESS(STRECET ADDRESSCCITY,STATE,Z}\�k �� 2(Z' I ( I' Li� - S
MAIUNG �-`,' EVENING PHONE:
\ 145 11 i,. v'2 3E * \2 01�ea\F_.V wn !(�)i1`t (20v ) g5tp - 12s3
RELATIONSHIP TO PROJECT: �"���r FAX NUMBER:
El ARCHITECT El TENANT X1'OTHER(DESCRIBE): Ob IFS V fL ( t )j,15 L1 -yI*2
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR \\\ejs�0.aeC.tIaY1-(C)i�,
■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPR__ EMENTS: $ A/3, ''�
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTIONNLY** I
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ _
. : ■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND ,
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
r ,. a..K.......... .:s.0,..A1:�. :47s4.u.:.9A.. ":t FIXTURES./44 ew•vs;li ;,.:...w «. 4,.: ,..n .: 4-;,.41.: 44,..,.ww;e:'m•
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
.: -:r : ■'DISCLAIMER/SIGNATURE BLOCK `.-•. - ,
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 the permit application is made. I
further agree to hold harmle s the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,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.
NAME/TITLE: Cr ��' :�_, DATE: l I Z 1 1 d '�
❑ PROPERTY OWNER ❑ APPLICANT (-4:1 CONTRACTOR
,FOR OFFICE vSE ONLY `I
NE ❑ADDI ION; ,L ALTERATION;,, -.M,REPAIR.- ❑iTENANT IMPROVEMENT
ICENSUS ODE a ,:01 ?LUTiSIZE. ^ ,, ' x? '
ZONING ESIGNATKON UILDINGiSHELLONLYT YESr ® NQ
COM AN DESIGNATION % . '`iBASX PLAN $- r 'E.S NO ri
SECTION' ITI -. r ,.- iED E ? .
„�.� TOWNSHIP RANGE013.0. NEVI �1DDRESSREQ_UIREDT � � ,��YES ❑ t�0,; :
'PLATiED,LO i r DYES.4 ;NO a -'_� ;CHANGE OF,SET, 4: 3_, YES ❑.NU - =`
COMMUNITY DEVELOPMENT SERVICFS•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffedera Iway.Com