96-102475 F I ��- i�ay7�
�rTY OF FEDERAL WAY RE PRO`TECTION SYSTEM PERMIT PERMIT NO.: FPS96-003A
33530 First Way South FIRE DEf'ARTMENT INSPECTION - 946-7318 ISSUED: 08/02/96
=ederal Way, WA 98003 BY: FC2
561-4000
51TE ADDRESS: 3045 SW 1�ASI� POINT RD
?ARCEL NO.: 122105�9105
aROJECT DESCRIPTION: ADDING FIRE SPRIIJKLERS IN NEW AREA AItOUND DUCTSe
OWNER CONTRACTOR LENDER
LAKOTA NASTE WATER TREATMENT COSCO FIRE PROTECTION
3045 SW DASH POINT RD 10910 117TH PL NE
FEDERAL WAY WA 98023 KIRKLAND WA 98033
641-2288 827-9654
COSCOFP110NM
SPRINKLERS?........:? NOOD & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....: SPRINKLER fEE......* S 63.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:?
# ZONES........... 0
STANDP[PE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES S 63.00
INSPECTIOId REC012D
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFOR TION FURNISHED BY ME IS TRUE AND COR ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT � D,4TE — � � ( �_
fps_prmt 07/01/92
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«n� G ty of Federal Way
� �� ������F�t:I�ATION FOR BUILDING PERMIT
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PLEASE PR/NT ��� FEDERAL W�y • �(�/'� ���,1��,
�i11i_DING DEP APPL/CATION #: t�J-' (1.�'
SITE LOCATION ' Address 3Q y�� D
Tenant(if known) Lot 1l � " �
► � r Assessor's Tax #
�
Building Owner Name Address
� O
City State Zip 0 Phone
Nature of Work �� �,,,�
APPLIGANT
NamP (F.M.L)
C d
Address
v .. T►� G
cty
State � Zip
Contact Person Day Phone Other Phone Fa
r----� �l
G.
BUILDING CONTRACTOR
"ompany Name
G�Sc.�� F 12E �2c�''�"�.GTI C�r.�
Address
O O — TN G !
c�cy ,
State ZiP
Contact Person Phone Fax
� C
Contractor's # (card m�st be presentedl Expiration Date Verified ❑ Yes 0 No
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ARCHITECT
Name
Address �
�
�
,
r
CILy �
State Z�P t
Contact Person Phone Fax
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EGAL DESCRIPTION
P/ease Comp/ete Reverse Side
CD0492 IRev 4/93) �
STRUCTURE : Existing Use I Proposed Use �
Permit includes: fuilding O Plumbin Mechanical
Type of Work;. p R�siden New ❑ Remodel ❑ Number of Units
❑ Commercial � Addition ❑ Garage ❑ Shed
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area �
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Ar� �
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project V;
Zoning Lot Size Existing Bldg V�
LENDER
Name Address
City State Zip
MECHANICAL'CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
__... __
____...
PLUMBING GONT`RACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ 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>
MEGHANICAL',UNIT 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
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-1 5 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 o�
of the a6ove 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 of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where suc im arises out of the reliance of t ity,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: Date:_ ��'2�� g1v