10-104431RECEA/ED
PRIMARY PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CITY OF
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Federal Way OCT 19 ` "PERMIT
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APPLICANT NAME
Kris Conner
OFFICE PHONE
( 206 ) 575 - 1962
MAILING ADDRESS
861 Industry Drive
COMMUNITY DEVELOPMENT SERVICES '
SF MF
CO ME EL
PL DE EN FP
33325 8111 AVENUE SOUTH • PO BOX 9718
FEDERAL. WAY, WA 980�ej��'9'�
253-835-2607• FAX 253-8+�Sa6TY OF FE N
E-MAIL ADDRESS
kris@froulasolutions.com
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unmu.citoollederalu'ay.coI CDS
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
The following is required irtformation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS 32129 Weyerhaeuser Way South
ASSESSOR'S TAX/PARCEL # _ 215465 _ 0070
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
SUITE/UNIT # t�0 +A
LOT SIZE (s,)) i
(Aunch-pmale pagej'or L-glhy legal descripff—)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Install additions to fire alarm system for tenant improvement.
PROJECT NAME (Name of Business or Owner LastNamel U ea a nets
PROPERTY
OWNER
CONTRACTOR
COPY of card required
ith each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PANATTONI DEVELOPMENT
PRIMARY PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
Froula Alarm Systems, Inc.
APPLICANT NAME
Kris Conner
OFFICE PHONE
( 206 ) 575 - 1962
MAILING ADDRESS
861 Industry Drive
CITY. STATE, ZIP
Tukwila, WA 98188
CELL PHONE
( 253 ) 753 - 6660
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
19-98-105635-00-131- 12/31/2010
FAX NUMBER
( 206 ) 575 - 8168
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE
FROULAS122DS 03/10/2010
E-MAIL ADDRESS
kris@froulasolutions.com
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME
Kris Conner
PRIMARY PHONE
( 253 ) 753 - 6660
E-MAIL ADDRESS
kris@froulasolutions.com
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $ 2,295.00
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
`'"
AL
PROJECT•••
AREA DESCRIPTION
AREAS
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
__ GAS LOG SETS
REFRIG. SYSTEMS
CHANGE OF USE?
THIRD
-
NEW ADDRESS REQUIRED? EYES
^'
ADDITIONAL FLOORS (DESCRIBE)
n YES
a NO
PLATTED LOT? n YES o NO
DECK (1] COVERED OR ❑ UNCOVERED?)
n YES
n NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXMM
PROPOSED
TOTAL
TOTAL ESISTING SF
TOTAL FROFOSEO SF
TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
0 FIXTURES
Indicate number of each type of_ xture to be installed or relocated as part oj'this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $.
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLET'S WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c,,- w)
COMPRESSORS
FURNACES
RANGES
DUCTS
__ GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (mr7UblS1v—Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (gettvoo,nsinksl
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS fibilci)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES c NO
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
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 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.
__ ^ J
NAME/TITLE �,h-- "" f 11 1 DATE 10/18/2010
(Signature) (MUT)
RELATIONSHIP TO PROJECT [I Owner ❑ Agent d Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
n NEW ❑ ADDITION
❑ ALTERATION
o REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES c NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
n YES
o NO
NEW ADDRESS REQUIRED? EYES
❑ NO
UPJSEPAJSU?
n YES
a NO
PLATTED LOT? n YES o NO
DEMO PERMIT REQUIRED?
n YES
n NO
Bulletin #1100 - January 1, 2007 Page 2 of 4 kWandoutsTermit Application