18-102977RECEIVED
CITY flP .: � JUL 0 6
Federal Way 2018
PERMIT APPLICATION
PERMIT CENTER + 33325 811 Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + 11nn1itcecitertii!ciri'offederah
CITY OF FEDERAL WAY
COMMUNITY DEVELOPM_ENN/lT
PERMIT NUMBER 1 _ I / _ F
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
1211 S 320th St
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 7000.00
150050-0030
TYPE OF PERMIT
II BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
Planet Fitness
PROJECT DESCRIPTION
Replacing bad fire alarm panel and all initiating devices. Existing audio/visual
Detailed description of work to
devices will remain.
be included on this permit only
NAME
PRIMARY PHONE
MGP IX Sunset Square LLC
858-350-1977
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
425 California St FL 11
CITY
San Francisco
STATE
CA
ZIP
94104
NAME
Western States Fire Protection
PHONE
425-881-0100
MAILING ADDRESS
14690 NE 95th St #101
E-MAIL
seth.zehdner@wsfp.us
CONTRACTOR
CITY
Redmond
STATE
WA
ZIP
98052
FAX
425-881-3030
ATE CONTRACTOR'S LICENSE #
rTF906 P 1
EXPIRATION DATE
11/9/2018
FEDERAL WAY BUSINESS LICENSETES
NAME
Western States Fire Protection
PRIMARY PHONE
425-881-0100
APPLICANT
MAILING ADDRESS
14690 NE 95th ST #101
E-MAIL
seth.zehnder@wsfp.us
CITY
Redmond
STATE
WA
ZIP
98052
FAX
425-881-3030
PROJECT CONTACT
NAME
Seth Zehnder
PRIMARY PHONE
425-478-9709
MAILING ADDRESS
14690 NE 95th St #101
UMAIL
seth.zehnder@wsfp.us
(The individual to receive and
respond to all correspondence
CITY
Redmond
STATE
WA
ZIP
98052
FAX
425-881-3030
concerning this application)
PROJECT FINANCING
NAME
❑ 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 authorized 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 authorized 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
such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises
out of the reliance of the city, including its officers and employees, upon the accuracy of the
city as a part of this application.
information sup4Seehnder
SIGNATURE:
DATE
7/5/2018
PRINT NAME:
Bulletin #100—.lanuary 29. 2016 1 oft k:AHandouts\Permit Application