05-102824J)lvCITY -1 ' ,
2005
Federal Way Cl--'ry OF —, 'PERMIT
FEDERAL;ifAY, W4 980-97I8'
2,534,15,2607• FAX 25,t43,5.260
Ti.— a i]`a,.r4— : : ti+.sr 4r ,f irrl€'i,errrrmt4nn"... an inninnn%te annt cation will not be
'57- _4 &z ?-,Z-
SF MF CO ME EL PL DE EN
SITE D S. Common SUITE/ IT
ASSESSOR'S TAX/PARCEL # LOT SIZE (sO
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this onlu)
Add 13 heads and relocate 12 bead
PROJECT NAME (Name of Business or Owner Last Name) Re 1 S
PROPERTY NAME , 1'RtiviARY #Id)NE
==
OWNER rs ( )
COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. John Abel (425L) 481, -7669
MAILING ADDRESS CITY, STATE, ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( )
RELATIONSHIP TO PROJECT -- FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent & Other (Describe) S I l . Q n t rd C tQ f ( ) -
jal PROPOSED USE Commercial-
SEDrJAPPRAISED VALUE, • PROPOSED WORK
SPRINKLEREr BUILDING? ■ YES ■ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ■ YES ■ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ■ HIGHLINE ■
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Qn Wr S2. FT. SO. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE 0 CARPORT El
NUMBER OF FLOORS =STMO PROPOSED T 0 TAL TOTAL EXISTING OF TOTAL PROPOSED OF TOTAL OF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
type of future to be installed or relocated as part of this project. Do not include existing fixtures to
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
_ GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUAIItm
BATHTUBS (-TUb/Sh—,C..bo)
SHOWERS
WATER CLOSETS (Tii.t)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS 1004"*= Sink4)
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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.
NAME/TITLE DATE l LD
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner F1 Agent u Contractor 0 Architect Other' L-
�"NEWI��������,�,�-���oADDITION
o ALTERATION
o REPAIR b TENANT IMPROVEMENT
BUILDING�SHELL�ONLY?��
0 YES O�No
BASIC�PLAN? oYES�
o NO
ZONING DESIGNATION
—11-CHANGE OF USE? 0 YES
ci NO
NEW ADDRESS REQUIRED?
�o YES o NO
�`UP/SEPA/Su? 0 YES
o NO