06-105410C& OF RECEIVA 0
Federal Way PERMIT SF MF CO ME EL PL DE E FP
com 333258 A ENUESOU7F1 PoSBOX99 t 4JU�U
FEDERAL WAY, WA 98063-9718 -260 A P P L I C AT I O N [D
253 - 835 -2607• FAX 253- 835.2609
u"wl,,.6t"'ofederaitoa uW OF FEDERAL WAY
BUILDING DEPT.
The following is re u red information - an incoMeZe te aeolication will not be acce ted. Please L3rint ie ibl to ink or e.
PROPERTY INFORMATION
SITE ADDRESS 2122 S. 314th Street SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ _ _ - _ _ LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/Attach separate page for lengthy legal des-W64
PROJECT • •
TYPE OF PERMIT ❑ BUMDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING X4 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit only)
Relocate 5 heads
Recut 8 heads
PROJECT NAME (Name of Business or Owner Last Name) AAA
-PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
:K•NIt��i�
LENDER
EXISTING USE
NAME �& � ,�� PRIMARYP HONE -
MAILING AIr 7S CITY, TE, ZIP
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
Crown Fire PRotection, Inc.
CELL PHONE
( )
Cristie Abel
(425) 481 - 7669
MAILING ADDRESS
( ) -
CITY, STATE, ZIP
CELL PHONE
P.O. Box 12113
Mill Creek WA 98082
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
19 _ - _98 - 105661 _ _ _ -
EXPIRATION DATE
B L 12 / 31 / 2006
FAX NUMBER
025 ) 481 - 8695
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
CROWNFP044LL
4/ 8 /2007
COMPANY NAME
SAME AS CONTRACTOR
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
( )
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( ) -
NAME PRIMARY PHONE E -MAIL ADDRESS
John Abel 425 481 - 7669
Per RCW 19.27.095: Lender igormation is
required!'if project .value exceeds $5, 000 '
NAME
MAILING ADDRESS
CITY, STATE, ZIP
13.T•):•7 -9 D) OXW) 3;
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ G-r� l.'l.�J , Ca
SPRINKLERED BUILDING? t YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKE RAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
EVAPORATIVE COOLERS
BBQS
FANS
FIRST
FIREPLACE INSERTS
COMPRESSORS
FURNACES
SECOND
GAS PIPE OUTLETS
n YES
❑ NO
THIRD
o YES ❑ NO
UP /SEPA /SU?
FOURTH
❑ NO
PLATTED LOT?
n YES =❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
swSTisa
PROrosso
TOTAL
TOTAL =r or
TOTAL rxorosIM sr
Tara, sr
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not
MECHANICAL
SHOWERS
Value of Mechanical Work $
SINKS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (or Tub /shower combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
GAS LOGS
HOODS (commercial)
RANGES
GAS WATER HEATERS
WATER CLOSETS goilet _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 igformation supplied to the city as a part of
this application. 17
NAME / TITLE V `' '� ✓ Lw` t "(,�'""
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent
Contractor ❑ Architect ❑ Other
/0123 tote
o NEW ❑'ADDITION
❑ ALTERATION
❑ REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES >: o NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
n YES
❑ NO
NEW ADDRESS REQUIRED?
o YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT?
n YES =❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO