09-101778r • CITY of ,,k °« :/tr AD
Federal way PERMIT � — — — — — — — —
COMMUNITY DEVELOPMENT SERVIC QY 14 2009 SF MF CO ME EL PL DE E FP
33325 FEDERAENUE SOUTH 98063 9718 8 p 3 CATION
FEDERAL WAY. WA 98063 -97]8 D
253 - 835 -2607• FAX 253 - 835 -2609
ein o +e ti . — CC
%WJL The following is required &&tion - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITEADDRESS 32001 South 32nd AVE
ASSESSOR'S TAX /PARCEL # 1 6 2 1 0 4_ 9 0 C
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Foss East Campus
(Attach separate page./or lengthy legal description)
1
SUITE /UNIT # 4th Floor
LOT SIZE (sfi 12,817
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ® FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
Fire Systems west is adding and /or relocating sprinklers to accommodate
tenant improvements.
PROJECT NAME (Name of Business or Owner Last Name) 1 rut��e`�5 i �r �VI U YCWiLP
PROPERTY
OWNER
CONT CTOR
1
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
NAME
Ilahie Holdings Inc
APPLICANT NAME
PRIMARY PHONE
(206)262 - 1400
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
1151 Fairview AVE N
Seattle, WA 98109
seth @ilahie.com
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Fire Systems West
Phi Le
(253) 833- 1248
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
206 Frontage RD N
Pacific, WA 98047
(253)778 - 8134
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -87- 000014 -00 -BL
12/31/09
(253)735 - 0113
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E -MAIL ADDRESS
FIRESWI 140B1
10/12/09
PhiL @firesystemswest.COm
COMPANY NAME
Same as above contractor
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant u Agent ❑ Other
NAME PRIMARY PHONE E -MAIL ADDRESS
Phi Le ( 253) 833 - 1248 PhiL @firesystemswest.com
NAME
Per RCW 19.27.095:
Lender information is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE Office Space PROPOSED USE Office Space
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3, 6 0 0
SPRINKLERED BUILDING? n YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •.• AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S . FT. S . FT. S . FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS ex'srmc FxoposeO TOTAL TOTAL EXISTING SF TOTAL PMrOSM SF TOTALSF
* *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 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 OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commemia )
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS troilet)
SINKS
WASHING MACHINES
SUMPS
BASIC PLAN?
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. A. l
NAME /TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ca Contractor
SIgYIPX DATE
(Title)
❑ Architect ❑ Other
Bulletin #100 - April 2, 2007 Page 2 of 4 k \Handouts\Permit Application
❑ NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR h(TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES o NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 k \Handouts\Permit Application