08-1057291
RECEDED
CITY OF O — 1
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES - -� 0 2 2008 SF MF CO ME EL PL DE ENO
33325 E A•0 8
FEDERAL WAY, WA 98063 -9718 APPLICATION
253- 835- 2607• FAX 253- 835 -2609 CITY OF FEDERAL WAY
_.cityoffed— I—y.c— CDS
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY •• ION N
SITE ADDRESS 1727 SOUTH 316TH STREET SUITE /UNIT#
ASSESSOR'S TAX /PARCEL # 092104 9118 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) PALACE SPA RESTAURANT
(Attach separate page ror kwthy legal descrip ton)
PROJECT •R , •
TYPE OF PERMIT BUILDING PLUMBING MECHANICAL
DEMOLITION ELECTRICAL ENGINEERING x FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this nermitonly)
THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION & INITIATING DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT.
PROJECT NAME (Name ofBusiness or Owner Last Name) PALACE SPA RESTAURANT
PEOPLE INFORMATION
PROPERTY
• q L ;
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
WOELFL ERIC
MAILING ADDRESS SIAIL,ZIP t-MAILAUURES5
12013 206TH PL SE ISSAQUAH, WA 98027
SMITH FIRE SYSTEMS MANAGEMENT,LLC.
HOWARD WILLIAMSON
(253) 248 -2003
MAILING ADDRESS
1106 54TH AVE E.
LIIY,!,IAIL,LIP
TACOMA, WA 98424
LLLL PHONE
f ITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
200610470900BL
EXPIRATION DATE
12/31/08
I-AA NUMB"
(253) 926 -0726
CONTRACTOR'S Rtuisi RATION NUMBER
SMITHFS946LO
LXPIRA'TION DATE
6/20/10
Ktbb
HWILLIAMSON @SMITHFIRE.COM
SMITH FIRE SYSTEMS MANAGEMENT, LLC.
HOWARD WILLIAMSON
(253) 248 -2003
MAILINUAIJUNE55
1106 54TH AVE. E.
CI I Y, STATE, LIP
TACOMA, WA 98424
CELL PHONE
Architect Tenant Agent xOther CONTRACTOR
(253) 926 -0726
NAMt I PRIMARY PHONE
HOWARD WILLIAMSON (253) 248 -2003 HWILIAMSON @SMITHFIRE.COM
NAME Per RCVV 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS I PHONE--
D BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1610
SPRINKLERED BUILDING? YES NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? YES NO
WATER SERVICE PROVIDER LAKEHAVEN HIGHLINE TACOMA PRIVATE (WELL)
SEWER SERVICE PROVIDER LAKEHAVEN HIGHLINE PRIVATE (SEPTIC)
B
s
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
of Mechanical Work $
PLUMBING
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
SQ. FT.
SQ. FT.
SQ. FT.
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
929
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
NO
THIRD
ADDITIONAL FLOURS (DESCRIBE)
DECK(COVERED OR UNCOVERED ?)
GARAGE CARPORT
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING SF
TOTALPROPOSEDSF
TOTALSF
* *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
of Mechanical Work $
PLUMBING
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBOS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercial)
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 (collet)
SINKS WASHING MACHINES
SUMPS
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
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 I.
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
city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application.
BUILDING SHELL ONLY? YES 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 -August 16, 2007 Page 2 of 4 k\ \Handouts\ \Permit
Application