14-100481 CITY OF • PERMIT
Federal Way MF CO ME PL DE EN P
COMMUNI1YDEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
www.cituoffederailuau.com
JAN 3 0 2014
SITE ADDRESS SUITE/UNIT#
19 t-Soml ons y / E0( s f Co`� CFA FEDERAL WAY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$24,122 7 6 2 2 4 0 _ 0 0 1 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ID MECHANICAL
❑ DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Dick's Sporting Goods
Install new 8" D.I. Fire Sprinkler UG Lead-In
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Commons Mall, LLC 949-623-7709
MAILING ADDRESS E-MAIL
18100 Von Karman, Suite 500
CITY STATE ZIP
Irvine CA 92612
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
MAILING ADDRESS E-MAIL
CONTRACTOR 1524-45th St E Suite 102
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
IF WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it
FIRESI*988RJ 12 X11 X14 20-05-100633-00-BL
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
APPLICANT MAILING ADDRESS E-MAIL
1524 -45th St E Suite 102
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
PROJECT CONTACT PHONE
Brett Morrison 253-826-0099
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 1524 -45th St E Suite 102
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
ALTERNATE CONTACT NAME: PHONE E-MAIL
'
PROJECT FINANCING NAME El OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 deft' of such claim),which may be made by any person, including the undersigned,and filed against the city,
but only where such cl arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli-• o , ci•1 as a part of this application.
SIGNATURE: I i - 6—'4'4' --?e S1 Mil— DATE
1-30-14
•n
PRINT NAME: Brett Morn
Bulletin#100–January 1,2011 Page 1 of 3 kAllandouts\Permit Application