14-100890 CITY OP • PERMIT
Federal Way RE � � 1VIE PL DE EN
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www.cituoffederaiwau.com FEB 2 6 2014
SITE ADDRESS Cm FEDERAL WAY
CDS SUITE/UNIT#
ISO South Commons Way
PROJECT VALUATION ZONING ASSESSORS TAR/PARCEL#
$25,000 7 6 2 2 4 0 _ 0 0 1 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) The Commons/Dick's Sporting Goods
Rework fire sprinkler feed mains to accommodate Dick's new exclusive system
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
WA STATE CONTRACTORS LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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 NAME PHONE
(The individual to receive and Brett Morrison 253-826-0099
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
❑ 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 def of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such ea' arises out of the reliance of the city, including its officers and employees, upon the accuracy of the.
information su.- to t e i as a part of this application.
SIGNATURE: DATE
PRINT NAME:
Brett Morrison
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Pernut Application