13-101543 5 �-
RECEIVE®
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`Flderal Way PERMIT SF MF CO ME PL DE EN {FP
Fe
COMMUNITY DEVELOPMENTSEA)RR 08 20IAPPLICATION
253-835-2607•FAX 253-835-2609
www.cttuoffederaluv.corn
Cs.21 P C OF ED RAL WAY
SITE ADDRESS SUITE/UNIT#
1928"S Commons Way
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
16,212.00 7 6 2 2 4 0 _ 0 0 1 0
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING V1 FIRE PREVENTION
NAME OF PROJECT
(TenantName/Homeowner Last Name) Commons Demo
Stack new riser and refeed existing mains to prepare for
PROJECT DESCRIPTION
Detailed description of work to summer demolition.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Steadfast Commons LLC
MAILING ADDRESS E-MAIL
1928 S Commons Way
CITY STATE zeP
Federal Way WA 98003
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
MAILING ADDRESS E-MAIL
CONTRACTOR 1524 45th Street E-Suite 102 travis @fiiresprinklersinc.com
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
WA STATE CONTRACTOR'S LICENSE 41 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE Y
FIRESI*988RJ 12 / 11 / 14 20-05-100633-00-BL
NAME PHONE
Same As Contractor
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required ualue of$5,000 or more
(RCW 19.27.0951 MAILING ADDRESS,CITY,STATE,ZIP PHONE
7 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.
!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 • such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim •4 o of the reliance of the city, including its officers and employees, upon the accuracy of the
information su•• -. e as a if• of this ap lication.
4
SIGNATURE: / DATE 4/8/13
PRINT NAME: Brett Morrison
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit