13-101018 • • _ 10 I, 0 IR-
CITY OF A PERMIT SF MF CO ME PL DE EN 0
Federal w4XECEIVED J
COMMUNITY 35-260 *FAX 253-835-2609
&NT ES pp LI CATI O N
253'Buuciituoffe �uaomAR 0 5 20
SITE ADDRESS CITY or FEDERAL WAY SUITE/LINIT#
1928 S Commons Way CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 7,400 7 6 2 2 4 0 _ 0 0 1 0
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT CAT k1I N I /�/
(Tenant Name/Homeowner Last Name) Commons Temporary Pedestrian Corridor �ko tyLk�-1
Install new fire sprinklers for temporary pedestrian corridor. r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Steadfast Commons LLC
MAILING ADDRESS E-MAIL
1928 S Commons Way
CITY STATE ZIP
Federal Way WA 98003
1
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
CONTRACTOR 1524
MAILING Street E-Suite 102 brett@firesprinklersinc.com
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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
OWNER-FINANCED
Required value of$5,000 or more
IRCW 19.27.095) MAILING ADDRESS.CITY,STATE,ZIP PHONE
I
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 less 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 cl arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information su to city a part of this application.
epptid
SIGNATURE: _ ,_A-'""---
DATE 3/5/13
PRINT NAME: Brett Morrison .. S
Bulletin#100—January 1,201 1 Page 1 of 3 k:\Handouts\Permit Application
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