10-100166 eft.r
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e ► ""' PERMIT SF MF CO ME EL PL DE EN FP
�eclerat W JAN Y � �:�,� •
COMMUNITY DEVELOPMENT ICATION / /
253 835 2607• O( F FEDEr
SITE ADDRESS
32001 South 32nd Avenue
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
THIRD FLOOR ,3 6C) 2 1 5 4 6 5 _ 0 0 1 0
NAME OF PROJECT
(Tenant or Homeowner Name) COUNTRY FINANCIAL
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING CE1 FIRE PREVENTION
Fire Systems West will be adding/relocating fire sprinklers
PROJECT DESCRIPTION to accommodate for new walls and ceilings.
Detailed dscription of work
b included t2 N►�1
be included e on this permit only
NAME r'
r' PRIMARY PHONE
PROPERTY OWNER Ilahie Holdings L/" ,V ( )76NG TESS,4TYM11,9P E-MAIL
OWNER IS ALSO: CONTRACTOR
0 AAPPPPLIICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
Fire Systems West (253) 833 - 1248
TRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
C j 206 Frontage RD North, Suite C, Pacific, WA 98047 ( 253) 735 - 0113
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI 140B1 12/ 31 /10 19-87-000014-00-BL
NAME PRIMARY PHONE
APPLICANT Same as contractor ( ) -
MAILING ADDRESS,CITY,STATE,ZIP FAX
( )
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and Phi Le ( 253) 778 - 8134
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) 206 Frontage RD North, Suite C, Pacific, WA 98047 ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( ) PhiL @firesystemswest.com
PROJECT FINANCING NAME
® OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part ofSiocullitiKing
SIGNATURE: ....` A p p rO V e n DATE 1/13/10
PRINT NAME: p�'11 Is Detailed
0 Subject to attached details
Bulletin#100-January 1,2010 By f�f" "'"""°"'"'" k:\Handouts\Permit Application
Date�l�lyd I
•
MECHANICAL FIXTURES
Value of Mechanical Work$_- (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
-
BOILERS FURNACES HOT WATER TANKS Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 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.
BATHTUBS or Tub/Shower Combo) LAVS(Hand sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(eiectio(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ '1598 $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES max,*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING ..
ADDITION
COMMERCIAL - RENIODELITENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
•TOTAL BUILDING ..
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application