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17-100874 _4%6 • PE CITYOP ...,s RMI' APPLICATION Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 / 253-835-2607+FAX 253-835-2609+pernMeaninkederalway.com IT_ woe -74 _ � FEB 2`12017 PERMIT NUMBER — — - _ TARGET DATeny OF FEDERAL WAY SITE ADDRESS SUITE/IT# 33402 33RD PL SW Federal Way WA 98023 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 10,350.00 9 5 4 2 8 0 - 0 7 1 0 TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 031 FIRE PREVENTION NAME OF PROJECT Federal Way Remodel ( V 41 � F t 1,,... Moore Fire Protections Scope of work to include installation of an Automatic Fire Sprinkler PROJECT DESCRIPTION Detailed description of work to System in an existing, wood framed, single family residence. All work to comply with be included on this permit only NFPA 13D standards and the local AHJ. NAME PRIMARY PHONE PARKVIEW SERVICES 253-846-1265 PROPERTY OWNER MAILING ADDRESS E-MAIL 33402 33RD PL SW CITY STATE ZIP Federal Way WA 98023 NAME PHONE Moore Fire Protection 425-271-5598 MAILING ADDRESS E-MAIL CONTRACTOR 14401 Issaquah-Hobart Rd. Suite 201 ben@moorefire.com CITY STATE ZIP FAX Issaquah WA 98027 425-369-6899 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# MOOREFP116NP 8 /26 /15 20-10-101397-00-BL NAME Ben Bernard 42PRIMARY 271-5598 APPLICANT MAILING ADDRESS E-MAIL 14401 Issaquah-Hobart Rd. Suite 201 ben@moorefire.com CITY STATE ZIP FAX Issaquah WA 98027 425-369-6899 NAME PRIMARY PHONE PROJECT CONTACT Ben Bernard 425-271-5598 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence 14401 Issaquah-Hobart Rd. Suite 201 ben@moorefire.com concerning this application) CITY STATE ZIP FAX Issaquah WA 98027 425-369-6899 PROJECT FINANCING NAME PARKVIEW SERVICES ® OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (Rcw19.27.o9s) 33402 33RD PL SW Federal Way WA 98023 253-846-1265 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 s laim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supp •• the city as • ••rt of this application. 01,_...••- • 1",,/a,"A/2 SIGNATURE: / DATE PRINT NAME: 1cJ0/-,GtV i4 rcc. Bulletin#100-January 29,2016 Page 1 of 2 k:\.Handouts\Permit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type offixture 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)Commorc al) BOILERS FURNACES HOT WATER TANKS)Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many 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/uti ity) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION 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) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY"* ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION Area in Construction #of AREA DESCRIPTION Occupancy Group(s) Additional Information Square Feet Type Stones NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100-January 29,2016 Page 2 of 2 k:AHandouts\Permit Application