07-105613 fl?-± - t .o._ .c--_ / 3
Federal Way RECEIVEPERMIT
SF MF CO,L,..._ iME EL PL DE EN'FP
COMMUNITY DEVELOPMENT SERVICES
333258"'AVENUE SOUTH•PO BOX 9718 y M LI CATI ON
FEDERAL WAY.WA 98063-9718 Q C T 1 _
253-835-2607•FAX 253-835-2609 ------_--
www.calla!federalway.corn
The ollowin! is -,ui-1, 7:f r :. r iS ,,:;y,fete , , ,lication will not be ,• ,ted. Please , t le! , , (in ink or -p .
• PROPERTY INFORMATION
s. 2(742-(
SITE ADDRESS Pacific HWY. S. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 8 2 1 0 4 - 9 0 7 8 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
(Attach separate Paget lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING /4 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Install fire alarm and detection system in new building.
PROJECT NAME(Name of Business or Owner Last Name) Pacific Retail
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Ellayennrs LLC ( 206 ) 604 - 6322
MAILING ADDRESS CITY,STATE,ZIP
5363 S. Kenyon Seattle, WA 98119
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Alarm Center, Inc. James Fossett ( 360 ) 412 - 6707
MAILING ADDRESS CnY,STATE,ZIP CELL PHONE
PO Box 3407 Lacey, WA 98509-3407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0 - 0 0 - 1 0 1 4 5 2 - 6 ( 360 ) 438 - 4244
B L M013 . �C'7
;IONTRACTOR'S REGISTRATION NUMBER(copy of card required with each applcati ) EXPIRATION DATE
AL AR MC I 0 5 5 CW 2 /16 /07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Alarm Center, Inc. Jamie Fossett ( 360 ) 412 - 6707
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
PO Box 3407 Lacey, WA 98509-3407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent 01 Other(Describe)Contractor ( 360 ) 438 - 4244
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Jamie Fossett ( 360 ) 412 - 6707 jfossett®alarmcenterinc.com
LENDER Per RCW 19.27.095: Lender ielformation is NAME
required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE M
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 5,345.00
SPRINKLERED BUILDING? ❑YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHI/NE 0 PRIVATE(SEPTIC)
i •
7
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT -
FIRST \ 3,532
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
/ o,
/
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORSEXESI6/
PRO's® TOTAL .7pTAL EXISTING SF TOTAL PROPOSEDPS TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ \
AIR HANDLING UNITS EVAPO TIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS .. HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE , ERT RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIP I UTLMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSEib(rouet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLI:Ib SUMPS RAINWATER� SYST
WASHING MACHINES URINALS HOSE BIBS
LAVS Bathroom Slid ) VACUUM BREAKERS ELECTRIC WATER-HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 of
this application.
NAME/TITLE DATE I G`% 1 ' 0'7
(S ture) (Title)
RELATIONSHIP TO ❑ Owner o Agent E Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application