17-102429 1 ,. 4,-.411k RECEIVED PERMIT APPLICATION
C17"OF MAY 2 2 2017
WayPERMIT CENTER 4-33325 8th Avenue South+Federal Way,WA 98003-6325
Y x 253-835-2607+FAX 253-835-2609+permitcenter(dcityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT n
PERMIT NUMBER L — I Z 70 LI 21 - A
F p
L7
TARGET DATE ` '
SITE ADDRESS SUITE/UNIT*
1800 S 330TH ST (:)LO /C A 3 Ss/y
45
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
$ 3000 7978800300 _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING DK FIRE PREVENTION
NAME OF PROJECT ARBOR WOODS
FIRE ALARM PANEL REPLACEMENT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME ARBOR WOODS ONE LLC PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS 1800 S 330TH ST 98003 E-MAIL
CITY FEDERAL WAY VtK 2u)98003
NAME BRIMSTONE FIRE PHONE 425-956-3434
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY WOODINVILLE WAE ZIP 98072 FAX
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
BRIMSFS918K0 6_i 21 12017 . 20-11-101263-00-BL
__ __. NAME PRIMARY PHONE ... ._..
IAN ANDERSON 425-956-3434
APPLICANT MAILING ADDRESS E-MAIL
23422 57TH AVE IAN@BRIMSTONEFIRESAFETY.COM
CITY 23422 57TH AVE ilVi�E ZIP 98072 FAX
NAME IAN ANDERSON PRIMARY PHONE
PROJECT CONTACT 425-956-3434
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence 23422 57TH AVE
concerning this application) CITY WOODINVILLE STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
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 p this application.
1,..---,-... 6 7 72z//7
SIGNATURE: DATE
PRINT NAME: 11 h 4-"IerS'
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
S
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(Commercial)
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 a,b/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(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
BASEMEN
FIRST FLOOR(or Mobile Home)
SND:. h4 r 5 }
COVERED ENTRY
GARAGE ❑ CARPORT 0
OI .
Area Totals EXISTING PROPOSED TO
TA"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories Additional Information
FeetADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(*) Terre Stories Additional Information
Square Feet
TOTAL 1R
TENANT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application