07-100706 - �Q • 4k . ( c0 -r6
Federal Vt/a EIVED
Y " PERMIT SF MF CO ME EL PL DE EN
COMMUNITY DEVELOPMENT SERVICES-
. 3332 -,J.. 2OO'
APPLICATION TO
253-835-2607•FAX 253-835-2609 ----/--------------/
_
T=�- —- -_--
a
www.cityoffederalwa om ;
.e--------
CITY(
FEDERAL WAY'
The following is (t ( tttort-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 1 L7 2'2_ 5 C o"'i ✓"t 0, S SUITE/UNIT# eXelS L- 2.2
ASSESSOR'S TAX/PARCEL# -7 b 2- 2- ' tt, - C. 0 1 O LOT SIZE (sj) •
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Anach separate page for Lengthy legal description)
• IN PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING RE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prouide detailed description of work included on this permit onlq)
Add 47 sprinkler heads
1
PROJECT NAME(Name of Business or Owner Last Name) CJ Banks
• PEOPLE INFORMATION •
PROPERTY NAME PRIMARY PHONE
OWNER Steadfast Corporation ( 949) 852 - 0700
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
4343 Von Karman, Suite 300 Newport Beach, CA
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. Karen M. Abel ( 425) 481 - 7669
1 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( ) -
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-98-105661-00BL ( 2 ---3 (-0-7 ( 425) 481 - 8695
COPY of card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
• with each application I CROWNFPO44LL •
4.8.07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc Karen M. Abel ( 425) 481.7-669 _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent XX Other Sub Contractor. ( 425) 481.8695
PROJECT NAME1 ,� L PRIMARY PHONE E-MAIL ADDRESS
CONTACT L b+11- c c- T ,-tp ( ) - .
LENDER NAME ' Per CW 19.27.095:
dder
information is required if project value exceeds$5,000
MAILING ADDRESS STATE,ZIP PHONE
/ . ( ) -
MI DETAILED BUILDING INFORMATION
•
EXISTING USE Retail- Mall Space PROPOSED USE Retail - Mall Space
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4,700.00
' SPRINKLERED BUILDING? XIXYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• • PROJECT FLOOR AREAS
AREA DESC . • ION EXISTI PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ 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.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE.COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower combo) LAVS(Bauvoom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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. I �n� I
NAME/TITLE ( J INV i� PreS 1�O DATE 018107
Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 4 Contractor 0 Architect 0 Other
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
. BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? a YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ID YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application