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17-102832 RECEIVED JUN 13 2017 PERMIT APPLICATION CITY of 4A Federal Way CITY OF FEDERAL WAY JJ trial,`' _2 3 �(,z2 ZZ COMMUNITY DEVELOPMENT ,, PERMIT NUMBER \ 1 _ /t 0 2- ' 3 2__ ? N P TARGET DATE SITE ADDRESS 33 ki go 13 p(. c 8SUITE/UNIT# 3148 20TH 8ve South Federal Way, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 3/ 070, o") 76 8 1 9 0 — 0 0 jEj 2 TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING 11tFIRE PREVENTION NAME OF PROJECT Telecare King County Evaluation & Treatment Center Installing 176 Fire Sprinkler Heads PROJECT DESCRIPTION Detailed description of work to be included on this permit only - „ NAME PRIMARY PHONE PROPERTY OWNER TELECARE MENTAL HEALTH SERV MAILING ADDRESS E-MAIL 33500 13TH PL S 98003 CITY STATE ZIP Federal Way WA 98003 NAME PHONE Emerald Fire (253)857-2056 MAILING ADDRESS E-MAIL 11021 Cramer Road KPN angiev@emeraldfirellc com CONTRACTOR CITY STATE ZIP FAX Gig Harbor WA 98329 253-857-2312 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# EMERAFL98OMR 07 / 19 / 2018 20-14-104959-00-BL NAME PRIMARY PHONE Emerald Fire / Keith Hillstrom (253) 857-2056 APPLICANT MAILING ADDRESS E-MAIL 11021 Cramer Road KPN CITY STATE ZIP FAX Gig Harbor WA 98329 253-857-2312 NAME PRIMARY PHONE PROJECT CONTACT Keith Hillstrom 253-857-2056 (The individual to receive and MAILING ADDRESS E-MAIL 11021 Cramer Road KPN respond to all correspondence concerning this application) CITY STATE ZIP FAX Gig Harbor WA 98329 253-857-2312 NAME PROJECT FINANCING 0 OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE IRCW 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 he city as p rt of this application. i/ SIGNATURE. t ti D .--(9, ATE 6-9-17 PRINTNAME: ingi, Voelpel Bulletin#100—January 1,2013 Page 1 of 3 101-Iandouts\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(Commerc.at( 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 T n/shower combo( LAVS(Hama s nks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS Kitchen/Utility( WATER HEATERS(Eteetr,o 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 Nowa ONLY"' ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100-January 1,2013 Page 2 of 3 k:AHandouts\Permit Application