17-103369 CITY OF PERMIT APgHipaA71494v
Federal Way
�? JUL 132017
PERMIT NUMBER ( _ 0 ✓ _ � CITY OF FEDERAL WAY
TARGET DATE COMMI INI?Y fFVF!OPMENT
SITE ADDRESS SUITE/UNIT#
1414 South 324th Street B213
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 7234 1500500080 -
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT LaVida Massage TA,
PROJECT DESCRIPTION add and relocates sprinkler for T.I. walls and ceilings
Detailed description of work to p g
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Harsch Invest Properties LLC
MAILING ADDRESS E-MAIL
1414 S. 324th Street
CITY Federal Way STATE
198003
NAME Patriot Fire Protection, Inc. P253-926-2290
MAILING ADDRESS 2707 70th Ave E E-MAIL
mattg@patriotfire.com
CONTRACTOR
CITY Tacoma STATE
ZIP FAX
98424 253-922-6150
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PATRIFP099CF 10 05/ 17 19-91-101988-00-BL
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
Same as above
CITY STATE ZIP FAX
i
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Same as above
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 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 to the cit • a part f this application.
SIGNATURE: � AdL - DATE 7/11/17
PRINT NAME: Matt Greene
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application