17-103468 1 -,, 1 0 3 _1- 6,19
` '°F ECEWED PERMIT SF MF CO ME PL DE EN FP
Federal Wall,
COMMUNITY DEVELOPMENT &SJ
253-835-2607•FAX 253-835-260 � 1 9 20P P LI CAT I O N
www.cituoffederalway.com
CITY F
COM UNfTY FEDERAL OMEM
SITE ADDRESS SUITE/UNIT#
1507 S 348th St
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$8,555.00 C 1 8 5 2 9 5 _ 0 1 0 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING [ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) AT&T Dealer Store T.I.
Add and Relocate sprinkler heads for new walls and ceiling
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Federal Way Crossings Owner LLC
MAILING ADDRESS E-MAIL
10655 NE 4th St. #700
CITY STATE ZIP
Bellevue WA 98004
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
MAILING ADDRESS E-MAIL
CONTRACTOR 1524 -45th St E Suite 102
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESI*988RJ 12 X31 X17 20-05-100633-00-BL
E PHONE
FirNe Sprinklers Incorporated 253-826-0099
APPLICANT MAILING ADDRESS E-MAIL
1524 -45th St E Suite 102
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
PROJECT CONTACT NAME PHONE
(The individual to receive and Jon Hensley (253)826-0099
respond to all correspondence DIALLING ADDRESS E-MAIL
concerning this application) 1524-45th St E Suite 102 JonH@FireSprinklerslnc.com
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
Required value of$5,000 or more
Fire Sprinklers Incorporated OWNER-FINANCED
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
1524-45th St E Suite 102 (253)826-0099
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 part of this application.
Digeaky sgnn by Jon Hensley
Jon e n s l ey DN on=on Henley,o=Fire Sprinklers Inc au,errell,lonH@FireSpnnklersInc.com,c=US 7/19/2017
SIGNATURE: Dale:201101.19102525-07'00. DATE
PRINT NAME:Jon Hensley
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
" /74"17710,G51
VALUE of MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fvdure 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
f r
7J ' ! rr„ : � r'rf', ! r, a u rr+'! 4,37:"7/ 2, �i'r`
Wr ,
i7f` 7� fF �a/G/rIdcae hiowmanFftype!of/fuctu�F,.r.eto beins° aled,or relocated
as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or fhb/shower Combo) LAVS(Hand sinks) TOILE.lb 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
, .
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 7 No 7 Yes ❑ No
i /er1 it � `//// II ! ° 1 i ! !
ff "a' 'mad` �:a i'i,.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
t '
FIRST FLOOR(or Mobile Home)
<",""'"•12" /".'"r!!ri rlr ,` r /,'r /!�1' /'llrl /
COVERED ENTRY
................................................................................................................................................................................................
GARAGE ❑ CARPORT ❑
OTE ,I ascribe) f
Area Totals EXISTING PRO TOTAL
ESTIMATED SELLING�� PRICE$ #OF BEDROOMS
/.14.47 /
' r•°f' r/4";"2'111 .7;;-
S'li'%>"�!!rlr f ., '�� ,�. /;;;,r r,r-r r'- /c
Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Stories
in Square Feet Type
NEW BUILDING
ADDITION
„a fly" ,r !"�'`fr�
41
r r �±0 04! '''SI't- -1 k,i�.,,,,.., r<,'�„ .✓, °� 4at,�3��' ...� 1.41,7/;11,7„4a.'',0„e, dv, „
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TENANT AREA ONLY 1900sgft M & B Masonry 1
r y
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application