14-104893 ar
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CITY OFA PERMIT SF MF C � i DE~
RIrTE 1 FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION SEP 2 3 2014
253-835-2607•FAX 253-835-2609
au'w.cltuofiederafwau.com
CITY OF FEDERAL WAY
SITE ADDRESS CUt E/UNIT#
33434 8th Ave S 201
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4,799 6 0 9 4 3 0 _ 0 0 0 0
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING E FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Keller Williams
Installation of new wet fire sprinkler system throughout new tenant space
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 9th Ave Pavilion 206-336-5325
MAILING ADDRESS E-MAIL
33434 8th Ave S
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
MAILING ADDRESS E-MAIL
CONTRACTOR 1524 45th Street E-Suite 102 jason@firesprinklersinc.com
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 14 20-05-100633-00-BL
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
APPLICANT 1524 45th ING ADDStreet E-Suite 102 jason@firesprinklersinc.com
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
PROJECT CONTACT NAME PHONE
(The individual to receive and Jason Marion 253-826-0099
respond to all correspondence 1524 45th G ADDRESS
treet E-Suite 102 ason fires rinklersinc.com
concerning this application) 1 @ p
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
ALTERNATE CONTACT NAME: PHONE E-MAIL
Ken 253-826-0099 ken@firesprinklersinc.com
PROJECT FINANCING NAME
N/A El OWNER-FINANCED
Required value of$5.000 or more
(RCW 19.27.0951 MAILING ADDRESS.CITY.STATE.ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I cert(fy 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 oft is application.
SIGNATURE: DATE CI 2 3 i J
PRINT N son Marion
Bulletin#100—January I,2011 Page 1 of 3 k:\Handouts\Permit Application
i
VALUE OF MECRAIVICAL WORK $ (a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS FANS GAS PIPE OUTLE1b OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerciab
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING 0 v� 7pW�OiODSTOVES
,411E41
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or'mb/Shower Combo) LAVS(nand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utndy) WATER HEATERS(ElcetCr)
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?
2 Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW:OR ADDF ON
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
HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL--NEW/ADDrno
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COM1r 'ER I:AL-^RE ODE+L,/TEN O ENTs="
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TpTAL BUILDING 34,718 Light Hazard Concrete 2
TENANT AREA ONLY 4,622 Light Hazard Concrete 1 Suite 201
PROJECT AREA ONLY
Bulletin#100—January I,2011 Page 2 of 3 k:\Handouts\Permit Application