13-104328 «.(�A RECEIVE - 1 0 3 2 3-
Federal way PERMIT
COMMUMTYDEVELOPMENT SERVICES SEP 3 0 2013 SF MF CO ME EL PL DE E FP
33325 8Th AVENUE SOUTH•PO BOX 9718 RAPP LI CATI O N �
FEDERAL.2607•
WAY•FA,WXA 980639r„ OF FE D E A
253-835- 253-835-
7,1�,www.cituoffederatwau.com CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS 505 336th St. 4th floor SUITE/nNIT#_
ASSESSOR'S TAX/PARCEL# 9264800270 - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING )J FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Add or relocate 14 sprinklers for a new floor layout
PROJECT NAME(Name of Business or Owner Last Name) Fountain plaza 4th floor T.I. ARTHUR. \1 G 4 C ANY/
PEOPLE INFORMATION
PROPERTY NAME FSP FEDERAL WAY CORP PRIMARY PHONE
OWNER ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Evergreen Fire Protection Mike Hutchinson ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
•
20-05-106411-OOBL ( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
Evergfp967Iz 12/12
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Evergreen Fire Protection Mike Hutchinson (253 ) 848-0146
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
10509 64th Ave.E. Puyallup 98373 ( 253 ) 381 _4456
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent o Other ( 253 ) 848 - 0965
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Mike Hutchinson (253 ) 381 _ 4456 Evergreenfirepro@msn.com
LENDER NAME Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
)
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DETAILED BUILDING INFORMATION
EXISTING USE Office I;ce space PROPOSED USE Office space
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 1800.00
SPRINKLERED BUILDING? XI YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)