17-103220 PERMIT APPLICATION
CITY OF ...,
FederFederal VVay PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
al 253-835-2607+ FAX 253-835-2609 +pegpi er�)i'citvof�dera1way.com
EIV
D
PERMIT NUMBER 1 7 1 0 ✓ Z �/ — � J U L 0 5 2017
TARGET DATE
CITY OF FEDERAL WAY
SITE ADDRESS COmmumatiDEWELOPmENT
2310 SW 336th ST FEDERAL WAY, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,500.00 1 3 2 1 0 3 - 9 0 9 7
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING DX FIRE PREVENTION
NAME OF PROJECT PHO FUSION
PROJECT DESCRIPTION Installation of fire suppression system for type I kitchen hood per drawings
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
TWIN LAKES VILLAGE/TL FKC AU LLC
PROPERTY OWNER MAILING ADDRESS E-MAIL
2300 SW 336TH ST
CITY STATE ZIP
FEDERAL WAY WA 98023
NAME
PHONE
TEKAS FIRE & HOOD INSTALLATION, LLC 206-617-4951
MAILING ADDRESS E-MAIL
CONTRACTOR 14611 AMBAUM BLVD SW mortegafire@aol.com
CITY STATE ZIP FAX
BURIEN WA 98166
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
TEKASFH888JW 04/ 25 /2018
NAME PRIMARY PHONE
TEKAS FIRE & HOOD INSTALLATION, LLC 206-617-4951
APPLICANT MAILING ADDRESS E-MAIL
14611 AMBAUM BLVD SW tekasfire@gmail.com
CITY STATE ZIP FAX
BURIEN WA 98166
NAME PRIMARY PHONE
PROJECT CONTACT SAME AS APPLICANT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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 city as apart of this application.
SIGNATURE: kwigt1& D DATE 06/29/2017
PRINT NAME: Miguel. O.
Bulletin 4100—January 29.2016 Page 1 of 2 k:AHandouts\Permit Application