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06-103977 . . • . RECEIVE* f) CI of L/ `, - j_ ,n_. 3 FederaiWay AUG 1 0 2006 DERMIT COMMUN17YDEVELOPMENTSERWCES SF MF CO ME EL PL DE EN P 33325 8n•AVENUE SOUTH•PO BOX 9718 2538835-2607.WAY,WA 98 FAX 253 �oF FEDERAI. p p LI CATION VALID rituuffederalwau.corn I�DING DE The ollowin• is re•uired in ormation-an incom.lete a.•lication will not be acce•ted. Please .rint le.ibi (in ink)or •e. • PROPERTY INFORMATION SITE ADDRESS 2505 SOUTH 320TH STREET - FEDERAL WAY SUITE/UNIT# 3 30 ASSESSOR'S TAX/PARCEL# 7 9 7 8 2 0 - 0 5 3 5 LOT SIZE(s,J) 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 Xn'IRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) SMITH FIRE SYSTEMS WILL MODIFY THE EXISTING FIRE SYSTEM TO ACCOMODATE THE TENANT IMPROVMENTS. SFS WILL ADD AND RELOCATE SPRINKLERS ACCORDING TO TER NEW WATT. AND CEILING LAYOUT. v.'�7 Gc, ^(mac— �a,� �°r.-�u�-+ ,-4'.�:, PROJECT NAME(Name of Business or Owner Last Name) )6 J I C F TTI • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER J AND YINVESTMENTS LLC ( ) - MAILING ADDRESS CITY,STATE,ZIP 13714 SE 75TH ST NEWCASTLE, WA 98059 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE SMITH FIRE SYSTEMS INC JIM POMMERT 53 926 1880 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 1106 54TH AVE EAST TACOMA, WA 98424 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPFAX NUMBER 19-87-000_ _055-OOBL 12/IRATION 31 DATE/ 06 X53 X26 2350 B L CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE SMITHFS1360T 11 /02 06 • APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE SAME AS CONTRACTOR ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) - CONTACT 1.___ PRIMARY PHONE/ �y E-MAILADDRFS.G NAMTF^ff--��' ©�l�L✓� (2 c3 176 - l `L ry ,( LENDER ?erJRRCW 4947-095: Lender iii,ortnation is NAME required if project value;exceeds$0.000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) _ U DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ )0 7 SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES a NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN Cl HIGHLINE 0 PRIVATE(SEPTIC) flkP ' M PROJECT FLOOR AREAS AREA DESCRIPTION N/A EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTINO SF TOTAL PROPOSED SPTOTALao **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL N/A Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commmtap WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS)or Tub/Shower Combo) SHOWERS WATER CLOSETS(Tolle() MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. NAME/TITLE ADMIN. ASSISTANT DATE 8/9/06 (S(gnatu T STEBAR FOR SMITH FIRE (Title) RELATIONSHIP TO PR•+' 0 Owner 0 Agent XiXXXntractor ❑Architect 0 Other FOR vtasxvo,USE ONLY a NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? ❑YES a NO NEW ADDRESS REQUIRED? a..YES a NO UP/SEPA/SU? a YES a NO PLATTED-LOT? a YES a NO DEMO PERMIT REQUIRED? a YES o NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application