The URL can be used to link to this page

12-101857 CITY OF PERMIT s C IVEDPL DEE FP) Federal Way � COMMUNITY DEVELOPMENT SERVICES APPLICATION APR 2 6 2012 253-835-2607•FAX 253-835-2609 www.ciujoliecferalwau.com CITY OF FEDERAL WAY CDC SITE ADDRESS SUITE/UNIT# 33702 21st Ave SW, Federal Way, WA 98023 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 3,310.00 BN 9 30 1 0 0 - 0 0 1 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING X FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) Fred Meyer Vanilla Shell Relocate smoke detectors to new ceiling height and relcate strobe to new bathroom PROJECT DESCRIPTION Detailed description of work to location. be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Fred Meyer MAILING ADDRESS E-MAIL 33702 21st Ave SW CITY STATE ZIP Federal Way WA 98023 NAME PHONE FSI Confidence Plus, Inc. 253 826 0099 MAILING ADDRESS E-MAIL CONTRACTOR 1524 45th St E, Suite 102 travis@firesprinklersinc.com CITY STATE ZIP FAX Sumner WA 98390 253 826 1033 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# FSICOCP912WW 11/ 24 2013 20-05-100633-00-BL NAME PHONE FSI Confidence Plus, Inc. 253 826 0099 APPLICANT MAILING ADDRESS E-MAIL 1524 45th St E, Suite 102 travis@firesprinklersinc.com CITY STATE ZIP FAX Sumner WA 98390 253 826 1033 PROJECT CONTACT NAME PHONE (The individual to receive and Travis C Kinne 253 826 0099 respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) 1524 45th St E, Suite 102 travis@firesprinklersinc.com CITY STATE ZIP FAX Sumner WA 98390 253 826 1033 ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME El OWNER-FINANCED Required value of$5.000 or more (RCW 19.27.095) 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 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 cit a part of this application. 4/,/ �� SIGNATURE: "' . DATE T/2-C. 7/?— PRINT PRINT NAME: l /Q (/l.f Ir G Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Per iit Application • • 1 ., s�"i% :.z� '',,". <x;:. .4y ,' VALUE OF MECHANICAL 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 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 �2 £�. SKI Indicate how many of each type offixture to be installed or relocated as part of this project. Do not incl I e existing fixtures to remain. BATHTUBS(or'Rib/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS( ecmc) HOSE BIBBS SUMPS WASHING MACHI i ES TOTAL FIXTURES E� #F( R1 TION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRIN 'R SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes ❑ No E Yes ❑ No x f" :;i r"' ft€, r t*F* �.. . . t �%`'i � AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ME FIRST FLOOR(or Mobile Home) SECOND FL©f R COVERED ENTRY ! GARAGE ❑ CARPORT D 1 OT}TEki{des ) EXISTI1IG PROPOSED TOTAL Area Totals "NEW HOMES o , ESTIMATED SELLING PRICE$ ix #OF BEDROOMS flv"°s ate+ r �. ;as tfir 't.',f } 11 AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Sgnare Feet Type Stories ADDITION _.,.� ✓7� ,,,,"�,'��' �. �< �,:�k�� '�rx, r ,� w>�c � " qry" ,,,y° r#a. .r r r S t ' �y - �r x AREA DESCRIPTION Area rea Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories i7tLl;'; G'" TENANT AREA ONLY . Pmt AREA ONLB Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application