13-103414 * �' •3c4 ( 4
RECEIVE
CITY PERMIT
Federal WayU G 0 2 2013 SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENTCES AP P LI CAT I O N
253-835-2607•FAX 253-835-2606-2609
www.cituoffederalerryt OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
1928 S Commons MY
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$18,422.00 7 6 2 2 4 0 _ 0 0 1 0
TYPE OF PERMIT o BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING D FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) The CommonsC C C I ry0
Install new main to reconnect to existing sprinkler piping in corridor.
PROJECT DESCRIPTION s.
Install new sprinkler head with flex drops in corridor for new ceilings.
Detailed description of work to P P g
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Steadfast Commons LLC
MAILING ADDRESS E-MAIL
1928 S Commons Way
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Fire Sprinklers Incorporated 253-826-0099
MAILING ADDRESS E-MAIL
CONTRACTOR 1524-45th St E Suite 102 brett@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 X11 X14 20-05-100633-00-BL
NAME PHONE
Fire Sprinklers Incorporated 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
Brett Morrison 253-826-0099
(The individual to receive and
respond to all correspondenceMAILING ADDRESS
po 1524-45th St E Suite 102 brett@firesprinklersinc.com
concerning this application) Bett@firesprinklersinc.com
CITY STATE ZIP FAX
Sumner WA 98390 253-826-1033
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 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 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.
Ifurther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and def of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such cl a ' es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup ' to ci a part of this application.
SIGNATURE: c 44...--41-4-44...--41-4---°-- E'""'——Rt.-4i DEO i DATE August 2,2013
PRINT NAME: Brett Morris n
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application