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Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES APR 0 2008 SF MF CO ME EL PL DE EN
33325 8th AVENUE SOUTH-POFEDERAL
B019718
2 35-2607-FAX253y OF Fes. ,�, TION m
The following is required informa7i®an incomplete application will not be accepted.Please print legibly(in ink)or type.
SITE ADDRESS 35825 4th Pl.Sw. SUITE/UNIT 4
ASSESSOR'S TAX/PARCEL 0 3 0 2 1 0 4 - 9 1 7 4 LOT SIZE(S1)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot l)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ® FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on thispermit on
New NFPA 13D fire sprinkler system
I
PRO6JECT NAME(Name o(f3usines or Owner Last Name) McDonald
PROPERTY NAME
I��, ��/� g� PRIMARY PHONE
V
OWNER AC) C` - V )' 'R\ c'
MAILING ADDRESS CITY,STATE,ZIP EMAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Evergreen Fire Protection,Inc. Mike Hutchinson ( 253 ) 848 0146
MAILING ADDRESS CYFY,STATE,ZIP CELL PHONE
( 253 ) 3814456
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-05-106411-00-BL 12/31/08 ( 253 ) 848 0965
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATEE-MAIL ADDRESS
Evergfp9671z 12/08
APPLICANT COMPANY NAME APPLICANT NAME OFTICE PHONE
Evergreen Fire Protection,Inc. Mike Hutchinson ( 253 ) 848 0146
MAILING ADDRESS CrIY,STATE,ZIP CELL PHONE
10509 64th ave.E.,Puyallup Puyallup,98373 ( 253 ) 381 4456
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant XAgent 0 Other ( 253 ) 8480965
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Mike Hutchinson ( 253 ) 381 4456
LENDER NAME Per RCW 19.27.095:
Lender information is required ifpro'ect value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK$ 5000.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSE/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGH LINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGH LINE DPRIVATE(SEPTIC)
r
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED'?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS PROPOS =AL 710TAL Z23S=G SF TMAL PROPOSEU 5F 7irALSF
**NEW HOMES ONLY"NUMBER OF BEDROOMS ESTIMATED SELLING PRICE$
•
Indicate munber of each type offixture to be installed or relocated as part of this project Do not include e.-dstingftxtures to rernain.
MECHAMICAL
Value g Mechanical Work$ (A COPY OFBID OR ES71 MAYE MUSTBEINCLUDED WI7HAPPLI CA7Y01 W
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(c..-d.q
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLVMBVVG
BATHTUBS(—-rub/Sh-C-bo) IAVS(B.ffi-.Si.k.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(T.n.—o
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
-- — 1GVy,A
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 responsibiLityfor compliance with local,state,orfederal 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 defense of suck claim),which may be made by anyer-son,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: DATE 4/3/08
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION D REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY9 D YES o NO BASIC PLAN? o YES F-NO
ZONING DESIGNATION CHANGE OF USE? D YES 7-NO
NEW ADDRESS REQUIRED? D YES D NO
UP/SEPA/SU? ❑YES D NO
PLATTED LOT? 0 YES D NO DEMO PERAUT REQUIRED? ei YES a NO
Bulletin#1 00-January 1,2008 Page 2 of 4 k\Handouts\Permit Application