13-103240 RECOUEQ3 5550
CITY OF�I�� JUL - 2013 PERMIT APPLICATION
Federal Way 2 3
CITY OF FEDERAL WAY ` ' i �
CDS
PERMIT NUMBER / 3 _ / 0 3 cot 0 - E_ TARGET DATE
SITE ADDRESS SUITE/UNIT#
28715 18th Ave S, Federal Way,WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1339.50 3322049037 �r
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING AFIRE PREVENTION
NAME OF PROJECT Kindercare#301166 - Federal Way
Replace existing Ademco STU with new Silent Knight 5104 dialer.
PROJECT DESCRIPTION Program new account and phone numbers and test. Remove old equipment.
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME Kindercare Learning Centers Inc. PRIMARY 5 //872-1300
MAILING ADDRESS 28715 18th Ave S E-MAIL
CITY Federal Way STATE ZIP
WA 98003
NAME Fire Chief Equipment PHONE 425/641-2127
MAILING ADDRESS 7661 159th PINE MAIL matts@fire-chief.com
CONTRACTOR
CITY STATE ZIP FAX 425/562-6662
Redmond WA 98052
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE k
FIRECCE938TR 4/1p/14 19-99-107092-00-BL
NAME Mark Kushino PRIMARY/ 22 1226
APPLICANT MAILING ADDRESS 7661 159th PINE E-MAIL
arkk@fire-chie£com
CITY Redmond sTEA ZIP 98052 FAX 425/562-6662
NAME PRIMARY PHONE
PROJECT CONTACT Matt Stewart 206/37 074
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 7661 159th PINE matts@fire chief.com
concerning this application) CITY Redmond STWA ZIP 98052 FAX 425/562-6662
PROJECT FINANCING NAME N/A W [ OWNER-FINANCED
Required value of$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 th city as a part f this application.
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SIGNATURE: t' DATE 7 Jz C JI 3
PRINT NAME: Mark Kushino
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(Commereia)
BOILERS FURNACES HOT WATER TANKS(Gee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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.
BATHTUBS(or Tub/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(Etectrio(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
no Lakehaven Lakehaven $ 1339.50
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Daycare center 27078 Yes ❑ No 0 Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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GARAGE ❑ CARPORT ❑
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EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area AREA DESCRIPTION ;a s.are Feet Occupancy Group(s) Stones Additional Information
3 < N s$xt • -'r, '*'; r: a •
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTIONMEM
Occupancy Group(s) #of Additional Information
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TENANT AREA ONLY
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Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application