14-102040 RILC1vty
4
�1�IAY 115 201 •
Woo_ PERMIT APPLICATION
YAW CITY OF FEDERAL WAY
CDS
PERMIT NUMBER J _ ® _ ��
TARGET DATE
SITE ADDRESS SUITE/UNIT*
31408 28th Avenue South 3t_D4 R (s) A 1 ?71 101 - 4 ,01
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ o;gJ 000 0 9 2 1 0 4 9 1 4 2
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING IN FIRE PREVENTION
NAME OF PROJECT Federal Way Townhomes
Install NFPA 13D passive purge automatic fire sprinkler
PROJECT DESCRIPTION system throughout entire unit .
Detailed description of work to7 {� }s
be included on this permit only
NAME ---.-_ PRIMARY PHONE --
PROPERTY OWNER Bikram-One LLC
MAILING ADDRESS 1932 8 370th C t . E-MAIL
CITY Federal Way STATE ZIP A 98003
NAME Sprinx Fire Protection Inc. FH°NE (253) 853-7780
MAILING ADDRESS 2709 Jahn Ave. NW #H-2 E-MAIL
ryan@sprinxfire.com
CONTRACTOR
CITY Gid Harbor STATE ZIP 98499 FAX (253) 853-5890
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SPRINFP011LS �
NAME Ryan Petty PRIMARYP(253)853-7780
APPLICANT MAILING ADDRESS 2709 Jahn Ave. NW #H-2 E-MAIL
ryan@sprinxfire.com
CITY Gig Harbor STATE ZIP 98499 FAX (253)853-5890
NAME Ryan PettyRIMARY PHONE
PROJECT CONTACT y (253)853-7780
(The individual to receive and MAILING ADDRESS 2709 Jahn Ave. NW #H-2 E-MAIL
respond to all correspondence ryan@sprinxf ire.Com
concerning this application) CITY Gi! Harbor STATE ZIP 98499 FAX (253)853-5890
NAME
PROJECT FINANCING 0 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 the city as a part of this application.
SIGNATURE: G'_ /5 DATE 5/2/1,1
PRINT NAME: 'P:17
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application