07-101271 1 , orr OF. ?
Federal Way �EOS PERMIT 1_ - Q .� —
COMMUNITY DEVELOPMENT SERVICES n nI` �;;,'�vØF MF CO ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718
FEDERAL
, 7Y, 98063-9718 ,R / - - /253-835-2607•FAX 253-835-2609MpA PICATION TD
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The following is requires ation-an incomplete application will not be accepted. Please print legibly(in Ink)or type.
S 'PROPERTY INFORMATION
SITE ADDRESS 1928 S. Commons, #B8 SUITE/UNIT# B8
ASSESSOR'S TAX/PARCEL# �) (e - - - ®C 0 - (-) p ( LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desc ptlon)
. . ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 6,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit(mitt)
Change out (5) existing heads to Viking Model B-2
Relocate (4) heads to Viking Model B-2
PROJECT NAME(Name of Business or Owner Last Name) We i s f i e l d Jewelers
• . 111 INFORMATION
PROPERTY NAME
PRISteadfast Companies (9MARYPHONE
OWNER (949 ) 852 - 0700
MAILING ADDRESS I CITY,STATE,ZIP E-MAIL ADDRESS
4343 Von Karman Suite 300 Newport Beach, CA 92660
CONTRACTOR COMPANY NAME _ APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. Karen M. Abel (425 ) 481 - 7669
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-98-105661-00BL 12.31.07 (425 ) 481 - 8695
COPY of card requitedCONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application I CROWNFP044LL
4.8.07 cristie@crownfp.com
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. Karen M. Abel (425 ) 481 - 7669
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( )
RELATIONSHIP TO PROJECT -
FAX NUMBER
❑ Architect ❑ Tenant ❑Agent X Other contractor (425 ) 481 - 8695
PROJECTNAME PRIMARY PHONE
CONTACT ICristie Abel I (4R25 ) 481 - 7669 ( criE-MAILstie@cADDRESSrownfp.com )
LENDER NAME Per RCW 19,27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
•n
.-DETAILED BUILDING INFORMATION::
EXISTING USE Retail PROPOSED USE Retail
EXISTING ASSESSED/APPRAISED VALUE $ _ VALUE OF PROPOSED WORK $ 1,200.00
SPRINKLERED BUILDING? IX YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
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a`xC'..� r - - • --
•
AREA DESCRI` • 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
EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED SI TOTAL SI
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated aspart of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work .$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
PLUMBING
BATHTUBS 4,,Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrosey
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and f rther, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further gree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the investigation a d defense of
such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only whe a such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the ci as a part of
this application.
NAME/TITLE 41101 /77 C/e, l ficide DATE ,',D 1 C)7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent X Contractor 0 Architect 0 Other
a NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT. •
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100—January 1,2007 Page 2 of k\Handouts\Permit Application