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05-104049 ! 0-11 • CITY of ---- ` - iC o Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DEE FP� 33325 8TH AVENUE SOUTH•PO BOX 9718 FEDERAL WA ,WA 980639718 AUG U G i. APPLICATION ,TO / 253-835-2607•YFAX 253-835-2609 h111 U awn,'ettuoftederahunu.com CITY OF FEDERAL WAY The ollowin• is re•u y.,; L�� ill ion-an incom•lete a.•lication will not be acce•ted. Please •rint le•ibl in in'� or •e. • PROPERTY INFORMATION tt: © - SITE ADDRESS ' ! S. Commons atiGteett SUITE/UNIT# Suite D2 ASSESSOR'S TAX/PARCEL# - LOT SIZE (s) LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) (Attach separate page for lengthy legal description) PROJECT INFORMATION 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 this permit onlu) Relocate 12 heads per plan PROJECT NAME(Name of Business or Owner Last Name) Claire s • PEOPLE INFORMATION PROPERTY NAME— t }— PRIMARY PHONE OWNER L-)st L &- S t ( � ( ( ) - MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Crown Fire Protection, Inc. Jessica Robinson (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 1 9 - 9 8 - 1 0 5 6 6 1 - B L 12 / 31 ) 05 (425 ) 481 - 8695 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE CROWNFP044LL 4 / 8 /07 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE SAME AS CONTRACTOR ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other (Describe) subcontractor ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS John J. Abel ( 425 ) 481 - 7669 .label@crownfp.com LENDER Per RCW 19.27.095: Lender information is NAME required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK" $ goo, no SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) -s PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.S STEMS BBQS FANS HOODS(Commercial) WOODST VES BOILERS FIREPLACE INSERTS RANGES MISC(Des ribe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. / �`� /, L NAME/TITLE r, / DATE p/J 0/OJT (Signature) Sulo, (Title) RELATIONSHIP T PROJECT 0 Owner 0 Agent A Contractor 0 Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? n YES ❑NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO