12-102278RECEIVE
Federal WY 2 3 2012 PERMIT
COMMUNITY DEVEWPMENT SERVICES APPLICATION
253-835-2607• F -
wW�:�uyo�eae_______a_°-- FEDERAL WAY
CDS
i0-�
o �z
SF MF CO ME PL DE EN FP
SITE ADDRESS
SUITE/UNIT S
2506 S. 317TH ST, FEDERAL WAY, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL 8
3700
1 5 4 1 8 0_ 0 0 0 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
ITenantName/HomeoumerLast Name)
CHELSEA COURT CONDOMINIUMS
THE SCOPE OF THIS PROJECT IS TO REPLACE THE EXISTING HARD WIRED SMOKE DETECTORS
PROJECT DESCRIPTION
Detailed description of work to
WITH WIRELESS BATTERY OPERATED SMOKE DETECTORS.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILMG ADDRESS
E -MAD.
CITY
STATE
ZIP
NAME
PHONE
SMITH FIRE SYSTEM MANAGEMENT
MAIIdNG ADDRESS
1106 54TH AVE E
E-MAIL
CONTRACTOR
CITYSTATE
ZIP
FAX
TACOMA
WA
98424
WA STATE CONTRACTOR'S LICENSE R EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
SMITHFS946LO 6 20 12
200610470900BL
NAME
SMITH FIRE SYSTEMS MANAGEMENT
PHONE
253-248-2004
APPLICANT
MAHMG ADDRESS
1106 54TH AVE E
E-MAIL
SJERKE@SMITHFIRE.COM
CITY
STATE
ZIP
FAX
TACOMA
I
WA
98424
253-926-0726
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
SMITH FIRE SYSTEMS MANAGEMENT
253-248-2004
MAILING ADDRESS
1106 54TH AVE E
E-MAILE-MA
SJERKE@SMITHFIRE.COM
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
TACOMA
WA
98424
253-926-0726
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I cert(fy 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 ir{formation 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 o eral Way as to any m (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such cla' , wh ch may be made any person, including the undersigned, and filed against the city,
but only where such claim arises out the fiance of the ty, including its officers and employees, upon the accuracy of the
information supplied to the city asap oft application.
SIGNATURE: DATE 5/23/12
PRINT NAME.• SCOTT JERKE
Bulletin #100 —January 1, 2011 Page 1 of 3 kAHandouts\Permit Application