08-104595PROPERTY
OWNER
NAME
PANATTONIDEVELOPMENT
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CITY OF iY
Federai a p' ....: RMIT
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SF MF
CO ME EL PL DE EN P
COMMUNITY DEVELOPMENT SERVICES
17404 Meridian East, #F303
333258-PU WAY,
FEDERAL WAY,AX 98063-9718
A,UE WA 98 POBOX 97'8sty APPLICATION
253-835-2607• FAX 253-835-2609
( 235 ) 223 - 9+64
�Devz
EXPIRATION DATE
The foUowire" ur `ir t 4W"ete application will not be accepted. Please print legibly rin irW or type.
PROPERTY INFORNUITION
SITE ADDRESS 32129 Weyerhaeuser Way South
SUITE/UNIT it
ASSESSOR'S TAX/PARCEL it _ _ 215465 _ - 0070
LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
E-MAIL ADDRESS
(Attach wparcae a?w.for k -low legid d—Y"iwd
08/04/2010
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING
FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Install additions to fire alarm system for tenant improvement.
PROJECT NAME (Name of Business or Owner Last Name) Visser
PEOPLE •. •
PROPERTY
OWNER
NAME
PANATTONIDEVELOPMENT
PRIMARY PHONE
( } -
Paladin Protection, Inc.
MAILING ADDRESS
CITY, STATE. ZIP
E-MAIL ADDRESS
CONTRACTOR
COPY of ewd rw d•ad
with awh appHmflon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLJCANTNAME
OFFICE PHONE
Paladin Protection, Inc.
Kris Conner
( 253 ) 875 - 3016
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
17404 Meridian East, #F303
Puyallup, WA 98735
( 235 ) 223 - 9+64
OF FEDE AY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
C�xjJ^._
v�lwh^1Y✓tel
—
( 253 ) 875 3025
CONTRACTOR'S REGISTRA N NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
PAl AD 1926ND
08/04/2010
kris@paladinprotection.com
COMPANY E
APPLICANTNAME
OFFICE PHONE
MAILINGADDRESS
CITY. STATE. ZIP
CELLPHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant o Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
Kris Conner 1( 253 ) 223 -9464 1 kris@paladinprotection.com
NAME
Per RCW 19.27.095:
Lender iMbrmation is required €f project ualue exceeds $5,000
MAILINGADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $, VALDE OF PROPOSED WORK $. 4050.00
SPRINELERED BUILDING? in YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? [❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKRMVEN ❑ MGffi INE o PRIVATE (SEPTIC)
PROJECT ••• AREAS
ARBA DESCRIPTION EXISTING
FT.
PROPOSED TOTAL
SQ, FT. SQ. FT.
BASEMENT
BBQS
FIRST
GAS WATER HEATERS MISC (Describe)
SECOND
FIREPLACE INSERTS
THIRD
COMPRESSORS
ADDITIONAL FLOORS (DESCRIBE)
RANGES
DECK (E] COVERED OR ❑ UNCOVERED?)
GAS LOG SETS
GARAGE ❑ CARPORT ❑
CHANGE OF USE?
NUMBER OF FLOORS
�rM
moron®
rarAl. rvrec�rAcar
TOrALmOFfA�SP raMBF
•"NEW HOMES ONLY•• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of J cure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
of Mechanical Work
(A COPY OF BID OR ES17MA7E MUST BE INCLUDED WrM APPLICA77ON)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS wTLb/Sho combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
IAVS (Baih—St.).) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS YrM&O
SINKS WASHING MACHINES
SUMPS
I cert(fy under penalty of perjury that the irIformation furnished by me is true and correct to the best of ray 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 Qf 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, including its o- icers and employees, upon the accuracy of the information supplied to the city as a part of
this application. /�
NAME/TITLE P'A'C S DATE 9/22/2008
(s>1 (nue)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Ed Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
D NEW D ADDITION
D ALTERATION
D REPAIR D TENANT OdPROVEMENT
BUILDING SHELL ONLY? D YES D NO
BASIC PLAN?
D YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
D YES
D NO
NEW ADDRESS REQUIRED? DYES D NO
UP/SEPA/SU?
DYES
a NO
PLATTED LOT? DYES D NO
DEMO PERMIT UIRED?
D YES
D NO
Bulletin #100 — January 1, 2007 Page 2 of 4 MHandoutsTermit Application