08-104598-�k /0y
cive OF 07-
Fede ral CE1\i`!*D
PERMIT
SF MF CO ME EL PL DEE P
COMMUNITY DEVELOPMENT SERVICES
33325 8 -
WA, WPIFI•POBOX 97,8 2 2Q°APPLICATION
FEDERAL WAY, WA 98063-9718 `� P A
253-835-2607• FAX 253-835.2609
The folio I�s1 �A - an inccmi plete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORIPYLATION
SITE ADDRESS 32129 Weyerhaeuser Way South SUITE/UNZT 200
ASSESSOR'S TAX/PARCEL # _ _ 2154655 _ - 0070 LOT SIZE (sf1
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Gtaom -p—de~f.,>enift lq> dd—rlanN
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑
❑ DEMOLTPION ❑ ELECTRICAL ❑ ENGINEERINGNWIPIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaLLd description of work included on this permit dniu)
Install additions to fire alarm system for tenant improvement.
PROJECT NAME (Name of Business or Owner Last Name) US Air Force
PROPERTY
OWNER
CONTRACTOR
COPY oro
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
0 PEOPLE INFORMATIOY l
NAME
PANATTONI DEVELOPMENT
PRIMARY PHONE
( ) -
MAILING ADDRESS
CITY, STATE. Z[P
E-MAIL ADDRESS
COMPANY NAME
APPllCANTNAME
OFFICE PHONE
Paladin Protection, Inc.
Kris Conner
( 253 ) 875 - 3016
MAILING ADDRESS
CITY, STATE, ZIP
CELLPHONE
17404 Meridian East, #F303
Puyallup,WA 98735
( 235 ) 223 - 9464
CITY OF FEDERAL WAY BUSINESS CENSE NUMBER
7T0N DATE
FAX NUMBER
CXV� 11
-
( 253 ) 875 3025
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
PALADP1926ND
08/04/2010
kris@paladinprotection.com
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINGADDRESS
CITY. STATE. IJP
CELL PHONE
RELATIONSHIP TO PROJECT
o Architect o Tenant o Agent o Other
FAX NUMBER
( } -
NAME PRIMARY PHONE E-MAIL ADDRESS
Kris Conner I ( 253 j 223 - 9464 1 kris@paladinprotection.com
NAME
Per RCW 19.27.095:
Lender tr}formation is required (f project oWue exceeds $8,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK g 2985.00
SPRINffi.ERED E ILDING? in YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER o LAKEMVEN o ffiG1112M o TACOMA o PRIVATE ('WELT.)
SEWER SERVICE PROVIDER o I-03MAVEN o MGE1I*NE o PRIVATE (SEPTIC)
PROJECT ••• AREAS
AREA DESC ION EXISTING
FT.
PROPOSED TOTAL
SQ. FT. SQ. FT.
BASEMENT
EVAPORATIVE COOLERS
FIRST
BBQS
SECOND
GAS WATER HEATERS MISC (Describe)
THIRD
FIREPLACE INSERTS
ADDITIONAL FLOORS (DESCRIBE)
COMPRESSORS
DECK (❑ COVERED OR ❑ UNCOVERED?)
RANGES
GARAGE ❑ CARPORT ❑
GAS LOG SETS
NUMBER OF FLOORS
o NO
MOrCMM
rorecsP
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures xtures to remain.
Value of Mechanical Work $
(A COPY OF BID OR ES'71MA7E MUST BE INCLUDED WIITI APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c—ciaii
COMPRESSORS
FURNACES
RANGES
DUCI'S
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (-i'.b/sh—combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
IAVS patbmomsmxa
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS rroum
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? o YES o NO
I cert{fy 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 authorised by the owner of the above premises to perform the work far 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, aced 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. I
NAME/TITLE
(Signature)
RELATIONSHIP TO PROJECT ❑ Owner o Agent d Contractor
(nue)
❑ Architect
❑ Other
9/22/2008
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
c REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES ❑ NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 — January 1, 2007 Page 2 of 4 k\Handouts\Permit Application