09-103927CITY OF `.
Federal Wa
P
ERMIT
COMMUNDY DEVEOPMET SERVICES
3332FED Y+�97X971S�A.W-97
253-735-2607• FAX 253-335-2609 ATI O
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www.citewttererahnau.corn feo4
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The following ' for- an incomplete application will not be accepted. Please print legibly (in ink) or Type.
SITE ADDRESS 32129 Weyerhaeuser Way South
ASSESSORS TAX/PARCEL # _ _ 215465 _ _ _ _ 0070
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
■ PROJECT INFORNLATION
svrmlUNIT * 104
LOT SIZE (sl
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING EI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onto)
Install additions to fire alarm system for tenant improvement.
PROJECT NAME (Name of Business or Oumer Last Name)
PROPERTY
OWNER
CONTRACTOR
Corr of wa rep4ed
with aueh appUcafl a
PROJECT
CONTACT
LENDER
EXISTING USE
(Lxn'
NAME -..__- -
PANATTONIDEVELOPMENT
PRIMARY PHONE
( ) -
MAIUNG ADDRESS
CITY. STATE. ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINGADDRESS
Paladin Protection, Inc.
Kris Conner
( 253 ) 875
- 3016
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
17404 Meridian East, #F303
Puyallup, WA 98735
( 235 ) 223
- 9464
CTIY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
20-08-104613-00-131-
12/31/2009
( 253 ) 875
- 3025
CONTRACTOR'S REGISTRATION NUMBER
F.XPIRAIION DATE
E-MAIL ADDRESS
PALADP1926ND
08/04/2010
kris@paladinprotection.com
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINGADDRESS
CITY, STATE, ZIP
CELL PHONE
REIATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
Kris Conner ( 253 ) 223 -9464 1 kris@paladinprotection.com
NAME
PerRCCW 29.27.095:
Lender btfornwimn is tfproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK , 3,080.00
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSBD/RKQVIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAHEHAVEN ❑ HIGHIMM ❑ TACOMA ❑ PRIVATE ('WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN n HIGHLINE 0 PRIVATE (SEPTIC)
. #I
PROJECT•• -
AREA DISC
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
89. FT.
BASEMENT
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
FIRST
ELECTRIC WATER HEATERS
SINKS
WASiIING MACHINES
SECOND
SUMPS
❑ NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
a YES
a NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES ❑ NO
IIP{SEPA/SU?
Q YES
DECK (❑ COVERED OR ❑ UNCOVERED
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT
GARAGE ❑ CARPORT ❑
o NO
NUMBER OF FLOORS
mr,.,
rvru.MM1W
TMAIPo�m
rorAISr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESIiMATFD SF113NG PRICE $
Indicate number of each type of tfure to be installed or relocated as part of this project Do not include existing jklures to remain.
Value of Mechanical Work $ (A OOPYOF BID OR ESTIMATE MUST BE INCLUDED WIIgI APPI ICATTOM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRFS,SOIIS
DUCTS
EVAPOR&TWE
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
• r•i.
BATIPIUBS t-Tubtsh—c-."
LAVS (aaan,.„,o mkq
URINALS MISC (Describo
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (r d q
ELECTRIC WATER HEATERS
SINKS
WASiIING MACHINES
HOSE BIBBS
SUMPS
❑ NO
I certfy 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 for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including casts, expenses, and attorneys' foes incurred in the investigation and defense of
such clama 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 neliarwe of the ely. u- udieg its a$scers and employers, apart the add of the bt&r matum supplied to the city as a part of
this application.
NAMEfTITLE /�W DATE
10/7/2009
RELATIONSHIP TO PROJECT o Owner ❑ Agent d Contractor o Architect ❑ Other
EOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR o TENANT HdPROVEMENT
BUUMING SHELL ONLY?
a YES ❑ NO
BASIC PLM(?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
IIP{SEPA/SU?
Q YES
6 NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT
et YES
o NO
Bulletin #100 - January 1, 2007
Page 2 of 4
MandoutsWermit Application