10-104034RECEIVED6
.. CITY OF ;( %>>P��
Federal way PERMIT
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333158TI1A6 JE.° -P° PLICATION
FEDERAL WAY. WA 98063-970ii1 y� 111) � / I �o
253-835-2607• FA -1, 53-835-
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The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY• •
SITE ADDRESS 32129 Weyerhaeuser Way South SUITE/UNIT # 203
ASSESSOR'S TAX/PARCEL # _ 2 � '554655 _ _ 0070 LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(AIGch —pmnle page.lor lengthy legal n'—ipli—)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING r✓J 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) Puget Sound Health Partners TI
PROPERTY
OWNER
CONTRACTOR
COPY of card required
ith each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
NAME
PANATTONI DEVELOPMENT
PRIMARY PHONE
( ) -
MAILING ADDRESS
CITY, STATE, 'ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICF, PHONE
MA[L[NG
Froula Alarm Systems, Inc.
Kris Conner
( 206 ) 575
- 1962
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
861 Industry Drive
Tukwila, WA 98188
( 253 ) 753
- 6660
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
19 -98 -105635 -00 -BL
12/31/2010
( 253 ) 875
- 3025
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
FROULAS122DS
03-10-2012
kris@froulasolutions.com
COMPANY NAME;
!414
APPLICANT NAME;
OFFICE PHONE
( ) -
MA[L[NG
CITY, STATE, ZIP
CELL PHONE
( ) -
RELAHONSHIP TO PROJECT ,,-,,,� w�
ux
FAX NUMBER
❑ Architect ❑ Tenant F1 Agent [///Other 1Ya-div
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
Kris Conner ( 253 ) 753 -6660 kris@froulasolutions.com
NAME
Per RCW 19.27.095:
Lender information is
required if project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4500'00
SPRINKLERED BUILDING? in YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Ah
Alm
PROJECT..•
AREA DESCRIPTION
AREAS
EXISTING PROPOSED
SQ. FT. SQ. FT.
TOTAL
SQ. FT.
BASEMENT
FANS
GAS WATER HEATERS MISC (Describe)
FIRST
FIREPLACE INSERTS
HOODS (comm ,i.p
SECOND
FURNACES
RANGES
THIRD
GAS LOG SE'T'S
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
UP/SEPA/SU?
❑ YES
GARAGE ❑ CARPORT ❑
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING SF TOTAL PROPOSID SF
TOTAL SF
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work
(ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (comm ,i.p
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SE'T'S
REFRIG. SYSTEMS
BATHTUBS (W[bb/Sh.— c.,,,ho)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAYS Isa(h,n Snks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS MISC (Describe)
VACUUM BREAKERS
WATER CLOSETS Cratoi)
WASHING MACHINES
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. Iq l
NAME/TITLE � DATE
(Signature) {Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent d Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
to NEW L7 ADDITION
c ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES F_- NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? EYES ❑ NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 –January 1, 2007 Page 2 of 4 kWandoutsTennit Application