09-1018510
Federal LL V E DP E RM IT
COMMf 1 YDEVMPMENrSERVICES
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253-835-2607• FAX 25335- !r 3 y
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The folt R* 0r1 f`L ill'!_ reft- j6mplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFORMATION
SITE ADDRESS 32129 Weyerhaeuser Way South surmjU uT # 102
ASSESSOR'S TAX/PARCEL # ____ _ 215465 _ 0070 LOT SIZE (si
LEGAL DESCRIPTION (e.g. Acane Estates, Lot 1)
(Mach -V—�h' PdWba te,ge y teyol de rnpmry
PROJECT INFOR.NIAT ION
TYPE OF PERMIT ❑ BUILDING ❑ PLUM1WG O MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL i] ENGVlEERWG El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on 0* permit ontyJ
Install additions to fire alarm system for tenant improvement.
PROJECT NAME (Name of B sshMs_s or Owner Last Name) Meikle TI
PROPERTY
OWNER
C{OWRACTOR
V`
I
COM of mrd mga4ed
tift0-1bma-11- b
PROJECT
CONTACT
LENDER
EXISMG USE
PEOPLE ItiFORMATION
NAME
PANATTONIDEVELOPMENT
PRIMARY PHONE
( j
MAILING ADDRESS
CrLY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
Paladin Protection, Inc.
Kris Conner
( 253 ) 875
- 3016
MAILING ADDRESS
CITY, STATE, 21P
CELL PHONE
17404 Meridian East, W303
Puyallup, WA 98735
( 235 223
- 9464
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
20 -08 -104613 -00 -BL
( 253 ) 875
- 3025
CONTRACTORS REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
PALADP1926ND
08/04/2010
kris@paladinprotection.com
COMPANY NAME
APPIICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
REIA11ONSHIP TO PROJECr
❑ Architect ❑ Tenant 0 Agent ❑ Other
FAX NUMBER
NAME P PHONE E-MAIL ADDRESS
Kris Conner ( 253 ) 223 -9464 kris@paladinprotection.com
NAME
Per RCw 19.27.098:
Lender igtbrmation is required (fp%ect value exceeds $8,000
MAILING ADDRESS
CnY, STATE, ZIP
PHONE
( )
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3,280.00
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGEMMM ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 11 LAKEHAVEN ❑ ffiGiII 1NE ❑ PRIVATE (SEPTIC)
/''s
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
ADDITIONAL FLOORS (DESCRIBE)
UP/SEPA/SU?
❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
103'
rsoroSID
zMN,
rurALsmwvraw
IMAM mw
ro"19 w
"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 existing furfures to remain.
Value of Mechanical Work
(A COPY OF BID OR ES71MATE 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 (c.snnevia9
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS ('rub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRLC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Smits)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
�— WATER CLOSETS (Cullet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY?
I cert)jg under penalty of perjury that the igFormation 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 perforin 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'few incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, and filed against the City Rf Piederal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the irlformation supplied to the city as a part of
this application.
NAME/TITLE _____PATE 5/12/2009
tzswature) [Rile)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent til Contractor ❑ Architect ❑
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT iMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PIAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 -January 1, 2007 Page 2 of 4 k\Handouts\Permit Application