18-102869 ,"" ... PERMIT
ITV OF
APPLICATION
Federal Wad j PERMIT CENTER+33325 8th Avenue South� �� y.,�• 03-6325
�r i ,J 253-835-2607+FAX 253-835-2609+permitce r.'' ...com
( g z C JUN z s 2018
PERMIT NUMBER _ CITY OF FEDERAL WAY
TARGET DATE
SITE ADDRESS SUITE/UNIT#
1413 S 348th St, 104
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 185295-0090
$ 4,500 _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING cst FIRE PREVENTION
NAME OF PROJECT Mattress Firm
Demo existing Fire Alarm notification devices in tenant space.
PROJECT DESCRIPTION
Detailed description of work to Add 7 new notification devices to new TI layout.
be included on this permit only
NAME PRIMARY PHONE
Federal Way Crossings
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
Fire Systems West 253-833-1248
MAILING ADDRESS 206 Frontage Rd N, Suite C E-MAIL
CONTRACTOR AIexK@firesystemswest.com
CITY STATE ZIP FAX
Pacific WA 98047 253-735-0113
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FireSWI055LW 12 31 18 '19-87-000014-00-BL
NAME PRIMARY PHONE
Alex Kawalec
APPLICANT MAILING ADDRESS E-MAIL See Above
See Above
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT Alex Kawalec
(The individual to receive and MAILING ADDRESS
respond to all correspondence See Above E-MAIL See Above
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 applica .n.
SIGNATURE: j DATE 6/29/18
(
PRINT NAME: Alex Kawalec
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application