18-103326 RE...L,HVEDPERMIT APPLICATION
curt OF
Federal JUL 27 2018 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
1 U L. 253-835-2607+FAX 253-835-2609+permitcenter#lcityoffederalway.com
CITY OF FEDERAL WAY
/
COMMUNITY DEVELOPMENT y�//�
PERMIT NUMBER x _ / / / 3 „ _ F/ TARGET DATE
SITE ADDRESS 3 (/ 1 SUITE/UNIT#
33820 Weyerhauser Way S 110
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5000 215466-0040 _
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑DEMOLITION ❑ ENGINEERING Mi FIRE PREVENTION
NAME OF PROJECT Credit Human Office TI
ADD/RELOCATE 21 SPRINKLERS FOR TENANT IMPROVEMENT WALLS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
MJR Development 425-822-4466
PROPERTY OWNER MAILING ADDRESS E-MAIL
6725 116th Ave,Suite 100
CITY STATE ZIP
Kirkland WA 98033
NAME PHONE
FIRE SYSTEMS WEST 253-833-1248
MAILING ADDRESS E-MAIL
CONTRACTOR 206 FRONTAGE RD N,SUITE C THEROND@FIRESYSTEMSWEST.COM
CITY STATE ZIP FAX
PACIFIC WA 98047 253-735-0113
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI 140B1 12 31 2018 19-87-000014-00-BL
NAME PRIMARY PHONE
FIRE SYSTEMS WEST 253-833-1248
APPLICANT MAILING ADDRESS E-MAIL
206 FRONTAGE RD N,SUITE C
CITY STATE ZIP FAX
PACIFIC WA 98047 253-735-0113
NAME PRIMARY PHONE
PROJECT CONTACT THERON DAVIS 253-833-1248
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence 206 FRONTAGE RD N,SUITE C THEROND@FIRESYSTEMSWEST.COM
concerning this application) CITY STATE ZIP FAX
PACIFIC WA 98047
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 o ederal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim), ,hich may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of t reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part
',this application.
SIGNATURE: /[ DATE 7/27/18
PRINT NAME: Theron Davis
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application