18-103509RECEIVED
Clwof .,.. AUG
PERMIT APPLICATION
AUG
� �r�l Way
� 0 7 2018J� PERMT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
j/�/ CITY OF Fi Ccfi4,L 253-835-2607 + FAX 253-835-2609 +yermitcenterPacityoffederalwav.com
Y:'.4t'
COMMUNITY
PERMIT NUMBER _ 0 _
[[[ ® TARGET DATE
SITE ADDRESS
/UNIT @
33455 6th ave s Federal WaySUITE
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL @
$ 6,800
—92 -1550W34 -G — — - — — — —
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING E TIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
tENNAR
Add new heads in new ceiling areas, total 29
be included on this permit only
NAME
PRIMARY PHONE
Edifice Investors Ile
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
NAME
PHONE
First Defense Fire Protection
MAILING ADDRESS
10212 215th Ave S.E. Snohomish WA 98290
E-KAIL Dv
%ei (
CONTRACTOR
CITY
Snohomish
STATE
WA
ZIP
98290
FAX �1
WA STATE CONTRACTOR'S LICENSE @
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE @
firstdf981 rp
NAME
PRIMARY FHONE
Lamonte Mang
APPLICANT
MAILING ADDRESS
10212 215th Ave S.E. Snohomish WA 98290
CITY
STATE
ZIP
FAX
Snohomish
WA
98290
q
NAME
PRIMARY PHONE
PROJECT CONTACT
Lamonte
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
Same as above
E
CITY
STATE ]zIP
FAX
concerning this application)
PROJECT FINANCING
NAME
Ek OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
206-571-3955
1 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. 1 certify that 1 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 ownees 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 application.
SIGNATURE:DATE 8/6/18
PRINT NAME: Lamonte Mang
Bulletin #100 — January 29. 2016 Page 1 of 2 k:\Handouts\Permit Application
•
41 . , r
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how Many of each type ofjixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FARE SPRINKLER SYSTEM?
Indicate how magy of each type o
re to be installed or relocated as
part of this project. Do not include existingfwtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (H—dSinka)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FARE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
I� Yes ❑ No
❑ Yes o No
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Ilandouts\Permit Application