18-103902RECEIVE®
ITYD� G� AUG 23 20% PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMT CrXT=; 33325 81h Avenue South + Federal Way, WA 98003-6325
(IN(NUNrN DEVELOPMENT 253-835-2607 + FAX 253-835-2609 + permitcenterQcitvoffederalwav.com
PERBUT NUMBER / _ / d 3 l / k — —E
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
2505 S 320th St
105
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL @
$ 4,500
_ _ _ 797820-0535 _
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING N FIRE PREVENTION
NAME OF PROJECT
Lobel Financial TI
ADD / RELOCATE 15 SPRINKLERS FOR TENANT IMPROVEMENT WALLS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRDffARY PHONE
MJR Development
425-822-4466
PROPERTY OWNER
MAHdNGADDRESS
E -MAH.
6725 116th Ave, Suite 100
CITY
STATE
ZIP
Kirkland
WA
98033
NAME
PHONE
FIRE SYSTEMS WEST
253-833-1248
MAUMO ADDRESS
R -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 9
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
FIRESWI 140131
12 31 2018
19 -87 -000014 -00 -BL
NAME
PRIMARY PHONE
FIRE SYSTEMS WEST
253-833-1248
APPLICANT
MAUJNG ADDRESS
206 FRONTAGE RD N, SUITE C
&MAH.
CITY
STATE
ZIP
FAX
PACIFIC
WA
98047
253-735-0113
NAME
PRDHARY PHONE
PROJECT CONTACT
THERON DAVIS
253-833-1248
MAD.ING ADDRESS
206 FRONTAGE RD N, SUITE C
E -MAD.
THEROND@FIRESYSTEMSWEST.COM
(The individual to receive and
respond to all correspondence
CI'T'Y
PACIFIC
STATE
WA
I ZIP
98047
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or nwre
MAUMG 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 deral Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such clainq, tch may be made by any person, including the undersigne4 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
irIformation supplied to the city as a part o his application.
SIGNATURE: 1� DATE 8/23/18
PRINT NAME: Theron Davis
I/
Bulletin #100 — January 29, 2016 Pagel of 2 kAHandouts\Permit Application