18-104401,mo
RECEIVE®
SEP 172N
CITY OF FEDERAL WAY
C.OMMUNd TY DEVELOPMENT
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + ,permitcenter0>citvoffederalway.corn
PERMIT NUMBER -19- _ / 0 _1L
Q —1 _ F
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
34210 9TH AVE SOUTH
I
N/A 1 p
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL @
$ 6,560.04
N/A
9 2 6 4 8 0 _ 0 0 9 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING IN FIRE PREVENTION
NAME OF PROJECT
NW PUMP
ADD/RELOCATE HEADS FOR NEW TENANT LAYOUT
PROJECT DESCRIPTION
Detailed description of Mork to
be included on this permit only
NAME
PRIMARY PHONE
BREIT IND CANYON WAl W03 LLC
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
34200 9TH AVE S
CITY FEDERAL WAY
Wq
98003
NAME WESTERN STATES FIRE PROTECTION
PHONE 425-881-0100
MAILING ADDRESS 14690 NE 95TH ST
WMAIL
CONTRACTOR
CITY REDMOND
Wq
ZIP 98052
FAX 425-881-3030
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
WESTESF136QF
12 31 18
19 -99 -106476 -00 -BL
NAME
BROOKE HAMILTON
Y PHONE
PR206 455-4217
APPLICANT
'�I�°�DRESS
14690 NE 95TH ST
E-MAIL
BROOKE. HAM ILTONQa WSFP.
CITY
STATE
ZIP
FAR
REDMOND
Wq
98052
425-881-3030
NAME
PRIMARY PHONE
PROJECT CONTACT
BROOKE HAMILTON
206-455-4217
MAILING ADDRESS
WMAD'
(The individual to receive and
respond to all correspondence
14690 NE 95TH ST
BROOKE. HAMILTON WSFP.0
CI'T'Y
mp
FAx
concerning this application)
REDMOND
y�(qSTATE
98052
425-881-3030
PROJECT FINANCING
NAME
® 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 Iocal, 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 wheresuch claim ut of the r ' e of the city, including its officers and employees, upon the accuracy of the
information supplied tot ity as part �s Pp tion.
SIGNATURE: 57 DATE SEPT 14, 2018
PRINT NAME: 4dkOKE H
Bulletin #100 - January 29, 2016 Pale I of 2 k:\Handouts Permit Application
N,
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how man -v of each type of uture to be installed or relocated as part of this protect Do not include e.)dStirLq fLxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commerciai)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VA LUE OF PLUMBING WORK
PLUMBING PERMIT
N/A
LAKEHAVEN
LAKEHAVEN
N/A
EXISTING/PREVIOUS USE
Indicate how man_q of each type of
rxture to be installed or relocated as
part of this project. Do not include existing
fixtures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/ot iw
WATER HEATERS (E a vsc)
TENANT AREA ONLY
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
LAKEHAVEN
LAKEHAVEN
N/A
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
N/A
216,435
X Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND' FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
...
OTHER (describe)
..................................... .... ........................................
Area Totals MaS=G PROPOSM TMAL
"NEW ROAM ONLY**
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEw'BUMDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
70,676
TENANT AREA ONLY
25,130
PROJECT AREA ONLY
1,460
LIGHT
TENANT IMPRO
1
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts`Pennit Application