14-106053CITY OF ,A
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
www.cituoffederalway_com
OPERMIT
APPLICATION
4_ q l
MF CO
14— i -601t)53 ,t=p
C��a53
ME PL E FP
SITE ADDRESS SUITE
30026 20th PL SW
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ 7,798
0 1 2 1 0 3 - 9 0 1{ 3
TYPE OF PERAUT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeowner Last Name)
Wall Residence
Red Hawk Fire Protection, LLC will provide one wet pipe automatic sprinkler system to protect the
PROJECT DESCRIPTION
Detailed description of work to
home. KMINVED
be included on this permit only
PROPERTY OWNER
.�s�rg�I`Karen �/Va1 CITY OF FEDERAL WAY
Y PH NE
(2PR 06 304-9693
1WAn-1NG ADDRESS
E-MAIL
3021 18th Ave SW
CITY
STATE
ZIP
Federal Way
WA
98023
.
NAME
PHONE
Red Hawk Fire Protection, LLC
(253) 840-9900
MAILING ADDRESS
E-MAIL
CONTRACTOR
1002 N Meridian Suite 100 Box 227
CITY
Puyallup
STATE
WA
ZIP
98371
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
REDHAHF901QP
12 / 30 / 14
20 -11 -103793 -00 -BL
NAME
Red Hawk Fire Protection, LLC
PHONE
(253) 840-9900
MAUJNG ADDRESS
1002 N Meridian Suite 100 Box 227
E -MAI.
- APPLICANT
CITY'
Puyallup
WA
Z<P
98371
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
Vadim Timoshchuk
253) 840-9900
MAELMG ADDRESS
1002 N Meridian Suite 100 Box 227
E -MAH,
VadimT@RedHawkFP.com
respond to all correspondence
concerning this application)
CITY
Puyallup
STATE
WA
ZIP
98371
FAX
ALTERNATE CONTACT NAME:
PHONE
F—MAIL
Dave Fox
(253) 840-9900
DavidF@RedHawkFP.com
PROJECT FINANCING
Required value of $5,000 or more
NAME
Red Hawk Fire Protection, LLC
OWNER -FINANCED
MAHMG ADDRESS, CITY. STATE, ZIP
1002 N Meridian Suite 100 Box 227
PHONE
(253) 840-9900
IRCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best
of my knowledge, the igformation 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 rises out of the reliance of the city, including its officers and employees, upon the accuracy of the
igformation supplied tot city as apart of this application.
SIGNATURE: DATE 1 2
PRINT NAME: Vadim Timoshchuk
Bulletin #100 -January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application