18-10507041k
CITY OF
Federal Way
PERMIT NUMBER —1a
RECEIVED
OCT 26 2018 PERMIT APPLICATION
CITY OF FEDERAL. WAY % PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
COMMUNITY DEVELOPMENT 253-835-2607 + FAX 253-835-2609 + permitcenterCa)cityoffederalway.com
TARGET DATE
SITE ADDRESS
31360 43rd PL SW
SUITE/UNIT •
PROJECT VALUATION
$ 9500
ZONING
A88E880R8 TAR/PARCEL •
1 _ _ _7876304120
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING XI FIRE PREVENTION
NAME OF PROJECT
So u n dvi ew Manor 1 a
PROJECT DESCRIPTION
Detailed description ofuvork to
Install NFPA13 Multi -Purpose firesprinkler s stem
be included on this permit only
NAME
PRIMARY PRONE
PROPERTY OWNER
Quadran Homes
425 748-4696
NAMING ADDRESS 15900 SE Eastgate Way, Suite 300 caro
yn.young@quadranthomes.com
CITY Bellevue
SWA I
98008
NAME
PHONE
Peltram Plumbing, LLC
(253) 891-8781
NAMING ADDRESS
1929 West Valley Hwy S.
E -MAH,
clydew@peltramplumbing.com
CONTRACTOR
CITY
Auburn
STATE
WA
ZIP
98327
FAX
(253) 891-9248
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSDCCSS LICENSE i
UBI 604295656
12/31/2010
19-85-000003-00-131-
9-85-000003-00-BLNAM
NAM
Clyde Ward
PRIMARY PHONE
(253)
APPLICANT
NAMING ADDRESS 1929 West Valley Hwy S.
clyd@peltramplumbing.com
CITY
Auburn
STATE
WA
ZIP
98327
FAX
(253) 891-9248
PROJECT CONTACT
NAME
Same as Applicant
PRIMARY PHONE
(253) 891-9248
NAMING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
HANE
❑ OWNER -FINANCED
When value is $'5,000 or more
(RCW 19.27.095)
NAMING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best
of my knowledge, the injbrmation 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 authorised 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 j9urther 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 clam, which may be made by any person, including the undersigned, and flied 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 apart of this application.N�L
A�tSIGNATURE: q. `r a4 9t. DATE 10/26/2018
PRINT NAME: Clyde Ward
Bulletin #100 – January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application