19-100159cljv O.
Federal Way
PERMIT NUMBER I 1
RECEIVEDPERMITAPPLICATION
JAN 10 2019 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + nermitcenter(a-,,Citvoffederal-,Nay.com
C MUNn DEVELOPMENT
1 O O
1-5 — TARGET DATE
_1/31/18 /
SITE ADDRESS
S ITE/UNIT #
33020 10th Ave SW F I Way, WA 98021
BLDG A
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 2500.00
N % 0 S O _ O 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING X FIRE PREVENTION
NAME OF PROJECT
Latitude Condominiums- Fire Panel Replacement
PROJECT DESCRIPTION
Replacement of GE Fire Shield FS502 Fire Panel due to failure.
Detailed description of work to
be included on this permit only
NAME
Latitude Condominiums
PRIMARY PHONE
253-840-1200
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
PO BOX 4579
conniec@asofwa.com
CITY
Houston
STATE
TX
ZIP 77210
NAM
Fire & Security
PHONE
P 253-627-7561
CONTRACTOR
MAILING ADDRESS
2111 S 90th Street
E-MAIL
service@evergreenfire.com
CITY
Tacoma
STATE
WA
ZIP
98444
FAX
WATATE CONTRACTOR'S LICENSE #
036117 Lic # EVERGFA979P7
EXPIRATION DATE
12/ 31 /18
FEDERAL WAY BUSINESS LICENSE #
20-12-102201-OOBL
NAME
PRIMARY PHONE
Evergreen Fire & Security
253-627-3794
APPLICANT
MAILING ADDRESS
2111 S 90th ST
E-MAIL
service@evergreenfire.com
CITY
STATEZIP
FAX
Tacoma
WA
98444
PROJECT CONTACT
NAM
y Ogren -Bedford
PRIMARYOPRIMARY PHONE
253-625-7561
MAILING ADDRESS
2111 S 90th St
E-MAIL
service@evergreenfire.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Tacoma
WA
98444
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 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 the city as a part of this application.
�tto�
�y D �/
SIGNATURE: i/ / DATE 1.2.2019
PRINT NAME: Amy Ogren -Bedford
Bulletin #100 — January 29, 2016 Page 1 of 2 k:AHandouts\Permit Application
MEC• HANICAL PERMIT VALUE
OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existigg fimwres to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many o each type offixture
to be installed or relocated as
part of this project. Dc not include existin�q ftxtures to remain.
BATHTUBS (or Tub/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
GARAGE ❑ CARPORT ❑
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
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
Additional Information
NEW BUILDING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
X Yes No
ii Yes ii No
RESIDENTIAL, - NEW ORADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
Additional Information
NEW BUILDING
SECOND FLOOR
ADDITION
COVERED ENTRY
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
DECK
Area in
Square Feet
Occupancy Group(s)
Construction
TvVe
# of
Stories
GARAGE ❑ CARPORT ❑
TOTAL BUILDING
OTHER (describe)
TENANT AI:I;A ONLY
Area Totals
EXISTING
PROPOSED
TOTAL
...............................................-................... -- — ------
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
TvVe
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AI:I;A ONLY
PROJECT AREA ONLY
Bulletin #100 — January 29, 2016 Page 2 of 2 k:AHandouts,Pennit Applialtion