11-103759ry* {AECE1VEtpERMIT
Federal ay
COMMUNI7YDEVELOPMENTSERVI_ggaP 16 L"�"PLICATION
253-835-2607• FAX 253-835-260Yf
wunu. cituoffederalwau.corn
CITY nF FEDERAL WAY
4P- -lLa 1 L? C
SF MF CO ME PL DE E FP
SITE ADDRESS 0
SUITE/UNIT Y
2800 SW 300th PL
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
7994.00
Q -A— -1.
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING S FIRE PREVENTION
NAME OF PROJECT
rlenant Name/Homeowner Last Name)
Martin Residence
New residential fire system installed per NFPA13D
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Michael J & Pamela M Martin
MAILING ADDRESS
E-MAIL
2800 SW 300th PL
CITY
STATE
ZIP
Federal Way
WA
0% '3
NAME
PHONE
Red Hawk Fire Protection, LLC
253-840-9900
MAILING ADDRESS
E-MAIL
CONTRACTOR
1002 N Meridian, Suite 100 Box 2274
danielr@redhawkfp.com
CITY
STATE
ZIP
FAX
Puyallup
WA
98371
800-591-4382
WA STATE CONTRACTOR'S LICENSE /
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
REDHAHF901QP
NAME
PHONE
Daniel Radloff
253-840-9900
APPLICANT
MAILING ADDRESS
1002 N Meridian, Suite 100 Box 2274
E-MAIL
danielr@redhawkfp.com
CITY
STATE
ZIP
FAX
Puyallup
WA
98371
800-591-4382
PROJECT CONTACT
NAME
PHONE
rrhe individual to receive and
Richard Moye
253-840-9900
MAILING ADDRESS
1002 N Meridian, Suite 100 Box 2274
E-MAIL
richardm@redhawkfp.com
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
Puyallup
WA
98371
800-591-4382
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
Daniel Radloff
253-307-9940
danielr@redhawkfp.com
PROJECT FINANCING
Required value of $5,000 or more
NAME
Michael Martin
OWNER -FINANCED
MAILING ADDRESS, CITY. STATE, ZIP
PHONE
(RCW 19.27.095)
2800 SW 300th PL Federal Way, WA 98003-5205
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 irtformation 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
iriformation supplied to the city as a part of this application.
SIGNATURE: y DATE 09/16/2011
PRINT NAME: Daniel Radloff
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
1
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offudure to be installed or relocated as part of this project. Do not include existing furfures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (band sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/unty)
WATER HEATERS (Elecndc)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
Additional Information
, 5x m rzs
o
11"AAFa
� �
r.111
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPR7R SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes 0' No ❑ Yes ❑ No
TENANT AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\1iandouts\Permit Application
Area
Construction # of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
a Stories
A $ INSf�
a
JA
'ig' ��4
i
ADDITION
t t�rTZ,y
a
m
Area
Construction # of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
is Square Feet
Type Stories
TENANT AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\1iandouts\Permit Application