19-100925CITY OF
Federal Way
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Fe25
253-835-2607 + FAX 253-835-2609 + permitcenteirccitlo c a
PERMIT NUMBER / _ / 0 O 4� A,5 _ P -P
FEB 2 6 2 19
TARGET DATE CI
PMFNT
BITE ADDRESS
SUITE/UNIT #
164 SW CAMPUS DR
/ I)
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 4,300.00
_ 4 1 5 9 2 0_ 0 7 1 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING AFIRE PREVENTION
NAME OF PROJECT
STARBUCKS
ADD OR RELOCATE SPRINKLERS FOR TENANT IMPROVEMENT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
FEDERAL WAY COVENANT GROUP LLC
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
17000 RED HILL AVE
CITY
STATE
ZIP
IRVINE
CA
I
92614
NAME
PHONE
FIRE SYSTEMS WEST
253-833-1248
MAMING ADDRESS
It -MAIL
CONTRACTOR
206 FRONTAGE RD N, SUITE C
PAULB@FIRESYSTEMSWEST.COM
CITY
STATE
ZIP
FAX
PACIFIC
WA
98047
253-735-0113
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
FIRESWI 140131
12 / 31 2018
216019 -87 -000014 -00 -BL
NAME
PRIMARY PHONE
FIRE SYSTEMS WEST
253-833-1248
APPLICANT
MAILING ADDRESS
206 FRONTAGE RD N, SUITE C
E-MAIL
CITY
STATE
ZIP
FAX
PACIFIC
WA
98047
253-735-0113
NAME
PRIMARY PHONE
PROJECT CONTACT
PAUL BEAKMAN
253-833-1248
MAILING ADDRESS
206 FRONTAGE RD N, SUITE C
E-MAIL
PAULB@FIRESYSTEMSWEST.COM
(77w. individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PACIFIC
WA
I 98047
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27095)
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 in/ormation 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 Jor 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 to the city as a part of this application.
SIGNATURE: Pad lea"" DATE 2/26/19
PRINT NAME, Paul Beakman
Bulletin 4 100 - January 29, 2016 Page 1 of 2 k:\Handouts`,Perniit Application