19-100700RECEIVED PERMIT APPLICATION
CITY ^',f >n
AO FEB 1 Z 2019 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609+)errnitcezrter(irkitvoffederalwat.corra
CITY OF FEDERAL WAY
COMMUNrTY DEVELOPMENT"
PERMIT NUMBER —/ I _ —/ �Qf % � 0 _
�! TARGET DATE
SITE ADDRESS
SUITE/UNIT N
1066 S 320th St.
BLDG K
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 2590.00
CF
3 2 7 8 0 0 0 0 0 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT
F Way Desert Shop
Add/relocate sprinkler heads to existing fire protection system. Add pendent
PROJECT DESCRIPTION
heads for new ACT ceiling in Kitchen and Bathroom areas, and relocate/ add
Detailed description of work to
upright heads to accommodate new walls, in accordance with NFPA-13.
be included on this permit only
NAME
PRIMARY PHONE
F Way Desert Shop (Kevin)
(253).398.4018
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
1066 S 320th St.
CITY
Federal Way
STATE
WA I98003
ZIP
NAME Columbia Fire
PHONE
MAILING ADDRESS 111 S Findlay Street
E-MAIL
CONTRACTOR
CITY
STATE
ZIP 98108
FAX
Seattle
WA
WA STATE CONTRACTOR'S LICENSE X
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
COLUMFI952MG
12/ 31 / 19
20-09-100457-OOBL
NAME Carlie Mantel
PRITM1052.8569
APPLICANT
MAILING ADDRESS
111 S Findlay Street
E-MAIL
carlie@columbiafire.net
CITY Seattle
IMT
ZIP 98108
FAX (206).340.6100
NAME Carlie Mantel (same as above)
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 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 to the city as a part of this a lication.
1
/ i
�4 "
SIGNATURE: - /" DATE
CARLIE M TEL
PRINT NAME:
Bulletin #100 - January 29, 2016 Page 1 of 2 k:�Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PF..RMIT $
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
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
--
--
--
2,590.00
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing res to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
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
--
--
--
2,590.00
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Commerical
--
X Yes ❑ No
❑ Yes X No
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application