19-101199` RECEIVED
CITY OF
Federal Way MAR 14 2019
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentelfa),citvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 9 _ 1 d / 19
TARGET DATE
SITE ADDRESSSUITE/UNIT
3-AlAl- ADS
x9'(i't-6W 32Gti� 6t�� i'�a
=� tol�,y�.r •,n
11
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL i
$ -7-7,00-7.00
1 3 2 1 0
3 - 9 1 0 1
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT
Retreat at Maple Hill
Tenant Improvement, adding 228 Pendant
Sprinklers with all work
PROJECT DESCRIPTION
Detailed description of work to
per NFPA 13R 2016.
be included on this permit only
NAME
PROAARY PRONE
BMF IV WA Maple Hill
PROPERTY OWNER
MAMING ADDRESS
E-MAIL
111 E Sego Lily Dr #400
CITY
STATE
ZIP
Sandy
UT
84070
NAMEmerald Fire LLC
PHONE533--857-2056
MAILING ADDRESS
11021 Cramer Rd KP N
E -MAD.
angiev@emeraldfirellc.
CONTRACTOR
CITY
Gig Harbor
STATEZIP
WA
98329
FAX
253-857-2312
WA STATE CONTRACTOR'S LICENSE A
ESPIRATION DATE
FEDERAL WAY BUSINESS LICENSE
EMERAFL380MR
12/ 31
/ 19
20-14-104959-00-B
NAME
PRIMARY PRONE
Angie Voelpel
253-857-2056
i02AmAPPLICANT 1Craer Rd KP N
ngev@emeraldfirellc.
CITY
STATE
ZIP
FAX
Gig Harbor
WA
98329
253-857-2312
NAME
PRIMARY PHONE
PROJECT CONTACT
Angie Voel el
253-857-2056
MAILING ADDRESS
11021 Cramer Rd KP N
E-MAIL
angiewemeraldfirellc.i
(The individual to receive and
respond to all correspondence
CITY
STATE
Zn?
FAX
concerning this application)
Gig Harbor
WA
98329
253-857-2312
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I cert(ly 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 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 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 claing, which may be made by any person, including the undersigned, and filed against the city,
but only where such latm 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.
SIGNA RE:
DATE 03-12-2019
PRINT NAME: Angie Voelpel
Bulletin #100 - January 29, 2016
Page I of 2
k:\Handouts\Permit Application
om
low
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commemiaq
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
# of
Stories
Additional Information
IlEsyso
EXISTING/PREVIOUS USE
LOT SIZE lin Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
$
ADDITION
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existingftxtures
to remain.
BATHTUBS (or Tub/ Shower Combo)
LAVS (Handsinka(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility
WATER HEATERS (Ekctrio)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF E3I87ING IMPROVEMENTS
# of
Stories
Additional Information
IlEsyso
EXISTING/PREVIOUS USE
LOT SIZE lin Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
iXYes ❑ No
XYes ❑ No
Apartment Bldg
448,900
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
oars Feet
Occupancy Groups)
Construction
# of
Stories
Additional Information
IlEsyso
, : s„ w:
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
S of
Stories
Additional Information
"TOTAL BtlII
TENANT AREA ONLY
PROJWT AREA OMLY
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application