19-102986 RECEIVED PERMIT APPLICATION
CITY OF
Federal Way s �,`U 9 9 'a19 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
( ((,�� .�7/ i 253-835-2607 + FAX 253-835-2609+permitcenterrcityoffederalway corn
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0PERMIT NUMBER _ 4,1 _ F TARGET DATE
SITE ADDRESS SUITE/UNIT N
1066 320th Street Federal Way, WA 98003 A& B
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$ 3496.00 3 2 7 8 0 0 _ 0 0 2 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING EN FIRE PREVENTION
NAME OF PROJECT Pinot's Palette
Relocate two (2) horn strobes & add one (1)visual strobe.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NBrimstone Fire Safety 425 956-3434
MAILING ADDRESS E-MAIL
20628 Broadway Avenue office@brimstonefiresafety.co n
CONTRACTOR
CITY STATE ZIP FAX
Snohomish WA 98296 425-956-3723
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
BRIMSFS902BL 12 /31 /2019 20-11-101263-00-BL
NAME PRIMARY PHONE
Brimstone Fire Safety 425-9556-3434
APPLICANT MAILING ADDRESS E-MAIL
20628 Broadway Avenue fadesign@brimstonefiresafety c
CITY STATE ZIP FAX
Snohomish WA 98296 425-956-3723
NAME PRIMARY PHONE
PROJECT CONTACT Jere Thompson 425-956-3434
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 20628 Broadway Avenue fadesign@brimstonefiresafety cc
concerning this application) CITY STATE ZIP FAX
Snohomish WA 98296 425-956-3723
NAME
PROJECT FINANCING 0 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 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 to the city as a part of this application.
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in/pa-an.
SIGNATURE: DATE June 19, 2019
PRINT NAME: Jere Thompson
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture 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(comm rc)ap
BOILERS FURNACES HOT WATER TANKS(Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures 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
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
X Yes ❑ No n Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE D CARPORT D
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY** — — —
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction of
Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY 2408 A-3 6
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application