19-103473 AIL PERMIT APPLICATION
CITY OF k 26'19I�
Federal Way
�t PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
UC'' 253-835-2607+ FAX 253-835-2609+permitcentenaicityoffederalway.com
COMML irii .��:i�%t
� Y�yi�lt�'
PERMIT NUMBER / _ / _0_45 (` 7 _ E p
`7 1 TARGET DATE
SITE ADDRESS SUITE/UNIT#
35100 Pacific Hwy. South
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
$ 24,808.00 2 0 2 1 0 4 - 9 1 4 8
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING NI FIRE PREVENTION
NAME OF PROJECT SKFR Station 60
Install new wet fire sprinkler system throughout new and existing
PROJECT DESCRIPTION
Detailed description of work to construction.
be included on this permit only
NAME PRIMARY PHONE
KC Fire Protection District
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
McKinstry Co. LLC 206-762-3311
MAILING ADDRESS E-MAIL
CONTRACTOR 5005 3rd Ave South permits@mckinstry.com
CITY STATE ZIP FAX
Seattle WA 98134
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 8
MCKINCL942DW 03 16 /2020 19-60-000003-00-BL
NAME PRIMARY PHONE
Same as above
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT Robert Fix 206-790-1091
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 5005 3rd Ave South permits@mckinstry.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98134
NAME
PROJECT FINANCING 21 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.
Robert Fix
�a 2019.07.18 07/18/2019
SIGNATURE: 10:12.43-07'00' DATE
PRINT NAME:
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application