19-103908 A RECEIVED
CITY OF ''�.... PERMIT APPLICATION
AUG 13 2019
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter[a;cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNfTY DEVELOPMENT
PERMIT NUMBER — I b 9 d ? _ FP TARGET DATE 8/15/2019
SITE ADDRESS SUITE/UNIT M
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
$8750.00 0 1 2 1 0 3 - 9 0 7 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING El FIRE PREVENTION
NAME OF PROJECT Goodwin Residence
Red Hawk Fire Protection will provide one wet pipe automatic sprinkler
PROJECT DESCRIPTION system with pump & tank to protect the entire new residence.
Detailed description of work to y
be included on this permit only
NAME PRIMARY PHONE
Ed Korolack 206-7.13-8288
PROPERTY OWNER MAILING ADDRESS E-MAIL
18835 SE 134th Place woodlandhomes@comcast.net
CITY STATE ZIP
Renton WA 98059
NAME PHONE
Red Hawk Fire Protection 253-840-9900
MAILING ADDRESS E-MAIL
CONTRACTOR 801 Valley Ave NW, Suite D insp-permite@redhawkfp.com
CITY STATE ZIP FAX
Puyallup WA 98371 800-591-4382
WA STATE CONTRACTOR'S LICENSE J1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
REDHAHF901 QP 12 / 31 /19 20-11-103793-00-BL
NAME PRIMARY PHONE
Red Hawk Fire Protection 253-840-9900
APPLICANT MAILING ADDRESS E-MAIL
801 Valley Ave NW,Suite D insp-permit@redhawkfp.com
CITY STATE ZIP FAX
Puyallup WA 98371 800-591-4382
NAME PRIMARY PHONE
PROJECT CONTACT Jacob Porter 253-840-9900
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 801 Valley Ave NW,Suite D jacobp@redhawkfp.com
concerning this application) CITY ZIP FAX
Puyallup _ STATE 98371 800-591-4382
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 a art of this application.
SIGNATURE: DATE 8/13/19
PRINT NAME: acob Porter
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(Commen:ia()
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(HandSmks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(IGtchen/Utddy) WATER HEATERS(EIectnc)
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?
❑ Yes ❑ No ❑Yes ❑ 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 ❑ CARPORT ❑
OTHER(describe)
Area Totals EXIgTO"O PROPOSED TOTAL
*WSW HON=cues* -
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NSW BUILPtIle
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area m Occupancy Group(a) Construction #of Additional Information
Square Feet Type Stories
TCYI`►L StMOUIS
TENANT AREA ONLY
PROMICr AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application