07-101913 Cirfo....,, ED i ,‘ ' _ca. - _'i2 ! l' [ s
Federal Way *CEI PERMIT
COIACCP11TY DROELOPMENTSERVICES •F MF CO ME EL PL DE EN QP
33325117N AVENUE SOUTH•PO BOX 9718
FEDERAL 2AY,WA 980W-9714
APR 1APPLICATION T°
253-435 607•FAX 253.435-1609
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The following is requi>ctri i( rD&,T{ncomplete application will not be accepted. Please print legibly(in ink)or type.
' - • • PROPERTY INFORMATION
SITE ADDRESS 505 South 336th Street, 1st Floor SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 2 6 4 8 0 - 0 2 7 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Maar*separate Page JA lengthy legal description)
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■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING di FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Change out 108 existing sprinkler head to quick response
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PROJECT NAME(Name of Business or Owner Last Name) Campus Center, Building 1, 1st. Floor
• U PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER FSP Federal Way Corporation ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
.401 Edgewater Place, #200 Wakefield, MA 01880-6207
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. Cristie Abel (425 ) 481 - 7669
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( ) _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
19-98-105661-00-BL - 12/31/07 (425 1 481 - 7669
COPY.resell requiredCONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with ene application b CROWNFP044LL 4/8/07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. Cristie Abel (425 ) 481 - 7669
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082. ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent X Other Contractor ( 425 ) 481 - 8695
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT - Cristie Abel (425 ) 481 - 7669 cristie@crownfp.com
LENDER NAME Per RCW 19,27.095:
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Lender information is required if project value exceeds$5,000 .
MAILING ADDRESS CITY,STATE,ZIP PHONE
• ( )
• • • ■ -DETAILED BUILDING INFORMATION - . . •
EXISTING USE Commercial - Office PROPOSED USE Commercial- Office •
EXISTING ASSESSED/APPRAISED VALUE $ • . _ VALUE OF PROPOSED WORK $ 4,644.00
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESC • EXISTING PROPOSED TOTAL
�Ak • SQ,FT: • SQ.FT. SQ.FT.
BASEMENT
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FIRST •
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
s7DST1RO PROPOSED TOTAL TOTAL SIOSVNS IF TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ••
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Da not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerd.l)
COMPRESSORS FURNACES RANGES
Dl1C)S;
GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS 'MISC(Describe)
DISHWASHERS . RAINWATER SYST VACUUM BREAKERS •
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(tenet) •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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. � /
NAME/TITLE CAA,,l/'A_. (U .L- DATE LI//D/0 7
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Ii.rContractor 0 Architect 0 Other
o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT •
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
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Bulletin#l00—January 1,2007 Page 2 of 4 k\Handouts\Permit Application .