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07-100989 CITY is iw,,�V RECL..IA •�U R- ( O Federal Way PERMIT - - COMMUNITYDEVELOPMENTSERVICE£CD 2 3 20 7 SF MF CO ME EL PL DE EN F/ 33325 8n,AVENUE SOUTH•PO BOX 9 8 p p L I C A T I O N �J FEDERAL WAY,WA 98063-9718 TO 253‘8,3v5,:,2,,6,0,- w7• Xe fledemh25ua3-835urn.66 Y OF FEDERAL WAY �— BUILDING DEPT, The ollowin• is re•uired in ormation-an Inco •late a••lication will not be acce•ted. Please •rint le•ibl in ink or •e. • PROPERTY INFORMATION SITE ADDRESS 505 S. 336th Street SUITE/UNIT# ASSESSOR'S TAX/PARCEL# _\ 2 (o 5 d - 0 ' d LOT SIZE(s) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal desmpeon) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING AFIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) Relocate 10 heath Add 2 heads Lengthen 2 heads Plug 2 heads PROJECT NAME(Name of Business or Owner Last Name) Campus Center, Lobby Remodel PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER GUA Kidder Mathews (206 ) 248 - 7300 MAILING ADDRESS CITY,STATE,ZIP 12886 Interurban Ave S. Tukwila, WA 98168 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Crown Fire Protection John 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_-_105_661 Q Q _- B L 12 / 31 2007 425 )481 8695 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE CB011a Ep Q441JL 4 / 8 / 2007 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Crown Fire Protection Cristie Abel ( 425) 481 - 7669 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE PO BOX 12113 Mill Creek WA 98082 ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent XOther(Describe) Contractor ( 425)481 - 7669 CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS Cristie Abel (425 ) 481 - 7669 cristie@crownfp.com LENDERPer RCW 19.27.095: Lender information - NAME • required I f project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE Commercial PROPOSED USE Comme rc i a l EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1,600.00 SPRINKLERED BUILDING? L)(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) 3 X35 7 • 144, • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS =STOW PROM= .u. AL=STOW Sr TOTAL?ROPOILD BF TOTAL sr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECIIANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE CO.LERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commercial) WOODSTOVES BOILERS FIREPLACE INSE' ' RANGES _ MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS(toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM B'EAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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 641re)' (1„cL presidiif- DATE 2 7L/07 (Title) RELATIONSHIP TO PROJECT ❑ Owner 0 Agent *Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY , o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? n YES ❑NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO