08-104766 t ' ' RECEI ('y D • �)
CITY OF A a - i Dy /4_(p
Federal Way OCT 0 9 2008 PERMIT TT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
333ISdm SOUTH•PO BOX 9718 �.E�E ,�,L ATION TD
FEDERALERAL WAY,WA 9 /
253-835-2607•FAX 25 2
LY r
www atyorfederalway corn `
CDS
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
?3b 14
SITE ADDRESS
505. S. Iberf4 ST. SUITE/UNIT# (Ob0
ASSESSOR'S TAX/PARCEL# 9264800270 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) FOUNTAIN PLAZA
(A reach separate page for kngthy legal descripnon)
• PROJECT INFORMATION
TYPE OF PERMIT BUILDING PLUMBING MECHANICAL
DEMOLITION ELECTRICAL ENGINEERING x FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT.
PROJECT NAME(Name of Business or Owner Last Name) FOUNTAIN PLAZA v G (
• PLOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER FSP FEDERAL WAY CORP
MAIUNG AUURESS Cl I Y,S IA I L,LIP E-MAIL AUURESS
401 EDGEWATER PL., #200 WAKEFIELD, MA 01880-6210
CONTRACTOR COMPANY NAME APPUCANI NAME 01-FICE PHONE
SMITH FIRE SYSTEMS MANAGEMENT,LLC. SCOTT JERKE (253) 248-2004
MAIUNG AUURESS CII Y,S I A I E,ZIP CELL PHONE
1106 54TH AVE E. TACOMA, WA 98424
CITY 01-FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAI ION DM E FAX NUMBER
200610470900BL 12/31/08 (253) 926-0726
CON I HAL I OHS HEt,IS I HA I ION NUMBER EXPIHA I ION UAIE E-MAIL AUURESS
SMITHFS946L0 6/20/10 SJERKE@SMITHFIRE.COM
APPLICANT COMPANY NAME APPLILANI NAME OEHCE PHONE
SMITH FIRE SYSTEMS MANAGEMENT, LLC. SCOTT JERKE (253) 248-2004
MAILING ADDRESS CII V,SI AI E,ZIP CELL PHONE
1106 54TH AVE. E. TACOMA, WA 98424
HELA!UNSHIP I U PROJEC I PAX NUMBER
Architect Tenant Agent xOther CONTRACTOR (253) 926-0726
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT SCOTT JERKE (253) 248-2004 SJERKE@SMITHFIRE.COM
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING AUL/KESS CII Y,S IA I E,LIP PHONE
• DETAILLD BUILDING INFORMAI ION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK$ 18 8 5
SPRINKLERED BUILDING? YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES NO
WATER SERVICE PROVIDER LAKEHAVEN HIGHLINE TACOMA PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN HIGHLINE PRIVATE(SEPTIC)
a 0
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMEN
FIRST
1769
SECOND
(HIND
ADDITIONAL FLOORS(DESLRIBE) 1
DECK( COVERED OR UNCOVERED?)
GARAGE CARPORT
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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.Do not include existing fixtures to remain.
MELHANILAL
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 (commerda0
COMPRESSORS FURNACES RANGES
DUCTS 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 (Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
' SIGNATURE
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 Fe ral Way as to any •m(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which 'be made by an •: son,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 e ccuracy of the • mation supplied to the city as a part of this application. / /
SIGNATURE: DATE ( 0/7 / Q V
Property'4 wner and/or Authorized Agent 111 (((
lilts 1'9iit' ,:1.7, ,1,1:.'",.-_ .,�.I "",1---;,I
NEW ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? YES NO BASIC PLAN? YES NO
ZONING DESIGNATION CHANGE OF USE? y YES _NO
a ___.
NEW ADDRESS REQUIRED? YES NO UP/SEPA/SU? YES NO
PLATTED LOT? YES NO _ DEMO PERMIT REQUIRED? YES NO
Bulletin#100-August 16,2007 Page 2 of 4 k\\Handouts\\Permit
Application