09-102047 • SON •
RESUBMITTED _ 0 0`Tr
CITY OF 4/1 I O��
Federal Way JUN Q 3 2009 PERMIT
COMMUNITY DEVELOPMENT SERVICES }}�� pp pp SF MF CO ME EL PL DE EN FP
33375FEDERANUESOUTAH•PO dQ�a;1t I OF FEDERACINAYLI CATI O N e --
53 835-607.FAX
53-83-
153-d35-160 Hademlay-o�' BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS505 S. 336TH ST, 6TH FLOOR SUITE/UNIT* 6 'ZO
ASSESSORS TAX/PARCEL# 9264800270 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) FOUNTAIN PLAZA
(Attach separate page for lengthy legal descnpnon)
• 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) ASSOCIATION RESERVES .JJ A S Vl i 1--+7 --r LLC-
M' PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER FSP FEDERAL WAY CORP
MAILING ADDRESS CI IY,Si A I E,ZIP E-MAIL ADDRESS
401 EDGEWATER PL., #200 WAKEFIELD, MA 01880-6210
CONTRACTOR ' COMPANY NAME APPLICAN T NAME OFFICE PHONE
SMITH FIRE SYSTEMS MANAGEMENT,LLC. SCOTT JERKE (253) 248-2004
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1106 54TH AVE E. TACOMA, WA 98424
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAI ION DATE FAX NUMBER
Ute/ 200610470900BL 12/31/09 (253) 926-0726
CON MAC I UR'S REGISTRAI ION NUMBER EXPIRA(ION DAT E E-MAIL ADDRESS
SMITHFS946L0 6/20/10 SJERKE@SMITHFIRE.COM
APPLICANT COMPANY NAME APPLICAN I NAME OFFICE PHONE
SMITH FIRE SYSTEMS MANAGEMENT, LLC. SCOTT JERKE (253) 248-2004
MAILING ADDRESS CITY,5I AI E,ZIP CELL PHONE
1106 54TH AVE. E. TACOMA, WA 98424
RELA TIONSHIP TO PROJECT . FAX 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 55,000
MAILING ADDRESS CI CT,Si A IT,ZIP PHONE
I. DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK$ 2064.00
SPRINKLERED BUILDING? YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES NO
WATER SERVICE PROVIDER LAKEHAVEN HIGHLINE TACOMA PRIVATE(WELL) I
SEWER SERVICE PROVIDER LAKEHAVEN HIGHLINE PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
1626
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK( COVERED OR UNCOVERED?)
GARAGE CARPORT
NUMBER OF FLOORS DUSTING 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.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATEMUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS (Commercial)
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 (-we)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner.l 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.l 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 m, e by any pers, ,including the undersigned,and filed against the city,but only where such claim arises out of the reliance of the city,
fridincluding its officers and employees,upon the accuracy of information 'plied to the city as a part of this application. /I ,t�
SIGNATURE: i'' DATE Y 3 V
' 'Property Own r and/or Authorized Agent
FOR 0FFICE.uSE ONLY; ` 1
NEW ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? YES NO BASIC PLAN? YES NO
ZONING DESIGNATION CHANGE OF USE? YES NO
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