19-104812 RECEIVED
PERMIT APPLICATION
CITY Of OCT 04 2019
Federal Y YayPERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenteracitvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER _ _
� f
lo � i Nr�
TARGET DATE _
SITE ADDRESS _ 30523 —iti'n Ave JMQUITE/UNIT
• _ _ • - • . • • - Rebidence #
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# H l (4(,Co O —
O to 0 0
$ 5077.00 4. 1 6 6 6 0 - --O 6 6 7
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING X FIRE PREVENTION
NAME OF PROJECT A 1re
Installation of s ri .kler sysltm per NFPA 13\and city of Federal Way,WA.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Condos, CJ4dz.AJ
PROPERTY OWNER MAILING ADDRESS E-MAIL
30444 Ave SW
CITY STATE ZIP
ederal Way WA 98023
NAME PHONE
Emerald Fire LLC 253-857-2056
MAILING ADDRESS E-MAIL
11021 Cramer RD NW ELIZABETHS(0,EMERALDFIRELLC.COM
CONTRACTOR
CITY STATE ZIP FAX
Gig Harbor WA 98329 253-857-2312
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EMERFL980MR 12 31 19 20-14-1-4959-00-BL
NAME PRIMARY PHONE
ELIZABETH SUNSET/ EMERALD FIRE LLC 253-857-2056
APPLICANT
MAILING ADDRESS E-MAIL110210CRAMER RD NW ,LIZABETH& EMERALDFIRELLC.COM
CITY STATE ZIP FAX
Gig Harbor WA 98329
NAME PRIMARY PHONE
PROJECT CONTACT ELIZABETH SUNSET 253-857-2056
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 11021 CRAMER RD NW ELIZABETHS@EMERALDFIRELLC.COM
concerning this application) CITY STATE ZIP FAX
® Gig Harbor WA 98329
NAME
PROJECT FINANCING El OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW]9.27.095)
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 Iocal, 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 as a part of this application.
•
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SIGNATURE: �� DATE v/I/t q
PRINT NAME: El 1 be-W1 ,SUr -4--
Bulletin#100—January 29,2016 Page 1 of 2 k:U-Iandouts\Permit Application
1--ick .4 2.5 3 — e)L-/ — 7 ) 7 k
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(Commercial)
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 offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
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 X No E Yes 0 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)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY"*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application