19-105011 e
tlITY OF '"' .... REGENED PERMIT APPLICATION
Federal OCA 1 1 209 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenteva.citvoffederal ay.com
GIT`{OF FEp LOPMEST
PERMIT NUMBER _1 PZ
M V / / _ f_f TARGET DATE /t)/A-
SITE ADDRESS SUITE/UNIT#
35200 PACIFIC HWY E, BLDG B
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
6806 2_ _9_ _2_ _1_ A_ - 9_ _0_ _4_ _8_
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING FIRE PREVENTION
NAME OF PROJECT PREMIERE STORAGE BLDG B
INSTALL NOTIFICATION & INITIATING DEVICES.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER CPSG SELF-STORAGE FACILITY
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
SMITH FIRE SYSTEMS (253) 248-2004
MAILING ADDRESS E-MAIL
CONTRACTOR 1106 54TH AVE E SCOTTJ@SMITHFIRE.COM
TACOMA STATE ZIP 98424 FAX (253) 926-0726
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
SMITHFS861RS 12/ 10 /20 198700005500BL
NAME S/A PRIMARY PHONE S/A
APPLICANT MAILING ADDRESS S/A EMAIL S/A
CITY S/A J STATE ZIP FAX S/A
NAME SCOTT JERKE PRIMARY PHONE S/A
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS S/A E-MAIL S/A
respond to all correspondence
concerning this application) CITY S/A STATE ZIP FAX S/A
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 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 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.
SIGNATURE: VDATE
10/16/19_ ,
PRINT NAME: /19, kr et n
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•
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(caa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(or Tub/shower Combo) LAVS(Handsinka( 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 ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
H _ :
FIRST FLOOR(or Mobile Home)
£ , c., ,yC a' ..,h..,
COVERED ENTRY
GARAGE 0 CARPORT 0 -_
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTIONPEEN Occupancy Groups) # of Stories Additional Information
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION PEEN Occupancy Group(s) EBEI #°f Stories Additional Information
TENANT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application