19-105538 RECEIVED PERMIT APPLICATION
CITY OF
Federal
NO2019 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
V 1 9 253-835-2607 + FAX 253-835-2609 +permitcenterricitvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT f�
PERMIT NUMBER / _ ` 0 5 •s` .3 _ N TARGET DATE 0 Tc /// /1-/L�
/
SITE ADDRESS ` 111��� SUITE/UNIT#
1066 South 320th Street Federal Way,WA 98003 Bldg. K, Suite E
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,300 3 2 7 8 0 0 _ 0 0 0 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING N FIRE PREVENTION
NAME OF PROJECT Uptown Square,State Farm Tenant Improvement
Add one (1)visual strobe to the new restroom
PROJECT DESCRIPTION
Detailed description of work to Add one (1)horn strobe to the open office area
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
Brimstone Fire Safety Management 425-956-3434
MAILING ADDRESS E-MAIL
CONTRACTOR 20628 Broadway Avenue fadesign@brimstonefiresafety.com
CITY STATE ZIP FAX
Snohomish WA 98296
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
BRIMSFS902BL 12 31 19 20-11-101263-00-BL
NAME PRIMARY PHONE
Brimstone Fire Safety Management 425-956-3434
APPLICANT MAILING ADDRESS E-MAIL
20628 Broadway Avenue fadesign@brimstonefiresafety.com
CITY STATE ZIP FAX
Snohomish WA 98296
NAME PRIMARY PHONE
PROJECT CONTACT Same as applicant
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
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:
T, rn o.4,0-i, DATE 11-18-2019
PRINT NAME: ere Thompson
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(Gas)
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 tib/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(Elector(
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?
�Ic Yes n No in Yes in 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 800 sq ft B 6
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