20-101230 44144,„St„.... RECEIVED. PERMIT APPLICATION
CITY OF
Federal Way MAR 17 2020 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente o ityoffederalway.com
CITY OF FEDERAL WAY ''‘.
COMMUNITY DEVELOPMENT �_
PERMIT NUMBER ,-7C () _ i 0 / l.d/ I -
:/ JTARGET DATE
SITE ADDRESS SUITE/UNIT#
31503 Pacific Hwy S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 7000.00 A-2 0 8 2 1 0 4 _ 9 1 8 1
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING M FIRE PREVENTION
NAME OF PROJECT 85C Bakery
Relocating an existing power supply and relocating/replacing exisitng devices on the fire alarm circuit.
PROJECT DESCRIPTION
Detailed description of work to A duct detector and monitor module for the hood system will also be tied into the fire alarm
be included on this permit only system.
NAME PRIMARY PHONE
KIR FEDERAL WAY 035 LLC
PROPERTY OWNER MAILING ADDRESS
E-MAIL
711 Capitol Way S Ste 204
CITY STATE ZIP
Olympia WA 98501
NAME PHONE- _....... �.
MAILING ADDRESS E-MAIL
206 Frontage Rd N, Suite-C service4firesystemswest.com
CONTRACTOR
CITY TE ZIP FAX
Pacific ��A 98047
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI055LW 06 / 16 / 21 19-87-000014-00-BL
NAME PRIMARY PHONE
Fire Systems West, Inc. 253-833-1248
•
APPLICANT MAILING ADDRESS E-MAIL
206 Frontage Rd N, Suite-C se"'ce@Ilresyslemswest.com
CITY - -- STATE l ZIP FAX
Pacific I WA ; 98047
NAME
PROJECT CONTACT Matt Carlman nrgnox005
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 206 Frontage Rd N, Suite-C mattc@firesystemswest.com
concerning this application) CITY STATE ZIP FAX
Pacific WA 98047
.. _ ___ ._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 environmen I laws.
I further agree to hold hrmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defen a of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such clai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th ity as a part of this application.
SIGNATURE: DATE 03/16/2020
PRINT NAME: Matt Carlman
Bulletin#100—January 29.2016 Page 1 of 2 k:\Handouts\Permit Application