06-101163 CITYlir
of RECEI �(� - (
Federal Way — L`--
COMMUMTYDEVELOPMENT SERVICESMAR 1 0 2006 PERMIT SF MF CO ME EL PL DE EN FP
33325 8"AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 980639718 TD"—
253-835-2607•FAX 253-835-26Q9 .V V L�ELI O D L I G A T I O N
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The o llourin• is re•uired in ormation-an inco •lete • ••lication will not be acce•ted. Please •rint le•ib/ in in or -.
III PROPERTY INFORMATION
SITE ADDRESS -1-4' o u t h Commons SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE (sf)
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ,FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
Add 47 sprinkler heads
PROJECT NAME(Name of Business or Owner Last Name) Catherine s
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection, Inc. Mark Holey (425 ) 481 - 7669
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 2 - 2 B. - 1 0 .5 _6 1 - B L 12 / 31 / 2006 (425 ) 481 - 8695
CONTRACTOR'S REGISTRATION NUMBER(copy of card requued with each application) EXPIRATION DATE
CROWNFP 0 44L L 4 / 8 / 07
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Crown Fire Protection,Inc. Mark Holey (425 ) 481 - 7669
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O. Box 12113 Mill Creek, WA 98082 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent Other (Describe) Contractor (425 ) 481 - 8695
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Mark Holey ( 425 ) 481 - 7669 mholey@crownfp.com
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE Re to i 1 PROPOSED USE Retail
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4,700.00
SPRINKLERED BUILDING? k YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER n LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS (or Tub/Shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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.
7,1
NAME/TITLE \z\o,,diy.- 1 yr\ coa_} DATE •_') C_-1 C .l;
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? D YES o NO
ZONING DESIGNATION CHANGE OF USE? D YES ❑NO
NEW ADDRESS REQUIRED? n YES o NO UP/SEPA/SU? ❑YES n NO
PLATTED LOT? o YES D NO DEMO PERMIT REQUIRED? o YES o NO