08-100876CITYOf
Federal PERMIT
COMMUNITY DEVELOPMENT SERVICES (] O Z(��$ - *SMF C O ME EL PL DE EN FP
:JJ_7?FEDERAL AVENUE SOUTH • 63 971 fplB fl I C AT I O N
3835 - WAY, FAX
98063 -260 TD
2S3 835-2607- FAX 25J-8352609
_^y r•, citynf trfernLcntt�n;m
The follow>r'� required` Cgs -tion - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS �• $ Commons Way SUITE/UNIT # E-10
ASSESSOR'S TAX/PARCEL # _ _ _ _ _ - _ _ LOT SIZE (s])
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach -,--t-P-9-f— 1--Qthy 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 37 concealed sprinkler heads
Add 8 upright sprinkler heads
PROJECT NAME (Name of Business or Owner Last Name) Ae ro po s to 1 e
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
COPY of ciTB �1.. with each ap
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
PRIMARY PHONE
The Commons
(253) 839.6156
MAILING ADDRESS CITY, STATE, ZIP
E-MAIL ADDRESS
1928 B. South Commons Federal Way, WA 98003
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
Crown Fire Protection Inc.i
(425 ) 4817669
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
2-0. Box 12113
Mill Creek WA 98082
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
19 -98 -105661 -00 -BL 12, 31,08
(425 ) 481 - 8695
CONTRACTOR'S REGISTRATION NUMBER- EXPIRATION DATE
E-MAIL ADDRESS
CROWNFP044LL
essica@crownf
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
AME AS CONTRACTOR(
) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
Jessica 425) 481 - 7669 liessica@crownf .com
NAME
Per RCW 19.27.095.
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINKLERED BUILDING? RYES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $_ 0 f5(—
jo_ V"'
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ H.IGHLINE 0 PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ: FT.
BASEMENT
FIRST ---_. ___---- _--
--- - ---------- ---
a NEW o ADDITION
u ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
SECOND
n YES
u NO
ZONING DESIGNATION
THIRD
CHANGE OF USE?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES u NO
UP/SEPA/SU?
o YES
DECK (0 COVERED OR ❑ UNCOVERED?)
PLATTED LOT?
o YES u NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
o NO
NUMBER OF FLOORS
IIIU-190
PROPOSED
TOTAL
rorty czrsrmo sr
ro---osiv sr
roru.sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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 $ (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
_ DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
— _ GAS LOG SETS
LAVS (gathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (co m« i4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rroa�q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
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.
NAME/TITLE
(Signature) (Title)
RELATIONSHIP40 PROJECT ❑ Owner ❑ Agent—
ontractor ❑ Architect 11
2.1g.68"
�A
a NEW o ADDITION
u ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO
BASIC PLAN?
n YES
u NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES u NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES u NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100—April 2, 2007 Page 2 of k\Handouts\Permit Application