13-100489 I3 •
_ 0 0 -ef 59
CITYOF itm: 7 RE PERMIT a SF MF CO ME PL DE E FP
Federal Way 31 2013
COMMUNITY DEVELOPMENT SE 1 s AP P LI CAT I O N
253-835-2607•FAX 253-835-2609
Uuu;,c.r[a,o(rcrdeWi 11 I OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
34910 Enchanted Parkway S. , Federal Way, WA 98003 Building "X"
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL C
1,200.00 Commercial -
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING 6 FIRE PREVENTION
NAME OF PROJECT West Campus Square, Building X
(Tenant Name/Homeowner Last Name)
Replacing existing defective fire alarm panel with new one.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER West Campus Square Shopping Center 425-455-1950
MAILING ADDRESS E-MAIL
2010 156th Ave. N.E. , Suite 100
C Bellevue STATE ZIP 98007
NAME PHONE
Protection & Communications, Inc. 425-774-9099
MAILING
19630 ADDRESS -MAIL
O th Ave.Ave. W.
CONTRACTOR
CITY Lynnwood gWA z�98036 FAX 425-774-6317
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
PROTECI165L8 05 / 31 / 13 19-99-105961-00-BL
NAME Protection & Communications, Inc. PII4225-774-9099, Ext. 115
APPLICANT MAILING 63304 ADDRESS Ave. W. E-MAIL l @pro-comm-online.com
CITY Lynnwood STATE A ZIP FAX F425-774-6317
PROJECT CONTACT
NAME PHONE
Lyle Wells 360-593-5544
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concemingthis application) 19630 40th Ave. W. lylew@pro-comm-online.com
CITY Lynnwood STATE ZIP FAX F 425-774-6317
ALTERNATE CONTACT NAME: PHONE E-MAIL
Mark Shepherd 206-510-1782
PROJECT FINANCING NAME
IE OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS.CITY.STATE,ZIP PHONE
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: DATE 1/31/13
PRINT NAME: Lyle Wells
Bulletin#100-January 1,2011 Page 1 of 3 k:,Handouts\Permit Application