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19-101810 rIECEIVED APR 17 2019 PERMIT APPLICATION CITY OF Federal Way :,Y OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 p}�M�p�r^(DEVELOPMENT 253-835-2607+FAX 253-835-2609+permltcenterfu?citvoffederalway.com PERMIT NUMBER / 9_ /v / VVV JC / 0 - 0 _ F P TARGET DATE SITE ADDRESS SUITE/UNIT# 32290 1st Ave S PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 10, 000 . 00 1 7 2 1 0 4 _ 9 0 3 9 TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING Cf FIRE PREVENTION NAME OF PROJECT Brookdale Senior Living Upgrade Existing Fire Alarm Panel . Relocate existing PROJECT DESCRIPTION Fire Alarm devices as required for Tenant Improvement. Upgrade existing Fire Detailed description of work to be included on this permit only Alarm Notification Devices as required by code in Tenant Improvement Area. NAME PRIMARY PHONE Flanagan Hilton PROPERTY OWNER MAILING ADDRESS E-MAIL 500 N Dearborn St, Suite 400 CITY STATE ZIp Chicago 60654 NFire Systems West, Inc . 153-833-1248 MAILING ADDRESS EMAIL 206 Frontage Rd N, Suite-C serviceefiresystemswest.com CONTRACTOR CITY TE ZIP FAX Pacific WA 98047 WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# FIRESWI055LW 06 / 16 / 19 19-87-000014-00-BL NAME PRIMARY PHONE Fire Systems West, Inc. 253-833-1248 APPLICANT MAILING ADDRESS EMAIL 206 Frontage Rd N, Suite-C service©firesystemswest.com CITY STATE ZIP FAX Pacific WA 98047 NAME PRIMARY PHONE PROJECT CONTACT Matt Carlman 253-951-6005 (The individual to receive and MAILING ADDRESS E-MAIL 206 Frontage Rd N, Suite-C mattc@firesystemswest.com respond to all correspondence g concerning this application) CITY STATE ZIP FAX Pacific WA 98047 NAME PROJECT FINANCING 0 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 authorised 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 ty a part of this application. SIGNATURE: DATE 04/17/2019 PRINT NAME: Matt Ca man Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application