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Home My WebLink About15-100667 -911150 • • .5"- /0_ () 6 7 Federal EIVED PERMIT SF MF CO ME PL DE EN FP COMMUNITY DEVELOPMENIOQ;C4 1 21315 AP P LI CAT I O N 253-835-26070 FAX 253-84/5W9a• u'm;i;ctt,;0ffederrahl'f,ri(MR CITY OF FEDERAL WAY SITE ADDRESS CDS SUITE/UNIT# 33501 1st Way South PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 4496.00 9 2 6 5 0 4 - 0 0 1 0 TYPE OF PERMIT 0 BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION ❑ ENGINEERING t FIRE PREVENTION .` NAME OF PROJECT (Tenant Name/Homeowner Last Name) Virginia Mason NAC Panel Add PROJECT DESCRIPTION Provide (1) NAC Panel to help balance the load on A/V circuit. Detailed description of work to Add (1) smoke detector to be mounted over panel. \\ be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Virginia Mason Clinic 253-874-1652 MAILING ADDRESS E-MAIL 33501 1st Way S. CITY STATE ZIP Federal Way WA 98003 NAMENE Sasco Electric 425-806-8400 MAILING ADDRESS E-MAIL 16650 Woodinville-Redmond Road CONTRACTOR CITY STATE ZIP FAX Woodinville WA 98072 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESSLICENt SASCOE*051R6 12 / 26 15 601677475 Oo.i0� ' S' NAME SimplexGrinnell PHONE 206-291-1400 APPLICANT MAILING ADDRESS E-9520 10th Ave S, Suite 100 jastebbi�ns@simplexgrinnell.com CITY STATE ZIP FAX Seattle WA 98108 206-291-1500 PROJECTCONTACT NAME PHONE Janet Stebbins 206-291-1468 (The individual to receive and respond toall correspondence MAILING 9520 10th Ave S, Suite 100 jastebbiinns@simplexgrinnell.com conceming this application)/ CITY STATE ZIP FAX '}) Seattle WA 98108 206-291-1500 ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME 0 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. /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 assaapart of this application. SIGNATURE: >i1�/LIf�//��f?/ U/Of I 6 b Ari 0 1 DATE 2/10/15 PRINTNAME: Janet Stebbins/SimplexGrinnell Bulletin#100-January 1,2011 Page 1 of 3 k:\}Iandouts\Permit Application 110 • MECHANICAL FIXTURES VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(orTob/shower Combo) LAVS(Hood Sinks) TOILE IS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility)SUMPS WATER HEATERS(Eleanc) HOSE BIBBS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes ❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT 0 OTHER(describe) t, ERISTINO PROPOSED TOTAL Area Totals *'NEW HOMES ONLY" ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NiW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT Ii\IPROVEMENTS AREA DESCRIPTION Square In Area Feet Occupancy Group(s) Construction #of Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application