HomeMy WebLinkAbout15-102486 RIICEIVED •
lMAY 22 2015
PERMIT APPLICATION
CITY OF
Federal Way
CITY OF FEDERAL WAY
/ CDS!/
PERMIT NUMBER / / O s c - ✓
tJ 666 Lf/// v TARGET DATE
SITE ADDRESS SUITE/UNIT S
30611 16th Ave S, Federal Way
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
335,760 0 8 2 1 0 4 9 0 0 1
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING CR FIRE PREVENTION
NAME OF PROJECT Federal Way High School
Install new fire alarm system at Federal Way High School. Joint
PROJECT DESCRIPTION
Detailed description of work to venture between SimplexGrinnell and D&S Electric.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER FEDERAL WAY PUBLIC SCHOOLS
MAILING ADDRESS E-MAIL
1066 S 320th Street
CITY Federal Way WA ZIPATE
98003
NAME PHONE
D&S Electrical Contractors Inc. 509-758-6642
MAILING ADDRESS E-MAIL
CONTRACTOR 915 Port Way (PO Box 549)
CITY STATE ZIP FAX
Clarkston WA 99403
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 9
DSELECI15ORL 05 / 31 /2016 600561375
NAME PRIMARY PHONE
SimplexGrinnell 206-291-1400
APPLICANT MAILING ADDRESS E-MAIL
9520 10th Ave S. , Suite 100 jastebbins@simplexgrinnell. ::om
CITY Seattle WA z1P 98108 FAX
NAME PRIMARY PHONE
PROJECT CONTACT Janet Stebbins 206-291-1468
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 9520 10th Ave S. Suite 100 jastebbins@simplexgrinnell.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW]9.27.095)
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:0iAA'.i.4 zS //, DATE 05/11/2016
PRINT NAME: Janet Stebbins/SimplexGrinnell
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• i
VALUE OF MECHANICAL WORK
MECHANICAL PERi\IIT $
Indicate how many of each type of fixture 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(conunemi.i)
BOILERS FURNACES HOT WATER TANKS(Ges)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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 or Tub/Showorcombo) LAVS(Hood sink.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchrn/unity( WATER HEATERS(Ekctriq
HOSE BIBBS SUMPS WASHING MACHINESTOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE De 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)
1
, ONDFLOOR
COVERED ENTRY
DECK r " '0100,
r.
r�� k=���i��
--1110:01140.1:4%.2 - . -: ,
GARAGE 0 CARPORT ❑
ER(describe) r `'���P p
EXISTING PROPOSED TOTAL ....._._._____..__.._
Area Totals
.**/fEW'HO JS`ONLY** -:"!I11 "-d'.. ' (ham
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feeta Stories
NEWBUILDING d v r 1 (
� v., '`°"" ural dy ae .� - ew�r
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION+ in
Square Feet Occupancy Gmup(s) Type Stories Additional Information
"' TC3TAL BU
a_..__
4
TENANT AREA ONLY
zT„
nt�liil( j �,-.9= u `i * �° `��`. -.t � 70
p '
Bulletin#100—January 1,2013 Page 2 of 3 k:\I-Iandouts\Permit Application
