13-103985a
RECEIVED
«.°F PERMIT
Federal Watp 10 2013
COMMUNITY DEVELOPMENT SERVICES AP P LI CAT I O N
253- 835- 2607•FAX� -mss FEDERAL WAY
icww.rituolTeder i �. .n
CDS
SF MF CO ME PL DE EN P
SITE ADDRESS
SUITE /UNIT #
1420 S. 348th Street, Federal Way, WA 98003
Building "A"
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
$ 2,400.00
CE- Comm. Ent
2 0 2 1 0 4_ 9 0 8 8
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
"Lovers" Retail Store
PROJECT DESCRIPTION
Detailed description of work to
Expanding existing fire alarm syRtem to accomodate for new TT of
"Lovers" retail store in existing building. 3 new notification
devices will be added to the existing system, with one existing
be included on this permit only
rn -s roe to be re-located.
PROPERTY OWNER
NAME
21 Ways LLC
PRIMARY PHONE
253- 951 -9354
MAILING ADDRESS
33255 139th Terrace S.E.
F-MAIL
CITY
Auburn
STATE
WE
2
NAME
Protection & Communications, Inc.
PHONE
425 - 774 -9099
MAILING ADDRESS
19630 40th Ave. W.
E-MAIL
CONTRACTOR
CITY Lynnwood
Y
sWATE
ZIP
FAX F 425- 774 -6317
WA STATE CONTRACTOR'S LICENSE #
PROTECI165L8
EXPIRATION DATE
05 31 X13
FEDERAL WAY BUSINESS LICENSE #
19 -99- 105961 -00 -BL
NAME Protection & Communications, Inc.
PH 425- 774 -9099, Ext. 115
APPLICANT
MAILING
19630840th Ave. W.
�lyle @pro - comm - online.com
CITY
Lynnwood
STATE I
WA
ZIP
98036
FAX
425 - 774 -6317
PROJECT CONTACT
NAME Lyle Wells
425-7 -774 -9099, Ext. 115
(The individual to receive and
MAILING ADDRESS
19630 40th Ave. W.
E -MAIL
lylew @pro - comm - online.com
respond to all correspondence
concerning this application)
CITY Lynnwood
STATE
ZIP 98036
FAX
25- 774 -6317
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
Mark Shepherd
206- 510 -1782
PROJECT FINANCING
NAME
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 ap lication.
SIGNATURE: DATE 9/10/13
PRINT NAME: Lyle 1 S
Bulletin #100 - January 1, 2011 Page 1 of 3 kAHandouts\Permit Application