11-102680 (
41/0 AV _ H 0 2 & gO
CITY°r PERMIT SF IVED ®
l Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
wurzc.cil l°Ifederntmnq.corn
JUL 0 7 ,'.1 -
SITE ADDRESS CITY OF FE?=E PL WAY
125 SW Campus Drive, Federal Way, WA 98023 CDS Bldg #3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
1,800.00 1 9 2 1 0 4 - 9 0 1 7
TYPE OF PERMIT El BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) The Reserves (Apartments)
Replace the Fire Alarm Control Panel in Building #3
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER KW/WDC WEST CAMPUS LLC 070931
MAILING ADDRESS E-MAIL
9701 WILLSHIRE BLVD #700
CITY BEVERLY HILLS STATE ZIP
CA 90212
NAME Protection & Communication, Inc. PHONE (425)774-9099
MAILING ADDRESS 19630 40th Ave W E-MAIL
CONTRACTOR
CITY Lynnwood STATE ZIP 98036 FAX (425)774-6317
WA STATE CONTRACTOR'S LICENSE S EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
PROTECI165L8 05 31 /2013 19-99-105961-00-BL
NAME Protection & Communication, Inc. PHONE (425)774-9099
APPLICANT MAILING ADD s 19630 40th Ave W E-MAIL
CITY Lynnwood STATE ZIP FAX
WA 98036 (425)774-6317
PROJECT CONTACT NAME Andy Chapman PHONE (425)508-7722
(The individual to receive and
respond to all correspondence MAILING ADDRESS 19630 40th Ave W andAIIIC spro comm-online.com
concerning this application)
CITY STATE ZIP FAX (425)774-6317
Lynnwood WA 98036
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.
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: ( o,.._< DATE //
PRINT NAME: �(m vlvl,1 L.cc-.i_4 ),ie� L--e__._
Bulletin#100-January 1,2011 Page 1 of 3 k:.Handouts\Permit Application
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1
VALUE OF MECHANICAL WORE $ (a copy of bid or estimate must be provided)
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(commercial)
BOILERS FURNACES HOT WATER TANKS(coal
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
.,W
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.
BATHTUBS for Tub/Shower Combo) LAVS(Hand Sinks) TOILE'S WATER PIPING
DISHWASHERS RAINWATER SYSI't',MS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EJIISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
y� K L�(y•l t',( • gi.v. ■ a.y �,
'� Mob .. },[ V^1 9/i yy C 9 F' + P Y S`R .�_,.. Ei,?Fi Ar '
_ e.,..a •
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
�I
ENT
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
aiaErDaD PROPOSED Top AL
Area Totals
"NLW 110MES:ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Occupancy Group(s) Construction #of Additional Information
� Stories
ADDITION
Z. ) R s i '? ( >rg tea 4 e
AREA DESCRIPTION Area Occupancy Group(*) Construction #of Additional Information
in = uare Feet �' Stories
„—0°70 Ns
TENANT AREA ONLY
"t`: '4"-
Bulletin#100-January 1,2011 Page 2 of 3 k:Wandouts\Permit Application