07-102440 of RECEIVE* - L L2„
Federal way PERMIT
7 SF MF CO ME EL PL DE E .'FP;
COMMUNPIY DEVELOPMENT SERVIC Q 2 O O
3332FEDERAENUE SOA 980 O BOX9718 AP P L I C AT I O N
FEDERAL WAY,WA 98063-9718 TD
253-83rr2607•FAX 253-83 t� p, e _
www.cit�offederaiway.c rfr
OF�MPVIAL WAY
BUILDING DEPT,
The (glow' ' is ired rmation-an incom,lete a v,lication will not be , ««- ,ted. Please ,rint " _ ink)or •j, •.
• PROPERTY INFORMATION
SITE ADDRESS 31653 Pacific Hwy. S. SUITE/UNIT# C
ASSESSOR'S TAX/PARCEL# 0 8 2 1 0 4 - 9 1 9 6 LOT SIZE(Si)
A portion of the NE 1/4 of the NW 1/4 sec. 20, N", R 4 E.,W.M.
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) City of Federal Way, King Co. WA.
ow.*sew/Tar page for lengthy legal descrfpUfoN
PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING
PROJECT DESCRIPTION(Provide detnflpd description of work included on this permit only)
Alterations to existing low voltage fire alarm system for tenant improvement.
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PROJECT NAME(Name of Business or Owner Last Name) Hem i ,fwn _f f i_
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Harsch Investment Properties LLC ( 503 ) 242 - 2900
MAILING ADDRESS CITY.STATE.ZIP
1121 SW Salmon ST. Portland, WA 97205
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Alarm Center, Inc. James Fossett ( 360 ) 412 6707
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
PO Box 3407 Lacey, WA 98509-3407 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0 - 0 0 - 1 0 1 4 5 2 - B L 12/ 31 /06 ( 360 ) 438 - 4244
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
ALA R MC I 0 5 5 CW 2 /16
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Alarm Center, Inc. Jamie Fossett ( 360 ) 412 - 6707
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
PO Box 3407 Lacey, WA 98509-3407 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑ Tenant El Agent Other(Describe)Contractor ( 360 ) 438 - 4244
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Jamie Fossett ( 360 ) 412 - 6707 jfossett@alarmcenterinc.com
LENDER Per RCN?'19.27.095: Lender information is NAME
required If prqfect value exceeds$5.000
MAILING ADDRESS CITY,STATE.ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE B (Office) PROPOSED USE B (Office)
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 3, 020. 00
SPRINKLERED BUILDING? ❑ YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHI.,INE ❑ TACOMA ❑ PRIVATE(WELL)
1111
411 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 5,700 5,700
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
isrna PROPOSED TOTAL TOTAL=STING ray TOTAL PROPO®SF TOTAL SP
NUMBER OF FLOORS
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be uistallPd or relocated as part of this project Do not inchulf,existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS lorTab/Shower Combo) SHOWERS WATER CLOSETS(roller) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom SIM.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge.and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way.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.
NAME/TITLE DATE /3/0—)
(Sign<y.re) (TWORELATIONSHIP TO PR. S'► ❑ Owner ❑Agent 14 Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO