15-105009 RECEIVED
CITY OF1/11/1
PERMITIPPLICATION
Federal Way CT 01 2015
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER _ v S - P TARGET DATE _�..
SITE ADDRESS SUITE/UNIT#
34024 Hoyt Road SW, Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
--�,) c -
TYPE OF PERMIT D BUILDING D PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING Xl FIRE PREVENTION
NAME OF PROJECT Washington State Employee Credit Union
Provide Fire Alarm System for commercial space.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Too Hoytie Toytie, LLC C/O Elliot Ass. In.
MAILING ADDRESS E-MAIL
901 NE Glisan St
CITY STATE ZIP
Portland OR 97232
NAME PHONE
Titan Electric 425.250.3581
MAILING ADDRESS E-MAIL
CONTRACTOR 12828 Northup Way, Ste 205 davidc@titanelectric.net
CITY •Bellevue WAE ZIP 98005 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
TitanEI963OB 11/ 30 /2015 20-03-102863-00-BL
NAME PRIMARY PHONE
Titan Electric 425.250.3581
APPLICANT MAILING ADDRESS E-MAIL
12828 Northup Way, Ste 205 davidc@titanelectric.net
CITY STATE ZIP FAX
Bellevue WA 98005
NAME PRIMARY PHONE
PROJECT CONTACT David Crook 425.250.3588
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 12828 Northup Way, Ste 205 davidc@titanelectric.net
concerning this application) CITY STATE ZIP FAX
Bellevue WA 98005
PROJECT FINANCING NAME Titan Electric fl OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) 12828 Northup Way, Bellevue, WA 98005 425.250.3581
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: "„0 G DATE 9/29/15
PRINT NAME: David Crook
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application