17-101969 RECEIVED ��� 5 SG
4,4_, MAY 0 1 2017 PERMIT APPLICATION
CITY OF
Federal Way
CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
COMMUNITY pEVELQPMENT 253-835-2607+FAX 253-835-2609+permitcenterancitvoffederalwav.com
PERMIT NUMBER ) -7 _ I V d q (pT — I 1 TARGET DATE k) , Pt
SITE ADDRESS SUITE/UNIT#
33402 33rd PL SW Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 500.00 9 5 4 2 8 0 - 0 7 1 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 21089-1-Parkview Services
PROJECT DESCRIPTION Install AES radio to monitor existing FACP
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Parkview Services 206-542-6644
PROPERTY OWNER MAILING ADDRESS E-MAIL
17544 Midvale Ave N Ste. LL
CITY STATE ZIP
Shoreline WA 98133
NAME PHONE
Guardian Security Systems-Sheramie Odell 360-647-0110 ext.327
MAILING ADDRESS E-MAIL
CONTRACTOR 1743 1st Ave S
CITY STATE ZIP FAX
Seattle WA 98134
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GUARDSS233K5 09 / 30 /2018 12-034052.0
NAME PRIMARY PHONE
Same as Contractor Information
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT Same as Contractor Information
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 d ense of such claim),which may be made by any person,including the undersigned, and filed against the city,
but only where , cla arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup•t`o th cit as a part of this application.
A II4
SIGNATURE: _ i! DATE 4/25/2018
PRINT NAME: Sh ramie Odell
Bulletin#100—January 29,2016 Page 1 of 2 k:kHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FI SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Single Family-Residential
7,140 'Wes No ❑Yes ❑ No
❑
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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COVERED ENTRY
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ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area is Occupancy Group(s) Construction #of Additional Information
S.uare Feet a Stories
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COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feeta
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application