15-100669 70 6
A.RECEIVED — — — _6 r2
PERMIT
Federal WaySF MF CO ME PL DE E FP
FEBII112015 APPLICATION
COMMUNITY DEVELOPMENT SERVICES
253-835-2607•FAX 253-835-2609
ur,:.itzo,f-t. oOF FEDERAL WAY
V CDS
SITE ADDRESS // SUITE/UNIT#
981743702 3y / 5 ��
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 89850.00 7 5 0 4 5 1 0 0 2 0
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) St Francis Hospital Addressable Device Replacement
PROJECT DESCRIPTION Upgrade all existinct conventional devices to addressable, except
Detailed description of work to for (2) duct smoke sensors on zones 50 & 51. Joint venture,
be included on this permit only between SimplexGrinnell & Foy Industrial Electric Corp.
NAME PRIMARY PHONE
PROPERTY OWNER St Francis Hospital 253-927-9700
MAILING ADDRESS 34515 9th Ave S.
E-MAIL
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Foy Industrial Electric Corp. 206-937-6150
MAILING ADDRESS E-MAIL
2400 NW 80th Street, Suite 118
CONTRACTOR
CITY STATE ZIP FAX
Seattle WA 98117
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N.
FOYINEC015CH 2 7 / 15 601930924
NAME SimplexGrinnell PHONE 206-291-1400
APPLICANT MAILING ADDRESS 9520 10th Ave S, Suite 100E-MAIL
jastebbins@simplexgrinnell.com
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
PROJECT CONTACT NAME PHONE
Janet Stebbins 206-291-1468
(The individual to receive and
respond to all correspondence MAILING ADDRESS 9520 10th Ave S, Suite 100 jastebbins@simplexgrinnell.com
concerning this application)
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required twine of$5,000 or more
IRCW 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.
If 7
SIGNATURE: t 4 ��/yr7, ,� Gte>// DATE 2/10/15
PRINTNAME: Janet Stebbins/SimplexGrinnell
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• 1111
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
_
Indicate how many of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLElb OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gael
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURE
Indicate how many of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Head Sinks) TOILP,1b 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 FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESXDENTALr NEW OR ADDITION-
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMEN F _
FIRST FLOOR(or Mobile Home)
ScoND FLOOR
COVERED ENTRY
- .._...._.._...__... ..... - .._......_.._..._.. -.._._.....
DELI£ ti':k'` z , 'pid i'iila.� a�
GARAGE 0 CARPORT ❑
OTHER(describe).'
EXISTING PROPOSED TOTAL
Area Totals
+ vilz�s ONL
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
1 041
NEWIADDrnI
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
t i' NEW BUILDING (j'1' i�D` r d
ADDITION
Area Construction #of
AREA DESCRIPTION Square Feet Occupancy Group(s) Stories Additional Information
inTQ CAL BUILDING 'x-11, �% ¢ .
TENANT AREA ONLY
su'8ihlt�hi riiip'ap4 Os b4,'Ih.: i{riq rY01 r I11 ( TI1"r Y "' 011 me -
PROJECTAREAONIY
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application