07-106846 are aF -. RECEIVE" Alik - i0 (9 3q .
Federal Way PERMIT
COMMUMTY DEVELOPMENT SER SF MF CO ME EL PL DE E FP
33325 UE SOUTH•PO BOXC2 0 ?OAP PLI CATI O N n)
LDERAL WAY,WA 98063-9728 / _ J �, �1
253-835-260T FAX 253- ¢Q99OF FEDERAL _ "/(-'7`'/J r _/I )
unuu�.citporjedemfu�m�h t WAY
BUILDIN {��pT
The ollowin! is ='uired 1 o�'iktitton-an into ,tete a, 'lication will not be acce,ted. Please , nt le!''l_ (in ink or _j' .
III PROPERTY INFORMATION
SITE ADDRESS . 33 550 I S'- Wel 5 . SUITE/UNIT# 201
ASSESSOR'S TAX/PARCEL# 9 2 6 5 0 0 - 0 3 6 0 LOT SIZE fsf)
LEGAL DESCRIPTION(e.g.Acme EstntPs,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING $I FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onli()
Alterations to existing low voltage fire alarm system for tenant improvement.
PROJECT NAME(Name of Business or Owner Last Name) Alaska USA - Federal Credit Union
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Acrobat Finacial Services ( 253 ) 528 - 0808
MAILING ADDRESS CITY,STATE,ZIP
31620 23rd Ave S. - Suite 218 Federal Way, WA 98003
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 ( ) -
CDT OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0 - 0 0 - 1 0 1 4 5 2 - 12/ 31 /07 ( 360 ) 438 - 4244
B L
CONTRACT'OR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
ALA R MC I 0 5 5 CW 2 /16 /07
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 o Agent X Other(Describe)Contractor ( 360 ) 438 - 4244
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Jamie Fossett ( 360 ) 412 - 6707 jfossett@alarmcenterinc,com
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE M
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6,689.00
SPRINKLERED BUILDING? ❑YES E NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
S
111
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sg.FT. Sg.FT. SQ.FT.
BASEMENT
FIRST 3,532
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
ESISTRlO PROPOS® TOTAL TOTAL EXIsTE+o SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of jixture to be installed or relocated as part of this project. Do not include existing furfures 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(or Tub/Shower Combo)
SHOWERS WATER CLOSETS mono MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OI TLEIS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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. 1
NAME/TITLE DATE 1 2Y Z0 l 0-7
Signa ) (Title)
RELATIONSHIP TO PR ❑Owner ❑Agent X Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application