06-106183 •
CITY OF 41A. nrrRECEIVSA • _
Federal Way PSF MF CO ME EL PL DE EN tY-}ERMIT - -
COMMUNITY DEVELOPMENT SERYIENW V 6 2006
33325 8Th AVENUE SOUP!•PO BOX 9718 ID
FEDERAL WAY.WA 98063-9718 EERARPLICATION
w
253-835-2607.FAX 253-83r
ww.colfederalway.cjorY
BUILDINGDDEPT.
The ollow • is =.aired in imitation-an ince • -te t; lit:ad.:1n will not be acce Please . • t le (in ink)or
MI PROPERTY INFORMATION
SITE ADDRESS 33530 1st Way S. SUITE/UNIT# 102
ASSESSOR'S TAX/PARCEL# 2 6 5 0 U - 0 3 6 0 LOT SIZE(sf)
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 I) city of Federal Was,. Fine Co. WA.
Mach separate page for lengthy legal clescaptinal
• PROJECT INFORMATION
TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL
El DEMOLITION 0 ELECTRICAL 0 ENGINEERING X FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this Derrnit onlu)
Alterations to existing low voltage fire alarm system for tenant improvement.
PROJECT NAME(Name of Business or Owner Last Name) Hometown Office Suites and Solutions
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Acrobat Finacial Services ( 253 ) 528 - 0808
MAILING ADDRESS am 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 ) 4].2 - 6707
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
PO Box 3407 Lacey, WA 98509-3407
COY 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
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
2 /16 /137
ALAR MCI 0 5 5 CW
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Alarm Center, Inc. Jamie Fossett ( 360 ) 412 - 6707
MAILING ADDRESS ZIP
cny,STATE, CF I PHONE
PO Box 3407 Lacey, WA 98549-3447
RELATIONSHIP 10 PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 21 Other(Describe)Contractor ( 360 ) 438 - 4244
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Jamie Fossett
360 ) 412 - 6707 jfossettFalarmcenterinc.corn
LENDER Per RCW 19.27.095: Lender Worsnation is NAME
(
t
°0
required project value exceeds$5.000
MAILING ADDRESS am STATE.ZIP 46 LP PHONE
• DETAILED BUILDING INFORMATION
EXISTINGUSE B (Office)f ice) pRoposmusE B (Office)
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 11, 935.00
SPRINKLERED BUILDING? 0 YES 110 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE D TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER n LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
` • I
PROJECT FLOOR AREAS
AREA DES( TION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 5,700 5,700
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
=STING PROPOSED TOTAL. TOTAL EXIST@YG 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 fixture to be installed or relocated as part of this project. Do not inched'existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPO12AT1VE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Icoa3rrlerciat) WOODSTOVES
BOILERS FIREPLACE INSE RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orThb/Shower combo) SHOWERS \ WATER CLOSETS tratrt1 MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES ( URINALS HOE BIBBS
LAYS$.,,threaraSfcckat 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(inch/ding 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
pplication.NAME/TITLEDATE r ZI 1 11L0
( .9 ,3„ ) altle)
RELATIONSHIP TO PR• y ❑ r Agent X Contractor o Architect ❑Other
FOR OFFICE USE ONLY
II NEW Et ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE" o YES o NO
NEW ADDRESS REQUIRE' a YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO , DEMO PERMIT REQUIRED? ❑r YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 klHandouts\Permit Application