16-105924 * •
CITY OFPERMIT APPLICATION
Federal Way
1 � � � � 24. _ �� u�C142016
PERMIT NUMBER TARGET DATE �° FEDERAL,WAY
SITE ADDRESS SUITE/UNIT*
32225 Pacific Hwy S, Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1 ,200 1 5 0 0 5 0 . 0 1 0 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING IIFIRE PREVENTION
NAME OF PROJECT Celebration - 0 Building
Installing additional fire alarm devices to existing system for a TI occuring in 32225 Bldg O suite 101
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Harsch Investments 503-973-0248
MAILING ADDRESS E-MAIL
1121 SW Salmon Street
CITY STATE ZIP 97205
Portland OR
NAME PHONE
Washington Alarm 206-328-1800
MAILING ADDRESS E-MAIL
CONTRACTOR2030 Airport Way S install@washingtonalarm.com
CITY STATE ZIP FAX
Seattle WA 98134 206-322-7214
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
WASHIAI282C3 15 / 05 2017 20-00-101629-00-BL
NAME PRIMARY PHONE
Manny Ornelas 206-436-5301
APPLICANTMAILING ADDRESS E-MAIL
permits@washingtonalarm.com permits@washingtonalarm.com
CITY STATE ZIP FAX
Seattle WA 98134 206-322-7214
NAME PRIMARY PHONE
PROJECT CONTACT Manny Ornelas 206-436-5301
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondencePermits@washingtonalarm.com permits@washingtonalarm.com
concerning.' this application) CITY STATE ZIP FAX
Seattle WA 98134 206-322-7214
NAME
PROJECT FINANCING ElOWNER-FINANCED
Required value of$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 Cityof Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of ueF c •'in),which may a by any person,including the undersigned,and filed against the city,
but only where such claim a sr eC s t •f the eli a of the cit ',cluding its officers and employees, upon the accuracy of the
information supplied to t cit •s • •a i
�.
SIGNATURE:
'/ _. DATE
12/14/2016
PRINT NAME: Manny •rnelas
Bulletin#100—January I,2013 Page 1 of 3 k:\Handouts\Permit Application
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