17-104100 ,rygf ` L PERMIT APPLICATION
Federal Way RECEIVED
PERMIT NUMBER .7-- 0I L/(/'�J p AUG 2 4 2017
TARGET DATE CITY OF FEDERAL WAY
SITE ADDRESS COMMUNITY DEVFLOPMEN7
SUITE/UNIT#
1066 S 320th Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 12,730.00 082104-9188
-
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ,FIRE PREVENTION
NAME OF PROJECT Uptown Square Early Learning Center
Provide new horn strobes &strobes to tenant improvement area.
PROJECT DESCRIPTION -
Detailed description of work to _
be included on this permit only
NAME PRIMARY PHONE
Federal Way Public Schools
253-945-5957
PROPERTY OWNER MAILING ADDRESS
E-MAIL
33330 8th Ave South
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Excel Electric of Tacoma 425-475-6950
MAILING ADDRESS E-MAIL
Installation 5832 South Adams, Ste A Shane
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CONTRACTOR exceltacoma.corl
CITY STATE ZIP FAX
Tacoma WA 98409 425-475-6659
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Redhawk Fire& Security 425-486-2600 x7609
APPLICANT MAILING ADDRESS E-MAIL
21312 30th Drive SE, Suite#103 wa_permits@redhhawkus.com
redhhawkus.com
CITY STATE ZIP FAX
Bothell WA 98021 425-486-2611
NAME PRIMARY PHONE
PROJECT CONTACT Jeremy MunsonProject Manager
206-450-6344
MAILING ADDRESS E-MAIL
(The individual to receive and
respond to all correspondence 21312 30th Dave SE, Suite#103 jeremysnunson@redhawkus.com
concerning this application) CITY STATE ZIP FAX
Bothell WA 98021 425-486-2611
NAME
PROJECT FINANCING
❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 19.27.095) 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 • 'ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th, t as a part of this application.
SIGNATURE: 1 a44
DATE 4 a
PRINT NAME: , :,..iNk,r,l; ,It tA.1
Bulletin#100—January 4,2016 Page 1 of 3 k:AHandouts\Permit Application
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• 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(eommercu)
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) LAYS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Uarty) WATER HEATERS(Eioet,,e)
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)Iu Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes No Yes I— No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT D
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Construction # of
Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Construction # of
Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100--January 4.2016 Page 2 of 3 k_`,Handouts\Permit Application