17-104260 PERMIT APPLICATION
CITY Of zFederal Illiay E
PERMIT CENTER+33325 8th Avenue Sou eG
003-6325
253-835-2607+FAX 253-835-2609+perrnitcenter)citvoffedera way.com
�� SEP 0 5 2017
0 -Fp-
PERMIT NUMBER I
t O_ _ CITY OF FEDERAL WAY
— — — — TARGET DATE COMMUNITY DEVELOPMENT
SITE ADDRESS SUITE/UNIT#
2800 SW 320th St Library
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 12850.00 1 2 2 1 0 3 _ 9 0 3 4
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING EX FIRE PREVENTION
NAME OF PROJECT Decatur High School-Library TI
Modify existing fire alarm system for reconfiguration of library. Joint venture between
PROJECT DESCRIPTION
Detailed description of work to Olsen Electric.
be included on this permit only (10)devices •
NAME PRIMARY PHONE
Federal Way School District 253-945-5957
PROPERTY OWNER MAILING ADDRESS E-MAIL
33330 8th Ave S. n/a
CITY WFederal Wayq�E ZIP 98003
NAME Olsen Electric PHONE
MAILING ADDRESS 325 Washington Ave S •
E-MAIL
CONTRACTOR
CITY Kent WAR ZIP 98032 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
OLSENEI931 PE 10/ 05 X2019 602696333
NAME PRIMARY PHONE
SimplexGrinnell 206-291-1400
APPLICANT MAILING ADDRESS E-MAIL
9520 10th Ave S. Suite 100 jastebbins@simplexgrinnell.00m
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
NAME PRIMARY PHONE
PROJECT CONTACT SimplexGrinnell/Janet Stebbins(permit) 206-291-1468
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 9520 10th Ave S. Suite 100 jastebbinssimplexgrinnell.com
concerning this application) CITYSeattle STWA ZIP 98108 FAX 206-291-1500
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$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 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.
�i
SIGNATURE: ���� X h/tril/ DATE 8/28/2017
PRINT NAM anet Stebbins/SimplexGrinnell
Bulletin#100—January 29,2016 Page 1 of 2 k:'Handouts\Permit Application
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(commercial)
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( LAVS(Hand sinks( TOILETS 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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT „`'
dry,
FIRST FLOOR(or Mobile Home)
SECOND'FLOOR
COVERED ENTRY
�f,),6 aRto,: ....ter 1 -` .� :%� ".'. .. OIL
GARAGE ❑ CARPORT 0
+ itis
A110,
EXISTING PROPOSED TOTAL
Area Totals
q *r Ire
I�d���h��'�:.11TE�'.t��'lii4la'S`�N,r_F'� ,II`�, ��ii(�� �"
.-- - kit'' IU.-».. �---
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area ln Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANTIMPROVEMENTS 9 ,,
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
��;� Square Feet Type Stories
A "'�C�� �"ip� a t',B(- �Ip';9" (gw3k rtiul7s
k �'. ��� irs,a sem" i :�� .k.,
•
TENANT AREA ONLY
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Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application