13-104956 • - � 50
RECEIVED �/�T
CITY OF PERMIT SF MF CO ME PL DE EN P
Federal Way
COM1IMUNITY DEVELOPMENT SER
1ESV 0 5 20APPLICATION
253-835-2607•FAX 253-835-26 llJ1 v V
www.cilloffedera(wat;corn
CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
33400 9th Ave. S. , Federal Way, WA 98003 Suite 102
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
3,190.00 Office Park 9 2 6 5 0 1 0 0 6 0
-
TYPE OF PERMIT
0 BUILDING ❑ PLUMBING 0 MECHANICAL
❑ DEMOLITION 0 ENGINEERING N FIRE PREVENTION
NAME OF PROJECT TICOR Title- Suite 102 Goldstone Bldg. TI
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION Expanding existing fire alarm system to accomodate for new TI of
Detailed description of work to Suite 102 in existing building. 5 new notification
be included on this permit only devices will be added to the existing system, with one existing
norn-strone to be re-located.
NAME PRIMARY PHONE
PROPERTY OWNER Golden Stone Properties, LLC 253-987-5463
MAILING ADDRESS E-MAIL
33400 9th Ave. S.
CITY STATE ZIP
Federal Way 98003
NAME 10 __
PHONE
Protection & Communications, Inc. 425-774-9099
MAILING ADDRESS E-MAIL
19630 40th Ave. W.
CONTRACTOR
CITY Lynnwood sTWAATE Z1P98036 FAX
425-774-6317
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PROTECI165L8 05 / 31 / 15 19-99-105961-00-BL
NAME PHONE
Protection & Communications, Inc. 425-774-9099, Ext. 115
APPLICANT MAILING ADDRESS E-MAIL
19630 40th Ave. W. lylew@pro-comm-online.com
CITY STATE ZIP FAX
Lynnwood WA 98036 425-774-6317
-
PROJECT CONTACT PHONE
NAME l e Wel 1 S
(The individual to receive and y 360 593-5544
MAILING ADDRES4S
respond to all correspondence E-MAIL
concerning this application) 19630 0th Ave. W. lylew@pro-comm-online.com
CITY Lynnwood STATE
rP 98036 FAX
25-774-6317
ALTERNATE CONTACT NAME: PHONE E-MAIL
Mark Shepherd 206-510-1782
PROJECT FINANCING NAME ® OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP 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 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 a ation.
SIGNATURE: L DATE 11/5/13
PRINT NAME: Lyle Wells
Bulletin#100—January 1,201 I Page 1 of 3 k:\Handouts\Permit Application
• •
M MgdiANIal,FIXtU ..
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
µy." IGiltES.
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(band 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
GENE L IiORMATIO ; ... . _ .._._
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
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
B ENT ❑
FIRST FLOOR(or Mobile Home)
RECO FLOOR .?' w .104
COVERED ENTRY
D
_— .�.�.,,..a .... ........ .. . ...... .. ... ................
GARAGE ❑ CARPORT ❑
OTHE described w
EXISTING PROPOSED TOTAL
Area Totals
**NMI/HOMES mix.*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL=NEW/ADDITION
Area Construction #of Additional Information
AREA DESCRIPTION in Square Feet Occupancy Groups) Type Stories
NEW BUILDING "
rc
ADDITION
CONIIVIEr R L-RENTOD 41,, ENS"yip ® MENIS
, �
Area Construction #of Additional Information
AREA DESCRIPTION Occupancy Group(s) Stories
in Square Feet Type
=TOTAi`,BUILDING
TENANT AREA ONLY 5,250 Office Park II-1 HR 1st lvl
%tie, PROJECT AREA ONLY` '
Bulletin#100-January 1,2011 Page 2 of 3 k:AHandouts\Permit Application