14-106209 • •
CITY OF A. PERMIT APPLICATION
Federal Way R2C@IVED
DEC 042014
PERMIT NUMBER (4 - 1 0 Co 2 �_ p T
TARGET DAR$ITY OF FEDERAL WAY
SITE ADDRESS SUITE/UNIT#
33400 9th Ave. S., Suite 104 Suite 104
Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3400.00 OP 926501 0060 -
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT Goldstone Building- Suite 104 TI
Expanding existing fire alarm system to accommodate for new TI of Suite 104
PROJECT DESCRIPTION at the existing Goldstone Building.
Detailed description of work to
be included on this permit only
__
NAME PRIMARY PHONE
PROPERTY OWNER Gold Stone Properties, LLC 253-661-8656
MAILING ADDRESS E-MAIL
33400 9th Ave. S., Suite 114
CITY STATE ZIP
Federal Way WA 98003
._
NAME PHONE
Protection & Communications, Inc. 425-774-9099
MAILING ADDRESS E-MAIL
19630 40th Ave. S.W. lylew@pro-comm-online.com
CONTRACTOR
CITY STATE ZIP FAX
Lynnwood WA 98036 425-774-6317
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PROTECI165L8 05 / 31 / 15 19-99-105961-00-BL
NAME PRIMARY PHONE
Lyle Wells 360-593-5544
APPLICANT
MAILING ADDRESS lE-MAIL
@pro-comm-online.com
19630 40th Ave. W.
CITY STATE ZIP FAX
Lynnwood WA 98036 425-774-6317
NAME PRIMARY PHONE
PROJECT CONTACT Lyle Wells 360-593-5544
MAILING ADDRESS E-MAIL
(The individual to receive and 19630 40th Ave. W. lylew@pro-comm-online.com
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
Lynnwood WA 98036 425-774-6317
NAME
PROJECT FINANCING N/A ElOWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
IRCW 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 arty person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance 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: DATE 12/4/14
PRINT NAME: Lyle Wells
Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offixture 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 pas)
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/UtiHryl WATER HEATERS(skein.)
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 05 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 0 CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of
in Square Feet P y Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of
in Square Feet P Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY 4211 B 1 Fire Alarm TI
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application