14-104589 ;/ RECEIVED 0 1
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CITY PRMIT IIIPPLICATION
Federal Way SEP i; 6 21114
CITY OF FEDER/AlL WAY�-^
PERMIT NUMBER CD v/ / —1 dC F 4.7..----- "------"")4.7..----- "------"")�J J TARGET DATE
SITE ADDRESS SUITE/UNIT#
30611 16th Ave S., Federal Way, WA 98003
PROJECT VALUATION ZONING I ASSESSOR'S TAX/PARCEL#
$ 43, 334 0 8 2 1 0 4 _ 9 0 0 1
TYPE OF PERMIT 1 ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING ® FIRE PREVENTION
NAME OF PROJECT Federal Way High School
adding 320 devices to existing FACP.
PROJECT DESCRIPTION
Detailed description of work to Fire Alarm System Addition to High School Portables.
be included on this permit only
1 NAME PRIMARY PHONE ^—I
PROPERTY OWNER 1 Federal Way Public Schools
MAILING ADDRESSE-MAIL
31031 Pacific Hwy S.
CITY STATE ZIP
FederalWA98003
NAME ---- _,_-..
PHONE �
Guardian Security Systems
MAILING ADDRESS E-MAIL
CONTRACTOR 1743 First Ave S.
CITY STATE I ZIP FAX
Seattle WA 98134
WA STATE CONTRACTOR'S LICENSE* EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GUARDSS233K5 09/ 30 / 13
NAME PRIMARY PHONE
Guardian Security Systems 206 349 5889
APPLICANT MAILING ADDRESS E-MAIL
1743 First Ave S. kveliz@guardiansecurity.com
CITY I STATE ZIP FAX f
1 Seattle 1 WA 98134 206.628.4990
NAME _____4
PRIMARY PHONE
PROJECT CONTACT Sales Rep: Travis Quaale 206.349.5714
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1743 First Ave Southtquaale@guardiansecurity.com II
concerning this application) CITY STATE ZIP FAX
Seattle WA 198134 206.658.4990
NE _�
AM
PROJECT FINANCING 0 OWNER-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 CityofFederal Wayas to anyclaim(includingcosts, expenses,and attorneys'
.;� 9 p 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 e city as a part of tthis\ j2..)i.\.,5
a plication. I i
SIGNATURE:
aavA, DATE % �l
PRINT NAME: Karina Veliz
1
Bulletin#100—January 1,2013 Page 1 of 3 k:\Flandouts\Permit Application