15-100745 REC 1VU
FEB • 2015 •
. ... -
CITY PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY
CDS
_ i--
PERMIT NUMBER15' / e a
7 v-1---_- i----p
— TARGET DATE
SITE ADDRESS
I SUITE/UNIT#
30611 16th Ave S., Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3�00 0 8 2 1 0 4 9 0 0 1
TYPE OF'PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING a FIRE PREVENTION
NAME OF PROJECT Federal Way High School
PROJECT DESCRIPTION ^^� 'D//ecommissioning Fire Alarm
Detailed description of work to41CW �n�L L &t C1 ' n+� '-0V O f 11..)01Y a`_
be included on this permit only I , , h
J ot:n-1- V_., A rJ v.c.: �__
NAME ----- ---_.-__
PRIMA
PROPERTY OWNER Federal Way Public Schools5
(253)9 9445--55E
934
MAILING ADDRESS
33330 8th Ave S. E-MAIL
CITYI WA [STATE
Federal Way 98003
ZIP
NAME _._ - - -. - -- - .. _ _ ®
Guardian Security Systems PHONE
(206)
349-5889
MAILING ADDRESS
1743 First Ave S. E-MAIL
CONTRACTOR kveliz@guardiansecurity.com
CITY STATE ZIP FAX
Seattle I WA 98134 (206)628-4990
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
GUARDSS233K5 09/ 11 ; (LA
NAME '(
Guardian Security Systems PRIMARY PRONE
206.349.5889
APPLICANT MAILING ADDRESS
E-MAIL
1743 First Ave S. kveliz@guardiansecurity.com
CITY STATEZIP FAX
Seattle 1WA 198134 206.628.4990
NAME
PROJECT CONTACT Sales Rep: Travis Quaale G4
2006.346.34PRIMARY9.5714
MAILING ADDRESS
E-MAIL
(The individual to receive and
1743 First Ave South t
respond to all correspondence uaale@guardiansecurity.co
concerningthis application) CITY 4 m
pp ) STATE ZIP FAX
Seattle 1WA 98134 206.658.4990
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli d to the city as a part of this application.
SIGNATURE: 1
DATE a I
PRINT NAME: Karina Veliz
Bulletin#100-January 1,2013 Page I of 3
k:\l-Iandouts\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 existingfixtures
toc b ain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS -
OT ( )
AIR CONDITIONERFIREPLACE INSERTS HOODS(commercial)
BOILERSFURNACES HOT WATER TANKS(Gas)
COMPRESSORSGAS LOG SETS REFRIGERATION SYST
DUCTINGGAS 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 PIPING remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Sinks( TOILETS
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(K¢ohen/Uflrgl WATER HEATERS(E1eotr,c(
HOSE BIBBSSUMPS 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 D 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 Q
..........................................................................................................................................................................
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ON*
ESTIMATED SELLING PRICE$ _ r# OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AreaConstrucction #of
Stories Additional Information
AREA DESCRIPTION Occupancy Group(s)
in Square Feet
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AreaConstrucction Stories Additional Information
# of
AREA DESCRIPTION in Square Feet Occupancy Group(s)
TOTAL BUILDING
TENANT AREA ONLY
PROSECT:AREA ONLY
Bulletin#100—January 1,2013
Page 2 of 3 k:\Handouts\Permit Application