18-100833 CITY OF
�► PERMIT APPLICATION
Federal Way PERMIT CENTER 4-33325 8th Avenue Sou +Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+per. te �;laj v.com
( � Q '21-3Q FEB 2 2 2018
PERMIT NUMBER - TARGET DATE
i�"OF CDERAL WAY
-)EVELOPMENT
SITE ADDRESS SUITE/UNIT#
34600 12th Ave. SW FACP Rm
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ 15766.00 4 1 5 9 2 0 _ 0 0 0 4
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING FIRE PREVENTION
NAME OF PROJECT Sherwood Forest Elementary FACP
Replace existing fire alarm control panel and reconnect existing devices.
PROJECT DESCRIPTION
Detailed description of work to Joint venture between Johnson Controls and Main Street Electric.
be included on this permit only
NAME PRIMARY PHONE
Federal Way School District 253-945-5930
PROPERTY OWNER MAILING ADDRESS E-MAIL
33330 8th Ave. S
CITY Way 8WA zip
98003
NAME PHMain Street Electric01� 425-775-6246
MAILING ADDRESS E-MAIL
CONTRACTOR PO Box 1856
CITY Edmonds STATWA ZIP 98020 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MAINSEI021DK 03 /12 /2020 UBI#601843635
NAME Y PHONE
Johnson Controls PR 06 291-1400
APPLICANT MAILING ADDRESS E-MAIL
9520 10th Ave S. Suite 100
. Seattle SW1A
ZIP 98108 FAX 206-291-1500
PROJECT CONTACT NAME Janet Stebbins/Permit Contact Johnson Controls PRIMARY PHONE 06-291-1468
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 9520 10th Ave S. Suite 100 janet.stebbins@jci.com
concerning this application) CITY FAX ZIP
FAX
A 98108 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 arty 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.
SIGNATURE: /00/ l DATE 2/22/2018
PRINT N Janet Stebbins/Johnson Controls
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application