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18-101370 ,41116....„ RECEIVED PERMIT APPLICATION CITY OF ''. Federal Way MAR „„+�pp PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325 `Z 8 2U10 253-835-2607 +FAX 253-835-2609 +permitcenter@cityoffederalway.com CITE OF _ /� PERMIT NUMBER / Q _ �f *' O / i1 _ - ffJJ ! V TARGET DATE 30525 8th Ave S. Federal Way 98003 SUITE/UNIT# SITE ADDRESS PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $10'0 00 082104-9005-09 TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING j4FIRE PREVENTION NAME OF PROJECT St.Vincent de Paul Parish Replace existing fire alarm panel. Reuse all existing devices PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE Archdiocese of Seattle 206-382-2064 PROPERTY OWNER MAILING ADDRESS E-MAIL 710 9th ave trockweU(aistvincentparish.org CITY STATE ZIP Seattle WA 98104 NAME PHONE Evergreen Fire and Security 253-627-3794 MAILING ADDRESS E-MAIL CONTRACTOR 2111 South 90th St CITY STATE ZIP FAX Tacoma WA 98444 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# EVERGFA979P7 03/ 10 X2080 20-12-102201-00-BL — NAME PRIMARY PHONE Evergreen Fire and Security 253-627-3794 APPLICANT MAILING ADDRESS E-MAIL 2111 South 90th St bbutcher@evergreenfire.com CITY STATE ZIP FAX Tacoma WA 98444 NAME PRIMARY PHONE PROJECT CONTACT Brian Butcher 253-627-3794 (The individual to receive and MAILING ADDRESS E-MAIL 2111 South 90th St bbutcher(aevergreenfire.com respond to all correspondence concerning this application) CITY STATE ZIP FAX Tacoma WA 98444 NAME PROJECT FINANCING ® 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 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 ity as a part of this application. y SIGNATURE: ./ — �f- DATE $g `p PRINT NAME: Brian Butcher Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\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 existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(cos) 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/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $_10656.16 EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER PROPOSED FIRE SUPPRESSION SYSTEM? SYSTEM? ❑Yes ❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE ................................................................................................................................................................................................ FIRSTFLOOR(or Mobile Home) _................................................................................................................................................................................................ • COVERED ENTRYmom ��...................................... .......................................................................................................................................................... GARAGE ❑ CARPORT ❑ ��.................................................................._......._..._..........._................................................................__.................._._._... 40:00 ctm EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square FeetType Stories TOTAL BUILDING e TENANT AREA ONLY Y Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application