14-104192 4111 7 - l' 0 kii j. / ...,
QTY OF ' PERMIT
Federal Ww,G 1 g z014 SF MF CO ME PL DE EN 0
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-26 FEpERA
w„,:„.„0ifisierRi�l7�1�m CDS
SITE ADDRESS ll�/ SUITE/UNIT#
31621 23rd Ave. S. "�� //iii (rr
/�Pa✓K s vci y e
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# ,.,./ `/
$ 66,500.00 0 g 2 1 0 4 _ 9 2 9 8
TYPE OF PERMIT D BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING >a FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Sound Transit Federal Way
Fire alarm system upgrade/weatherproof parking structures.
PROJECT DESCRIPTION
Detailed description of work to ( (11/ ) /ii U) (ie }/ S
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Sound Transit
MAILING ADDRESS E-MAIL
401 S Jackson Street
CITY STATE ZIP
Seattle WA 98104-2826
NAME PHONE
SimplexGrinnell 206-291-1400
MAILING ADDRESS E-MAIL
CONTRACTOR 9520 10th Ave S, Suite 100 jastebbins@simplexgrinnell.com
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SIMPLL*981SG 1 / 11 /2016 19-99-105845-00-BL
NAME PHONE
SimplexGrinnell 206-291-1400
APPLICANT MAILING ADDRESS E-MAIL.
9520 10th Ave S, Suite 100 jastabbins@simplexgrinnell. com
CITY STATE ZIP FAX
Seattle WA 98108 206-291-1500
PROJECT CONTACT NAME Janet Stebbins/SimplexGrinnell PHONE 206-291-1468
(The individual to receive and
respond toall correspondence
MAIIING95 0 10th Ave S, Suite 100 jastebbRESS Mins@simplexgrinnell.com
concerning this application)
CITY Seattle STATE
WA FAX
ZIP 98108 206-291-1500
ALTERNATE CONTACT NAME: PHONE E-MAIL
Mark Thomas 206-291-1479 ma:homas@simplexgrinnell.com
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY.STATE.ZIP 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 supplied to the city as a part of this application.
SIGNATURE: DATE 8/18/14
PRINT NAME: Janet Stebbins/SimplexGrinnell
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Pemrit Application
Air
• I
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fudures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)Commercial)
BOILERS FURNACES HOT WATER TANKS)Cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offixture 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
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
IG , :. RESIDENTIAL - NEW OR ADDITIO N
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENTf
FIRST FLOOR(or Mobile Home)
SECOND.FLOOR,
COVERED ENTRY
'DECD
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
-4,44,11111W rrlV°1$u,,Ht>BfE,S ONLY" „'.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
14-4
MI;YD COMMERCIIEW/ADI . �d It ._
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
11T ®s w TNG Wii1 1111•A ha -,4
1711.,; •W�, y� ,(:� J7!d�tli
ADDITION
QDELJ1 +`- , 10 R0 e I
s,
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TQA`AL 1"1",a-°-171%"'
UILDIl I I
ail ; u.ria�i�(c -.qui i t-a..�.' :'�JJ 4,1 s i �,,, Ui ,.'i;uui�IINI)�� Pr -�'». �i it
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\I-Iandouts\Pernmit Application