15-104042 ill) OD
A.
CITY OF PERMIT APPLICATION �d
Federal Way RECEIVED 47
PERMIT NUMBER (5 _ I 4 2 _ AUG 11 2015
_ TARGET DATE
SITE ADDRESS SUITE/UNI'l(jDS
31580 - 23rd Ave. S Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 0921049123
2,100.00 — — — - — — —
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING a FIRE PREVENTION
NAME OF PROJECT Willamette Court Apartments
INSTALL 1 EA AES TRANSCEIVER COMMUNICATOR TO EXISTING FIRE ALARM SYSTEM.
PROJECT DESCRIPTION
Detailed description of work to NO INITIATING DEVICES OR NOTIFICATION DEVICES MODIFIED OR ADDED TO THE
be included on this permit only EXISTING SYSTEM FOR THIS WORK.
NAME PRIMARY PHONE
PROPERTY OWNER Willamette Court Apartments
MAILING ADDRESS E-MAIL
31580-23rd Ave.S
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Froula Alarm Systems, Inc. 206-575-1962
MAILING ADDRESS E-MAIL
CONTRACTOR 861 Industry Drive howardw@froulaalarms.com
CITY STATE ZIP FAX
Tukwila WA 98188 206-575-8168
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FROULAS122DS 3 10 2016 19-98-105635-00-BL
NAME ----- PRIMARY PHONE
Froula Alarm Systems,Inc. 206-575-1962
111
APPLICANT MAILING ADDRESS E-MAIL
861 Industry Drive howardw@froulaalarms.com
CITY STATE ZIP FAX
Tukwila WA 98188 206-575-8168
NAME PRIMARY PHONE
PROJECT CONTACT Howard Williamson 206-575-1962
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 861 Industry Drive howardw@froulaalarms.com
concerning this application) CITY STATE ZIP FAX
Tukwila WA 98166 206-575-8168
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
IRCW 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 city as a part of this application.
41044...I.,
"cion— 8/6/15
SIGNATURE: DATE
PRINT NAME: Howard Williamson
Bulletin#100–January 1,2013 Page 1 of 3 k:\1-Iandouts\Pelmit Application
lb III „ ,
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(eommere)aq
BOILERS FURNACES HOT WATER TANKS(Gas(
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 Gambol LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS tcttchen/umrty( WATER HEATERS(Elertrie
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
...............................................................................................................................................................................................
FIRST FLOOR(or Mobile Home)
oss s�i . ;, %=--‘1-,-, � �=,� � _....................................... ........ .................. .. ...... .. ...................... ....
COVEREDENTRY ���.............................................................................................................................................................................................
1
GARAGE ❑ CARPORT ❑ ���.............................................. ....
...... ........................................................................................................................................
s as?a
EXISTING PROPOSED TOTAL
Area Totals
.%,;, .I r t,», � i i/
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area
AREA DESCRIPTION in S are Feet Occupancy Group(s) EOM Sto les Additional Information
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION IIIMPI Occupancy Group(s) BEM Stories Additional Information
TENANT AREA ONLY
fit. y
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Pernrit Application