18-102290CITY OF /A.
Federal Way
PERMIT NUMBER 1
RECEIVED
MAY 2 9 2018
CIN OF FEDERAL WAY
r 0 2- 2- - -
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente ncit- offedera]way.com
fTARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 16750.00
9 2 6 5 0 4_ 0 0 1 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING X FIRE PREVENTION
NAME OF PROJECT
Virginia Mason FACP/CPU Upgrade and Device Changeout
Upgrade of CPU withing existing Fire Alarm Control Pane and change out of
PROJECT DESCRIPTION
fire alarm system devices. Joint venture between Johnson Controls Fire
Detailed description of work to
Protection and Sasco Electric.
be included on this permit only
NAME
Virginia Mason Clinic
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
33501 1st Way S.
E-MAIL
CITY Federal Way'
ZIP 98003-6299
NAME
Sasco Electric
PHONE
425-806-8400
MAILING ADDRESS 16650 Woodinville -Redmond Rd.
E-MAIL
CONTRACTOR
CITY Woodinville
sWA
ZIP 98072
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
SASC0E*051R6
12/ 26 X2018
601677475
NAME
Johnson Controls Fire Protection
PRIMARY PHONE
206-291-1400
APPLICANT
MAILING ADDRESS
9520 10th Ave S. Suite 100
E-MAIL
CITY Seattle
ZIP 98108
FAX 206-291-1500
NAME Janet Stebbins
RIMARY PHON
PE206-777-4828
PROJECT CONTACT
MAILING ADDRESS
9520 10th Ave S. Suite 100
E-MAIL
janet.stebbins@jci.com
(The individual to receive and
respond to all correspondence
CITY
Seattle
STATE
WA
ZIP
98108
FAX
206-291--500
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $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, andfiled 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 apart of this application.
SIGNATURE- "10 DATE 5/29/2018
PRINT NM. anet Stebbins for Johnson Controls
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application