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16-105574CITY OF A Federal Way REcrWED NOV 2 S 2016 5 �Z6 • PERMIT APPLICATION CITY OF FEDERAL WAY CDS PERMIT NUMBER _ 7 _ e TARGET DATE SITE ADDRESS SUITE/UNIT # 1825 S 330th St Federal Way, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # 600.00 8 9 4 4 4 5_ 0 0 0 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING N FIRE PREVENTION NAME OF PROJECT The Village at 330th Condos Installing a cellular transmitter (located at the panel) to replace the existing phone lines PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Village at the 330th -CA (253)840-1200 O ADDRESS EMAIL 30504 Pacific Hwy S CITY Federal Way STATE WA z<P 98003 NAME PRONE Washington Alarm 206-328-1800 MAILING ADDRESS EMAIL a 1"J� CONTRACTOR 2030 Airport Way S instal lCoPwashingtonalarm.com CITY STATE ZIP FAX Seattle WA 98134 206-322-7214 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # WASHIA1282C3 15 / 05 / 2017 20 -00 -101629 -00 -BL NAME PRIMARY PHONE Manny Ornelas 206-436-5301 MAILING ADDRESS permits@washingtonalarm.com EMAIL permits@washingtonalarm.com APPLICANT CITY STATE ZIP FAX Seattle WA 98134 206-322-7214 NAME PRIMARY PHONE PROJECT CONTACT Manny Ornelas 206-436-5301 MAILING ADDRESS PermitsCa)washingtonalarm.com E-MAIL permits@washingtonalarm.com (The individual to receive and respond to all correspondence CITY STATE I ZIP Seattle WA 98134 FAX 206-322-7214 concerning this application) PROJECT FINANCING NAME ❑ OWNER -FINANCED Required value of $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and deAs"uchch may be made by any person, including the undersigned, andfiled against the city, but only where such clliance of the city, including its officers and employees, upon the accuracy of the information supplied to appH SIGNATURE: DATE 11/17/2016 PRINTNAME: Manny Bulletin #100 —January 1, 2013 Page t of 3 k:\Handouts\Permit Application EPED 0 i'IY Of ►►EC CPERMIT APPLICATION ",°,'' OCT 10 2016 PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permrtcenteracit; offederalway.com CITY OF FEDERAL WAY ODS PERMIT NUMBER ,/— O / E TARGET DATE SITE ADDRESS SUIT$/UNIT # 1430 South 330th Street Federal Way SVA, 98003 I ON 691JIN(: ASSESSOR'S TAX/PARCEL N 1 7 2 1 0 4- 9 0 4 5 TYPE OF PERMIT 0 BUILDING L3 PLUMBING 0 MECHANICAL D DEMOLITION L ENGINEERING N FIRE PREVENTION NAME OF PROJECT Church of Blessing NFPA13 WET SYSTEM - ADDITIONAL SPRINKER FOR NEW SANCTUARY. PROJECT DESCRIPTION SPRINKLER HEADS: ^ ' I Detailed description of work to 1`� be included on this permit only NAME CHURCH OF BLESSING PRIMARY PHONE PROPERTY OWNER NIOap.IRGAifDRReB 1430 S 330TH ST CITY-1FEDERAL WAY WAR aIP 98003 NAME � .� PHONE (206) 232-8569 MAILING ADDRESS 111 South Findlay Street mehrdad@,columbiafire.net CONTRACTOR CITY Seattle AT BIP 98108 PAX (206) 340-6100 WA STATE CONTRACTOR'S LICENs$ b EXPIRATION DATE FEDERAI, WAY NOSINESS LICENSE r COLUMFI952MG 07/ 23 /17 20 -09 -100457 -00 -SL NAME Matt Murray PRIPIAHONE (8206) 232-8569 MAUJXG ADDRESS 111 South FindlayStreet E-MAIL mattmurray a�columbiafire.net APPLICANT CITY Seattle STATE WA ZIP 98108 FAX (206) 340-6100 NAM$Mehrdad Rad ... .. PRIMARY PHONE PROJECT CONTACT 206 232-8569 MAI.INGADDRESS 1 11 South Findlay Street E-MAM mehrda (The individual to receive and respond to all correspondence columbiafire,net CITY Seattle STATEzIP WA 98108 FAX (206) 340-6100 concerning this application) PROJECT FINANCING NAME N/A ® OWNER -FINANCED When value is $5, 000 or more (RCW 19.27.095) MAILING APDRESB, CITY, STATE, ZIP .. N/A .. PHONE . . I cart(/ under penalty of perjury that I am the property owner or authorised agent of the property owner. I certrl/j/ that to the bast 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 authorised by the issuance of a permit. I understand that the issuance qj 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' feas incurred in the investigation and defense of such ctair4, 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 qlf tiers and employees, upon the accuracy of the information supplied to the city as apart of this application. SIGNATURE: 'Ate DATE 10-10-17 PRINT NAAQE Matt Murray ` Bulletin #100 -January r9, 2016 i Pale 1 of 2F E k:\Handouts\Perrnit Application 0 0 VALUE OF MECHANIC MECHANICAL PERMIT Indicate how many of each type offtxture to be installed or relocated as paqgro ect. Do not include existin res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FjRLRktCi SERTB HOODS (connnsmial) BOILERS -� ''�� FURNACES HOT WATER TANKS (Gas) COMP ARSGAS LOG SETS REFRIGERATION SYST UCTING GAS PIPING WOODSTOVES PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING W Indicate how many of each type 2Lfixture to be installed or relocated asart o Qct. Do not include exist#Lqfixtures to remain BATHTUBS(orn,b/Shower Combo) LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAIS3IRiER $ STEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS �.-�"'' DRIRINKIN-e �IiOTAINS SINKS (Kitchen/UtiIitA WATER HEATERS (Electric) SHO E BIBBS SUMPS WASHING MACHINES TOTAL FV=RES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR . SEWER PURVEYOR VALUE OF RXISTDIG IMPROVEMENTS EXISTING/PREVIOUS USE - LOT SIZE flu Square Feet) - EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? CHURCH N/A x Yes o No z Yes © No Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application