19-100204CITY OF • RECEIVED PERMIT APPLICATION
Federal Way SAN > > 2019 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcente rlcitvoffederalway.com
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OF FEDERAL WAY
PERMIT NUMBER _ ► — E_ NT— — _ TARGET DATE I
SITE ADDRESS
SUITE/UNIT #
33620 21 st Ave SW
4 Self Storage Bldg
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL#
$ 57500.00
2 4 2 1 0 3_ 9 0 0 1
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING X FIRE PREVENTION
NAME OF PROJECT
Federal Way Self Storage
Install fire alarms stem for Federal Way Self Storage. 4, 2 -story bld s.
PROJECT DESCRIPTION
Detailed description of work to
Joint venture between Johnson Controls Fire Protection and Seahurst
Electric.
be included on this permit only
NAME
Wasatch Storage Partners
PRIMARY PHONE
801-692-1474
PROPERTY OWNER
MAILING ADDRESS
131 S 700 E, Suite 102
E-MAIL
CITY American Fork
-u
V I ZIP 84003
NAME Seahurst Electric
PHONE 425-258-1882
MAILING ADDRESS 2915 Chestnut St.
E-MAIL
CONTRACTOR
CITY Everett
sm
ZIP 98201
FAX
WA STATE CONTRACTOR'S LICENSE S
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
SEAHUF1099QN—
11 / 15 / 1q
UK 600644157
NAME Johnson Controls Fire Protection
PRIMARY PHONE206-291-1400
APPLICANT
MAILING ADDRESS
9520 10th Ave. S. Suite 100
E-MAIL
CITY Seattle
STARA
VV VV
ZIP 98108
FAX 206-291-1500
NAME
PRIMARY PHONE
PROJECT CONTACT
MAILING ADDRESS
E -MA IL
'ci.com
(The individual to receive and
respond to all correspondence
9520 10th Ave. S. Suite 100
anet.stebbins
CITY Seattle
sWA
ZIP 98108
FAX 206-291-1500
concerning this application)
PROJECT FINANCING
NAME
❑ 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.
1 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 apart of this application.
SIGNATURE: v DATE 01/10/?019
Janet Stebbins
PRINT NAME:
Bulletin #100 — January 29, 2016 Page I of 2 kAHandouts\Permit Application