19-100985CITY OF
Federal Way
RECEIVED
MAR 01 2019 PERMIT APPLICATION
CITY COM UNITY DEV WAY
MENT
PERMIT NUMBER 0 (5 _ F'? TARGET DATE PIA
SITE ADDRESS
SUITE/UNIT #
1000 S 289th St. Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAS/PARCEL #
$ 680
0 21— 0 4_ 9 0 0_i
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING e FIRE PREVENTION
NAME OF PROJECT
Nautilus Elementary
Connecting Duct Detector FACP
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Federal Way School District
(253)945-2291
MAILING ADDRESS
E-MAIL
33330 8th Ave S
CITY
STATE
ZIP
Federal Way
WA
98003
NAME
PHONE
Washington Alarm
206-328-3288
MAILING ADDRESS
E-MAIL
CONTRACTOR
2030 Airport Way S
install@washingtonalarm.com
CITY
STATE
ZIP
FAX
Seattle
WA
98134
206-322-7214
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
WASHIA1282C3
12/ 5 /2019
20 -00 -101629 -00 -BL
NAME
PRIMARY PHONE
Treyven Chin
206-436-5300
APPLICANT
MAILING ADDRESS
2030 Airport Way S
E-MAIL
permits@washingtonalarm.com
CITY
STATE
ZIP
FAX
Seattle
WA
98134
206-322-7214
NAME
PRIMARY PHONE
PROJECT CONTACT
Treyven Chin
206-436-5300
MAILING ADDRESS
2030 Airport Way S
EMAIL
permits@washingtonalarm.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Seattle
WA
98134
206-322-7214
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
ri4 17 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 cert(ly 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
irkfbrmation supplied to the city as apart of this application.
SIGNATURE: I OLDATE 2/19/2019
PRINT NAME: TreyAn Chin
Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Pennit Application