18-101140 RECEIVED
MAR 15 2018 PERMIT APPLICATION
CITY OF
Federal Way CITY OF FEDERAL WAY PENinT CiNTER+33325 8th Avenue South+Federal Way,WA 98003-6325
COMMUNITY DEVELOPMENT 253-835-2607+FAX 253-835-2609+permitcente a ityoffederalway.com
PERIQT MinsER 1 S - l D l 0-169 - a
TARGET DATA
SITE ADDRESS SUITE/UNIT It
35448 11th Ave. SW, Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ /4 � 1:7b 3 0 2 1 0 4 - 9 0 0 6
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑MECHANICAL ❑DEMOLITION ❑ ENGINEERING WFIRE PREVENTION
NAME OF PROJECT Christ the King Bible Church FACP replace and AES installation
PROJECT DESCRIPTION Replace fire alarm panel, install new AFS radio
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Christ the King Bible Church 253-517-3978
MAILING ADDRESS E-MAH,
3x0/8 - ff eal4 r/E s'
ctTY STATE ZIP
Federal Way WA 98023
7'1AA Fire Protection, Inc. PH0NE206-284-1721
MAILING ADDRESS E-MAIL
CONTRACTOR 3013 3rd Ave N genrge@aaafire nom
CITY STATE ZIP FAX
Seattle WA 98109
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY EUSUIIS8 LICENSE I
AAAFIFP841 N3 10 i 10 2018 20-00-101633-00-BL
NAME PRIMARY PHONE
George Washburn 206-284-1721
APPLICANT MAILING ADDRESS EMAIL
3013 3rd Ave. N george@aaafire.com
CITY STATE ZIP PAX
Seattle WA 98109
NAME PRIMARY PHONE
PROJECT CONTACT Boyd Soderquist 206-284-1721
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 3013 3rd Ave. N Boyd@aaafire.com
concerning this application) CIT STATE ZIP FAX
Seattle WA 98109
NAME �7
PROJECT FINANCING N/A OWNER-FINANCED
When value is$5,000 or more MA L NG 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 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.
SIGNATURE: JJ — ✓✓�LI/1/1i DATE March 15, 2018
PRINT NAME: George Wa burn
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application