19-103885 RECEIVED PERMIT APPLICATION
CITY OF rw0'''
Federal Way/ 1 I) 2019 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
r �/ AUG 253-835-2607+FAX 253-835-2609+permitcenter(5citvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER 9 – f a ,. cg 5 – ff
TARGET DATE
SITE ADDRESS SUITE/UNIT#
501 S. 336th St 210
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4,000.00 9264800240 — — — —
_
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING'DIRE PREVENTION
NAME OF PROJECT LAURUS FINANCIAL GROUP STE 210
Adding 5) audio/visual fire alarm notification devices and 10) fire alarm
PROJECT DESCRIPTION addressable initiating devices to existing FA system.
Detailed description of work to
be included on this permit only
NAME - -- — -- PRIMARY PHONE ._.
RH Fountain Plaza Assoc LLC n/a
PROPERTY OWNER MAILING ADDRESS E-MAIL
505 S 336th ST n/a
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Western States Fire Protection 425-881-0100
CONTRACTOR 4690 NEG ADDRESS l
95th St Ste 101 E-MAIL u es.mayer@a wsfp.us
CITY STATE ZIP FAX
Redmond WA 98052 425-881-303
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
WESTESF906P1 12 31 19 19-99-106476-00-BL
--- - -
NAME ---- PRIMARY PHONE
Jules Mayer 425-429-4240
APPLICANT MAILING ADDRESS E-MAIL
14690 NE 95th St Ste 101 jules.mayer@wsfp.us
CITY STATE
WA8052 FAX 425-881-3030
NAME PRIMARY PHONE
PROJECT CONTACT Jules Mayer 425-429-4240
MAILIN(The individual to receive and 690 E 95th St Ste 101 jRESS u
14les .mayer@wsfp.l j
respond to all correspondence ¢��
concerning this application) CI edmond WA 2198052 F 425-881 -3030
NAME ---
PROJECT FINANCING 0 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.
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: DATE 08/12/2019
PRINT ;4,10:11111171-`"I ayer
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application