19-104979 RECEIVES PERMIT APPLICATION
CITY OF
/� 1 5 2019 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Federal Way O�tT 253-835-2607+ FAX 253-835-2609 +permitcenter@cityoffederalway.com
-CMNDEOPMENT
PERMIT NUMBER iq
- p TARGET DATE
SITE ADDRESS
SUITE/UNIT#
30809 1st Ave S.,Federal Way,WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL M
$795 PO 0 7 _2 _1 _0 4_ _9— _2 _4— —4—
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING X FIRE PREVENTION
NAME OF PROJECT Federal Way Medical Center
Add radio communicator (AES-7707) to existing Fire Alarm Control
PROJECT DESCRIPTION Panel (FACP).
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
MB&N Wong Kent LLC (253)622-8600
PROPERTY OWNER MAILING ADDRESS E-MAIL
30809 1st Ave 8
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
SCSS/DBA: Ace Fire& Security (360)252-1210
MAILING ADDRESS E-MAIL
CONTRACTOR 4500 3rd Ave thomas.pennington@sbdinc.com
CITY STATE ZIP FAX
Lacey WA 98509 (360)438-4244
WA STATE CONTRACTOR'S LICENSER EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ALARMC*820JO 04/20/2020
-
NAME PRIMARY PHONE
Thomas Pennington (360)252-1210
APPLICANT MAILING ADDRESS E-MAIL
4500 3rd Ave thomas.pennington@sbdinc.com
CITY STATE ZIP FAX
Lacey WA 98509 (360)438-4244
NAME PRIMARY PHONE
PROJECT CONTACT Thomas Pennington (360)252-1210
(The individual to receive and MAILING ADDRESS EMAIL
4500 3rd Ave thomas.pennington@sbdinc.com
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
Lacey WA 98509 (360)438-4244
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.
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 r ,nce of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of ication.
SIGNATURE: / '/d,.A. r�//i/Lid i• DATE:October 14,2019
PRINT NAME:_Thomas Pennington
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application