19-105688 RECEIVED
DEC 0 3 2019 PERMIT APPLICATION
CITY OF _
Federal Way i Y OF FEDERAL WA\pERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
:'IMUNITY DEVELOPMENT 253-835-2607+ FAX 253-835-2609+permitcenter@cityoffederalway.com
PERMIT NUMBER / _ L/ O
y.,L CII _vv TARGET DAT12-31-
SITE ADDRESS
5 SUITE/UNIT#
31908 21st Ave, Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$1,593.59 N/A 2 4 2_ - Q Q— -7_ L
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 1A FIRE PREVENTION
NAME OF PROJECT Sound Credit Union
Installing an AES 7707 Radio Communicator to an existing FACP.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Evergreen Plaza as Amended Per Rec 20030909000708 (206)903-7355
PROPERTY OWNER MAILING ADDRESS E-MAIL
31908 21st Ave elizabeth.dent@soundtransit.org
CITY STATE ZIP
Federal Way WA 98003
NAME STANLEY CONVERGENT SECURITY SOLUTIONS INC. PHONE
DBA:Ace Fire&Security (360)252-1210 or(360)485-2594
MAILING ADDRESS E-MAIL
CONTRACTOR 4500 3rd Ave SE, Suite#1 thomas.pennington@sbdinc.com
CITY STATE ZIP FAX
Lacey WA 98503 (360)438-4244
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ALARMC*820J0(UBI#602404981) 04/20/2020
NAME PRIMARY PHONE
Thomas (Tommy) Pennington (360)252-1505 or(360)485-2594
APPLICANT MAILING ADDRESS E-MAIL
4500 3rd Ave SE, Suite#1 thomas.pennington@sbdinc.com
CITY STATE ZIP FAX
Lacey WA 98503 (360)438-4244
NAME PRIMARY PHONE
PROJECT CONTACT Thomas (Tommy) Pennington (360)252-1505 or(360)485-2594
(The individual to receive and MAILING ADDRESS EMAIL
4500 3rd Ave SE, Suite#1 thomas.pennington@sbdinc.corespond to all correspondence
m
concerning this application) CITY STATE ZIP FAX
Lacey WA 98503 (360)438-4244
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 cityasa part of this application.
SIGNATURE: /do /-Q DATE December 2, 2019
PRINT NAME: Thom�s (Tommy) Pennington
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application