20-100507 Jr t RECEI RMIT APPLICATION
CITY OF
Federal Way FEB 0 l 2 IT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
0-835-2607 + FAX 253-835-2609 +permitcenteribcityoffederalway.com
CI Y OF FEDERAL WAY
comCITUNfiY DEVELOPMEEN�.J.
PERMIT NUMBER 2 —
5 C - F�
� // TARGET DATE
SITE ADDRESS SUITE/UNIT#
3450 S. 344th Way 100
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5,000.00 2221049040 _
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 'IRE PREVENTION
NAME OF PROJECT Doyon Suite 100
PROJECT DESCRIPTION Adding 14) audio/visual fire alarm notification devices and 1) fire alarm
Detailed description of work to
be included on this permit only booster panel to existing FA system.
NAME PRIMARY PHONE
RH ECCP IV ASSOCIATES LLC n/a
PROPERTY OWNER MAILING ADDRESS E-MAIL
3450 S 344TH ST n/a
CITY STATE ZIP
Federal Way WA 98001
NAME PHONE
Western States Fire Protection 425-881-0100
MAILING ADDRESS E-MAIL
CONTRACTOR 14690 NE 95th St Ste 101 jules.mayer@wsfp.us
CITY STATE ZIP FAX
Redmond WA 98052 425-881-303
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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 '8052 FAX
Redmond WA 425-881-3030
NAME PRIMARY PHONE
PROJECT CONTACT Jules Mayer 425-429-4240
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 14690 NE 95th St Ste 101 jules.mayer@wsfp.q„
concerning this application) CITY STATE ZIP FAX
Redmond WA 98052 425-881-3030
NAME
PROJECT FINANCING ❑ 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 2/7/2020
PRINT NAME: Jules Mayer
Bulletin#100—January 29,2016 Page 1 of 2 k:AFlandouts\Permit Application