00-101008City of Federal Way
Community Development Services Fire Prevention System Permit #:00 - 101008 - 00 - FP
33530 1st Way S Inspection request line: 253.661.4140
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: GOLDENSTONE (FPS)
Project Address: 33400 9TH S Suite206 Parcel Number: 926501 0060
Project Description: INSTALL FIRE ALARM FOR TENANT ON 2ND FLOOR, SUITE #206
Owner Applicant Contractor
GOLDEN STONE LLC SIMS FOX ELECTRIC
33400 9TH AVE S 33400 9TH AVE S
FEDERAL WAY WA 9: PO BOX 207
KENT WA 98032
1
PERMIT EXPIRES September 17, 2000, IF NO WORK IS STARTED.
Permit issued on March 21, 2000
I hereby certify that the above information is correct and that the construction on the above described propert3
the occupancy and the use will be in accordance with laws, rules and regulations of the State of Washingt-
the City of Federal Way. �}�
Owner or agent: ��/
Date:
��
eCUTY10F'So� A�
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
PARCEL #
SITE LOCATION
Tenant/Owner SD ow 0y c2j
Address/City/State/Zip 33A1,00 Vff Ave S. Sk / TE o2o
BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
FPS -
Commercial X Residential ❑
Phone
Nature of Work W6 ALA'A l] Project Valuation:
APPLICANT
Name Fp G 72 i L
Address/City/St/Zip 70 (p S G CW ,0'?h' AINT &)
Contact Person RiLu yexm Phone 20 9-V- ofye) FaxZS3 -93-ci— 4,13 2
CONTRACTOR
Company Name ,K
Address/City/St/Zip
Contact Person 14"ApnE Phone
Fax
State L & I Contractor Registration # a%( Ed -CA 1700d A Exp. Date a 30 _,2"
(Card must be presented)
PLEASE SUBMIT THREE (3) SETS OF DRAWINGS AND CUT SHEETS, PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
DISCLAIMER: I certify, under penalty ofperyury, that the infomation famished by me is true and comectto the best ofmy knowledge and fiutha that I am authorized by the owner of the above premises to perform the work
for which permit application is made. I f ether agree to save hamdess the City of Federal Way as to any claim (mclud ng costs, acpensek and altomeys' foes incurred in hivmdgation and defense of such cla>rn� which may be
made by any person, including the undersigned, and Bed against the City of Federay Way bid only where such claim arises out ofthe reliance of the city, including its ours meld employees, upon the accuracy of the
information supplied to the city as a part of this application
Owner/Agent
Date 3 —Is- r 40d
FPSAer
Ravmsm 5/19/"
City of Federal Way
Community Development Services Fire Prevention System Permit #: 00- 10 1008 - 00 - FP
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.661.4140
Ph: 253.661.4000 Fax: 253.661.4129 (3.30pm cut-off for next day inspections)
Project Name: GOLDENSTONE (FPS)
Project Address: 33400 9TH S Suite206
Parcel Number: 926501 0060
Project Description: INSTALL FIRE ALARM FOR TENANT ON 2ND FLOOR, SUITE #206
Owner
Applicant
Contractor
GOLDEN STONE LLC
SIMS
FOX ELECTRIC
33400 9TH AVE S
33400 9TH AVE S
FEDERAL WAY WA 9
PO BOX 207
KENT WA 98032
PERMIT EXPIRES September 17, 2000, IF NO WORK IS STARTED.
Permit issued on March 21, 2000
I hereby certify that the above information is correct and that the construction on the above described propel h
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washingt,
the City of Federal Way.
Owner or agent:
Date: