93-101758 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.:923 175 8
FPS93-0029
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/20/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33901 9TH AVE S
PARCEL NO.: 926480-0160
PROJECT DESCRIPTION: FIRE SUPPRESSION SYSTEM FOR — COMMUNITY/SENIOR CENTER
= OWNER -s CONTRACTOR m LENDER
FEDERAL WAY COMMUNITY SR CNTR FIRESAFE FIRE SFTY EQUP CO INC
33901 9TH AVE S 1017 54TH AVE E
FEDERAL WAY WA 98003 TACOMA WA 98424
-4000 PARK 922-6897 1800422-7702
FIRESF121QZ
_ 1
SPRINKLERS? .?
HOOD & DUCT?
FEES:
# ZONES • 0 OTHER •'' FINAL PLAN CHECK...* $ 0.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •? BUILDING PERMIT....* $ 10.00
# ZONES • 0 FINAL PLAN CHECK...* $ 4.50
STANDPIPE? .7 j FIRE DEPT FEE * $ 9.00
UG FIRE SERVICE? .7
FIXED SYSTEM? .7
TOTAL FEES $ 23.50
INSPECTION RECORD
•
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
/
OWNER OR AGENT DATE --c2-0. �' 3
fps_prmt 07/01/92
•
City of Federal Way
PLICATION FOR BUILDING PERMIT
J U L 1 4 1993
PLEASE PRINT mADING Darr yAFFEDER4wAY APPLICATION #:
SITE LOCATION Address
Tenant (if known) / Lot# Assessor's Tax#
(e?mnZr. C.-En-Pr Cie
Building Owner Name Address
City Le:OEeigz,(A ,ql,, State ,q Zip 'ct Phone
Nature of Work �u oiPL�i�S�zc/vr�
APPLICANT
Name (F,M,L)Atir �/
,{ 'ILrZArtAE77 t d 1I- scoq-pe ticl 1/l L�rc�rsLl�
Address
/U/7 ,$-y rt" .
City -'- i-7 State (_kilv:1> Zip �j/iI
Contact Person Day Phone Other Phone Fax
3Y- .311 (c?
/€ s;Avreen
CONTRACTOR
Company Name
Sr+FF
Address
7 5 /rte /41.11E_ E,
City -779-cc-- ,--v-)(Q-„, State (titer' Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
�s•E'4,5 57 a1aza //-/-9:3
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
C00492(Rev 4/93)
0
illOTRUCTURE l Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing E iMechanical ❑ Other
Type of Work: ❑ Residential CYNew ❑ Remodel ❑ Number of Units ❑ Deck
LI Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor _ sq ft 3rd Floor sq ft 'Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
y ---- e
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $ ::,:i.,.?!:!..-,,
n9(1.‘
VV 0. t,:
LENDER
Name Address ,,;
City State Zip ,,^\ `�
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
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. 7
Owner/Agent: 5" /7-711..f- 71/7„---_,. -0/ Date: 7 L/
/ - F J
93- /o)75E
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93m0029
33530 First Way South BUILDING INSPECTION = 661-4140 ISSUED: 07/20/93
(Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33901 9TH AVE S
(PARCEL NO.: 926480-0160
PROJECT DESCRIPTION: FIRE SUPPRESSION SYSTEM FOR ® COMMUNITY/SENIOR CENTER
— OWNER CONTRACTOR — LENDER
FEDERAL WAY COMMUNITY SR CNTR FIRESAFE FIRE SFTY EQUP CO INC
33901 9TH AVE S 1017 54TH AVE E
FEDERAL WAY WA 98003 TACOMA WA 98424
661-4000 PARK 922-6897 1800422-7702
FIRESF121QZ4111
SPRINKLERS' .? HOOD & DUCT?.......:?
FEES:
# ZONES . 0 OTHER.,..,:? FINAL PLAN CHECK...* $ 0.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? BUILDING PERMIT....* $ 10.00
# ZONES 0
STANDPIPE? FINAL PLAN CHECK...* $ 4.50
UG FIRE SERVICES FIRE DEPT FEE......* $ 9.00
FIXED SYSTEM? •7
TOTAL FEES $ 23.50
INSPECTION RECORD
ppP OV
KEG`�•FIRED
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / Met/.
0�! t'ic� eA.t,d .n DATE 2—c?-c37— c�— T
fps_prmt 07/01/92