99-101816/V&
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99 -0040
33530 First Way South FIRE DEPARTMENT INSPECTION - 253 - 946 -7318 ISSUED: 05/20/99
Federal Way, WA 98003 BY: FC2
253 - 661 -4000
SITE ADDRESS: 2302 S 320TH ST
PARCEL NO.: 092104 -9272
PROJECT DESCRIPTION: FPS — REMOVAL OF DRY CHEMICAL AND REPLACE WITH ANSUL R -102 WET CHEMICAL SYSTEM.
HOOD AND EQUIPMENT EXISTING.
OWNER
MCDONALD'S CORP
2302 S 320TH ST
FEDERAL WAY WA 98003
SPRINKLERS ?........:?
# ZONES........... 0
FIRE ALARM SYSTEM ?.:?
# ZONES........... 0
STANDPIPE ?.........:?
UG FIRE SERVICE ?...:?
FIXED SYSTEM? ...... 0
HOOD & DUCT? ....... :Y
OTHER.....:
EXTENT OF WORK...:?
CONTRACTOR
SANDERSON SAFETY
1101 SE 3RD
PORTLAND OR 97214
340-4300 800 - 547 -0927
SANDESS240RO
INSPECTION RECORD
LENDER
FEES:
PLAN CHECK FEE S 29.15
FPS PRMT ISSUANCE $ 20.00
FIRE DEPT FEE $ 24.85
TOTAL FEES S 74.00
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
fps _prmt 07/01/92
DATE 5�6 � �
BunmiNG DIVISION
CUT OF �_ 33530 First Way South
—211 _ Federal Way, WA 98003
i_ (253) 661 -4000
���®
Fax (253) 661 -4129
MAY 12 1999
PLEASE PR /NT
L.
APPLICATIGN1rRQL%,, DING PERMIT
APPLICATION # 7 f 5t 161 - M 40
Name (F,M,L)
Address
Tenant (if known)
CGS f
Lot #
Assessor's Tax #
Building Owner's Name
Address
city C lc�
State Cv�
Zi GUc�
Phone
Nature of Work
Name (F,M,L)
Address
City
State
Zip
Contact Person
Day Phone
Other Phone
Fax
FEDERAL WAY BUSINESS LICENSE # i
Company Name
Address 1
Cit y State zip9
Contact Person Phone Fax
-
Contractor's # (card must be presented) Expiration Date • <57� Verified ❑ Yes ❑ No
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Comnl -te Reverse Side
0
4
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.... �. �r. E3�.::• :::::..:::::::::•::>:::::::::::::
>':' > »< # » >a > ". >:'•`` #` > �..
:::;:•;;:•;:;:•:;:;:;; >:_;.;
xistin g Use
State
roposed Use
Contact
Permit includes:
Fax
❑ Building
❑ Plumbing
❑ Mechanical
❑ Other
Type of Work:
❑ Residential
❑ New
❑ Remodel
❑ Number of Units
❑ Deck
Fuel Tanks
❑ Commercial
❑ Addition
❑ Garage
❑ Shed
❑ Other
Enter Ist 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
Pro Dosed Total Area
sq ft
Water Availability
❑ Sewer Availabilit
❑ On -Site Septic System Availability ❑
Project Valuation
$ Q
Zoning
Lot Size
Existing Bldg Valuation
$
Contractor Name
Address
city
State
Zi
Contact
Phone
Fax
License #
Ex iration Date
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
:�kk:iJ t}F I. �:: y:;: t: �' 2y; �yt�:%+: �= 5: �:. tS: �S:;:::: ��:; i�w::.{: :sy:. ?::3::�:::/:::.•.:;�;: -`:' � ::'::
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Furn <100K BTUs
Lavatories
Washing Machine
Drains ns
Furn > 100 BTUs
9"Pil!411..IG 1 < lNt C IT £ "' » €
MECHANICAL EVALUATION ONLY $
Fuel Type (efectric /other)
Gas Dryer
Air Handlin < = 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
1 Fans
I Miscellaneous
Fuel Tanks
Gas Hwt
lHood
I Boilers
Above Grou
Conv Burner I Duct Work 0 -3 Tons Underground
BBQ's
Woo Stoves -
Wood St es
3 15 Tons >' fnY31' 33ritt '^r!? » »3 »' ?< »3 » >z<:`::: >':!
DIS CLAIM ER: I certify under penalty of perjury that the information famished 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
attomeys' 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 and employees, upon the accuracy of the information supplied to the city as a part of this application
Owner /Agent: /��✓7 �`�� G� -' /c? Date:
REVS 08/18/97