01-101080 •
City of Federal Way . 1 - 101080 - 00 - FP
ConununityDevelopment Services
Ire Prevention System Permit #:0
33530 1st Way S
Federal Way,WA 98003-6210 U 2
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.035.3050
Project Name: SOUTHRIDGE HOUSE
Project Address: 30838 14TH S Parcel Number: 082104 9231
Project Description: FPS-New fire alarm system.
Owner Applicant Contractor
KING COUNTY HOUSING AUTH SOUTHRIDGE HOUSE E H S LLC(ELECTRICAL CONTRACTORS)
15455 65TH AVE S 15455 65TH AVE S 9510 STONE AVE N
TUKWILA WA SEATTLE,WA SEATTLE WA 98103
98188-2534 98188 (206)527-4422
PERMIT EXPIRES September 24,2001,IF NO WORK IS STARTED.
Permit issued on March 28,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
CI OF . S BUILDING DIVISION
G
ED33530 First Way South
Federal Way,WA 98003
Ry (253)661-4000
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number: _, 10S-lib(i'- 9 i 60l6 fa 2-4167IJ
F P S a I - 16000
.0 (Z/(0 (
PARCEL # ✓ 1 Commercial ( Residential ❑
SITE LOCATION /
Tenant/Owner /—"v/ T/ `'4 G�' �L�y Phone --C-7 //V O
l y
Address/City/State/Zip ��
Nature of Work - - L'A/ j���� Project Valuation: $
APPLICANT
Name 'J -
Address/City/St/Zip �,/ - s` ' / 1-.74 5
Contact Person '` 5417— ✓cCT Phone Fax S 7 _5=5'7,93
CONTRACTOR
Company Name "—
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# !-•!/ C/33)3 Exp.Date �
(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 of perjury,that the information furnished by me is rue 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 f Federay W y 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.
4 7 -31 '
Owner/Agent Date
FPS Are
Revises 5/19/99