99-1036809 9-)0':�'&g-0
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0087
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 10/07/99
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 30648 9TH AV 8
PARCEL NO.: 174500-0020
PROJECT DESCRIPTION: FPS — NEW FIRE SPRINKLER SYSTEM
OWNER CONTRACTOR
PARKVIEW GROUP HOMES RELIANCE FIRE PROTECTION, INC.
30648 9TH AVE S 500 S. LANDER ST.
FEDERAL WAY WA 98003 SEATTLE WA 98134
(206)682-6636
RELIAFP102L1
SPRINKLERS? ........ :Y
# ZONES..........: 0
FIRE ALARM SYSTEM?.:?
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
0
HOOD & DUCT?.......:?
OTHER.....:
EXTENT OF WORK...:?
I CERTIFY THAT THE INFORMATION
INSPECTION RECORD
LENDER
FEES:
PLAN CHECK FEE $ 63.21
FPS PRMT ISSUANCE $ 20.00
FIRE DEPT FEE S 77.25
TOTAL FEES $ 160.46
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 v L?7
fps 07/01/92
VN>
Fi ��'� 335330 Yirst Wa� th
AY Federal Way, WA 98003
�� 2 � 199q (253)661-4000
Fax (253) 661-4129
FIRE PROTE � yfSTEM APPLICATION
Federal Way Business License number:
F P Sqq-
PARCEL # Commercial ❑ Residentfid
SITE LOCATION
Tenant/Owner �AR-140\ e4ap 42\0 S Phone 2�) (o
Address/City/State/Zip S 0 G +q S
Nature of Work &::� k Lam- C, t9,6& Project Valuation: $ 3�g •
APPLICANT
Name
Address/City/St/Zip r
Contact Person Phone Fax
CONTRACTOR
Company Name FC—L`tPCIL FlEf, PAO_U-C-tL13vj
Address/City/St/Zip Z2�2 4 t �-
Contact Person Cj�> LAJ Phone 204 (-'92-(,(,,,3 Fax
State L & I Contractor Registration # T� Z Exp. Date 5 _2dV0
(Card must be presented)
PLEASE SUBMIT THREE (3) SETS OF DRAWINGS AND CUT SHEETS, PER NFPA STANDARDS.
AZAXEKUM PLAN SHEET SIZE: 2411 x 3611
DISCI.ADMR: I cer* under pmdtyofpedW. d atthe infamtagm fimuahed by me is true and conedto l ro bestofmylmossMye and 8utha that I am authorized by the owner of the above premises to perforun the work
for which permit application is made. I Snther agree to am harmless the City of Fa oral Way as to any claim (mdudhrg costs, exile m%and attomeys' fees incurred in investigation and defense ofsuch cla®l which may be
made by any person, including the undersigned, and fled gMmst the City ofFederay Way but only where such daim arises out ofthe reliance ofthe city, including its officers and employees, upon the acomacy ofthe
information supplied to the city as a part oftids application.
FPSAPP
RevcM 5/19199
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0087
FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 10/07/99
BY: FC
SITE ADDRESS: 30648 9TH AV S
PARCEL NO.: 174500-0020
PROJECT DESCRIPTION: FPS — NEW FIRE SPRINKLER SYSTEM
OWNER CONTRACTOR
PARKVIEW GROUP HOMES RELIANCE FIRE PROTECTION, INC.
30648 9TH AVE S 500 S. LANDER ST.
FEDERAL WAY WA 98003 SEATTLE WA 98134
(206)682-6636
RELIAFP102LI
LENDER
SPRINKLERS? ........ :Y HOOD 8 DUCT?.......:? FEES:
# ZONES:.........: 0 OTHER.....: PLAN CHECK FEE $ 63.21
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? FPS PRMT ISSUANCE $ 20.00
# ZONES..........: 0 FIRE DEPT FEE $ 77.25
STANDPIPE?....'.....:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES $ 160.46
INSPECTION RECORD
12,
If CERTIFY THAT THE INFORMATION
OWNER OR AGENT
fps_prmt 07/01/92
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
HED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
DATE