98-102938CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS98-0040
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 10/08/98
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADDRESS: 30019 10TH AVE SW
PARCEL NO.: 515320-0409
PROJECT DESCRIPTION: INSTALLING NEW FIRE SPRINKLER SYSTEM
OWNER CONTRACTOR LENDER
LARRY LEE GRINNELL FIRE PROTECTN SYS CO
30017 10TH AVE SW 1215 S CENTRAL AVE # 128
FEDERAL WAY WA 98023 KENT WA 98032
206-396-1525 253-946-1134 253-589-5066
GRINNFP066QD
SPRINKLERS? ........ :Y HOW & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....: FPS PRMT ISSUANCE. S 20.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? SPRINKLER FEE......* S 63.00
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES $ 83.00
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 �i/j� �/ DATE
fps_prmt 07/01/92
^ BUIIAING.DIVISION
arra . 33530 First Way South
r Federal Way, WA 98003
VV �/ (253)661-4000
Fax (253) 661-4129
ul � ICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #
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Tenant Of known)
Building Owner's Name
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City irO;A7 h dta/la.
State
Lot #
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Assessor's Tax #
Phone 7-6
Company Name
Address
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Contact Person
Contractor's # (card must be presented)
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FEDERAL WAY BUSINESS LICENSE # UU,
Phone Fax
el 6-3 $ 51-2
Expiration Date Verified ❑ Yes ❑ No
Name
Address
city
State
zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Civ/ete Reverse Side "
Contractor Name I Address
Contact I Phone
Fax
❑ Yes ❑
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine I Drains M.......rt�.........................
I81#.<'.QiT {<<j 1 MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Len h 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
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
'1(1lflilE`44ti#
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledg:; slid further, that I am authorized by the ownerof
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 claims which may be made by any person, including the undersigned, and Sled against the City of Federal Way, but only
where such claim arises out ofthe reliance of the fty, including its officers and employees, upon the accuracy of the information supplied to the city as a part offtth�is application.
X Owner/Agent: Date:
BUUMAPP
REV=enere7
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318
Federal Way, WA 98003
253-661-4000
SITE ADDRESS: 30019 10TH AVE SW
PARCEL NO.: 515320-0409
PROJECT DESCRIPTION: INSTALLING NEW FIRE SPRINKLER SYSTEM
OWNER
LARRY LEE
30017 10TH AVE SW
FEDERAL WAY WA 98023
1525 253-946-1134
SPRINKLERS? ........ :Y
# ZONES..........: 0
FIRE ALARM SYSTEM?.:?
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?..,:?
FIXED SYSTEM?......:?
0
HOOD & DUCT?.......:?
OTHER.....:
EXTENT OF WORK...:?
CONTRACTOR
GRINNELL FIRE PROTECTN SYS CO
1215 S CENTRAL AVE # 128
KENT WA 98032
253-W5066
GRINNFP066QD
INSPECTION RECORD
LENDER
9g,1sa93s
PERMIT NO.: FPS98-0040
ISSUED: 10/08/98
BY: FC2
FEES:
FPS PRMT ISSUANCE. $ 20.00
SPRINKLER FEE......* $ 63.00
TOTAL FEES $ 83.00
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 rem, DATE Z J, —'el'
y
fps_pant 07/01/92
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY _
FINAL O.K. TO 9CCUPY
DATE BY .
DCD
PSD
FD
Q
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