99-102064CITY 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: 35419 1ST AVE S
PARCEL NO.: 302104-9017
PROJECT DESCRIPTION: INSTALLING FIRE LINE MAIN & ACCESSORIES
OWNER CONTRACTOR LENDER
VILLAGE GREEN, PHASE II CAMPBELL CONSTRUCTION CO INC
35419 1ST AVE S 2702 50TH AVE NE
FEDERAL WAY WA 98003 TACOMA WA 98422-2917
824-6224 253.606.1301 838.0585
CAMPBCI197KM
SPRINKLERS?........:?
# ZONES..........: 0
FIRE ALARM SYSTEM?.:?
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
I CERTIFY THAT THE IN
OWNER OR AGENT
fps_prmt 07/01/92
HOOD & DUCT? ....... :7
OTHER.....:
EXTENT OF WORK...:?
INSPECTION RECORD
9 g .- »;10 6 Y
PERMIT NO.: FPS99-0046
ISSUED: 06/03/99
BY: FC2
FEES:
PLAN CHECK FEE $ 108.71
FPS PRMT ISSUANCE $ 20.00
FIRE DEPT FEE $ 101.05
FIRE DEPT FEE $ 46.20
TOTAL FEES S 275.96
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.
DATE 46 ( 9
W
CITY OF C BURRING DNMON
33530 First Way South
Federal Way, WA 98003 Pp,
(253) 661-4000
�C c Fax (253) 661-4129
JUN 01 j%gjIRE PROTECTION. SYSTEM APPLICATION
Federal Way Business License number:
`lt BUU.D NG DF�'T• AY
FPS -
PARCEL # U Commercial O Residential ff"O'
SITE LOCATION
f
Tenant/Owner � —6V l .44 PhondA�
AddmWCity/StateMp
Nature of Work , ® `®ye— lVe./A.7¢ ® Project Valuation: � ®
APPLICANT
AT..--
Contactor
Person )FOA_ rc' 1 al.' Prong -1-5 �.',
CONTRACTOR..
Company Name
Contact Person l --f i A%` f I Phone CLVU Fax
State L & I Contractor Registration # P9 -7 AcCn Exp. Date
(Card naW be prmWern
SE SUBMIT THREE SETS�F DSA-'VVIN _ y S.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
DISCLAIMER: [tuft under penalty ofperjmy, 8iat&e fi&mnatioa BmdshW by me is hue and cooed to the bast ofmy Imowledga end fiudwffidi am au&ofcwdby&e owm offhe above praWm to pafom the wodr
for wWch pemdt appHmfion is made. I further egree to sawn henuless the (Sty ofFederd Way as to any claim (including costs, w pense%and stbmeys' foes mcu=dia hWesfigalion ead def = of=& clean), which may be
made by -y person, including fire undersigaed, artil tiled naftnt the City ofFedaay Way but only where such claim wises out oftbe reliamx offhe city,mclu ftih' offices end employees, aper the amracy ofthe
fi&=ation a Wled to the city as a part offt appRm ioa
Owner/Agent Date
FMA"
Ravrm 5/19/99
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: 35419 IST AVE S
PARCEL NO.: 302104-9017
PROJECT DESCRIPTION: INSTALLING FIRE LINE MAIN & ACCESSORIES
OWNER
VILLAGE GREEN, PHASE II
35419 1ST AVE S
FEDERAL WAY WA 98003
6224
CONTRACTOR LENDER
CAMPBELL CONSTRUCTION CO INC
2702 50TH AVE NE
TACOMA WA 98422-2917
253.606.1301 838.0585
CAMPSCII97KM
PERMIT NO.: FPS99-0046
ISSUED: 06/03/99
BY.: FC2
SPRINKLERS?........:?
HOOD 8 DUCT?.......:?
FEES:
# ZONES..........: 0
OTHER.....:
PLAN CHECK FEE
$
108.71
FIRE ALARM SYSTEM?.:?
EXTENT OF WORK...:?
FPS PRMT ISSUANCE
$
20.00
# ZONES..........: 0
FIRE DEPT FEE
$
101.05
STANDPIPE?.........:?
FIRE DEPT FEE
$
46.20
UG FIRE SERVICE? ... 0
FIXED SYSTEM? ...... 0
TOTAL FEES
$
275.96
INSPECTION RECORD
6--10�q %
IYr71-0
0-2-6
1 CERTIFY THAT THE
OWNER OR AGENT
fps_pant 07/01/92
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
(I-/ —
1 DATE