99-101499CITY 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: MONITORED FIRE ALARM SYSTEM
OWNER
VILLAGE GREEN OF FEDERAL WAY
PO BOX 98309
DES MOINES WA 98198
SPRINKLERS?........:?
# ZONES..........: 0
FIRE ALARM SYSTEM?.:Y
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
E
HOOD & DUCT?.......:?
OTHER......
EXTENT OF WORK...:?
CONTRACTOR
BOONE ELECTRIC CONST. INC.
16609 110TH AVE. E.
PUYALLUP WA 98374
848-6998
BOONEEC105JJ
INSPECTION RECORD
LENDER
94 -so/ Yg9
PERMIT NO.: FPS99-0034
ISSUED: 05/04/99
BY: FC2
FEES:
PLAN CHECK FEE S 405.63
FPS PRMT ISSUANCE $ 20.00
FIRE DEPT FEE $ 604.05
TOTAL FEES S 1029.68
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. IS,
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 /''�S�i sC DATE
fps_pant 07/01/92
CRYOF G 0 0 BDtLDiNGDrvrsroN
p 33530 First Way South
- •� E�'7l Ec i°'vE ® Federal Way, WA 98003
7 � F (253)661-400
Fax (253 661-4129
APR 161999 PERMIT #'✓�
CITY OF FEDERAL WAY
FIRE ALARIt"PERWITt APPLICATION
Job Address: ���'-'l F�rs� ��e , 5 t Fe9 •Gs�a LtJ v'f
( ) (ter) (stw) (tea) (sta o
Owner: (J t� ((� a t��r E' 2 Tenant Name:
Contractor. 17X-X�,t& F I oiN l• G &1'-*twAt)tgax Parcel #
Address:
Phone: q3ul-X--0TC Contractor License #:1na#%41�eG tmS-ja Expiration Date:
(Card must be presented)
Owner's Address: Phone:
Contact Person: IA t k 'e l! t` d,a6 c -i Phone:
PLEASE SUBMIT THREE SETS OF 1C•=ALARM WIRING DIAGRAMS, DEVICE LOCATION PLANS,
AND CUT SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE:
MAXIMUM PLAN SIZE = 24" x 36"
certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am
uthorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless
ie city of federal way as to any claim (including costs, expenses, and attorneys' fees incurred in investigation and defense of such claim),
vhich may be made by any person, including the undersigned, and filed against the city of federal way, but only where such claim arises out
f 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
Owner/Agent:
Remarks:
City of Federal Way Electrical
Permit shall be posted at all
fire alarm installations.
❑ Received
Route to: Fire Department
Date: _`
Office Use Only (Please do not write below this line)
Permit Fee (Includes First Zone) $30.00
_ Additional Zones @ $10.00 ea.
Processing fee $20.00
Total Fees $
Approved by: Date:
W
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0034
FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 05/04/99
BY: FC2
SITE ADDRESS: 35419 IST AVE S
PARCEL NO.: 302104-9017
PROJECT DESCRIPTION: MONITORED FIRE ALARM SYSTEM
OWNER CONTRACTOR
VILLAGE GREEN OF FEDERAL WAY BOONE ELECTRIC CONST. INC.
PO BOX 98309 16609 110TH AVE. E.
DES MOINES WA 98198 PUYALLUP WA 98374
824-6224 848-6998
BOONEEC105JJ
SPRINKLERS?........:? HOOD & DUCT?.......:?
# ZONES..........: 0 OTHER.....:
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:?
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
INSPECTION RECORD
LENDER
FEES:
PLAN CHECK FEE $ 405.63
FPS PRMT ISSUANCE $ 20.00
FIRE DEPT FEE $ 604.05
TOTAL FEES $ 1029.68
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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 AGENTM�h lr4aDATE �~ / ~ L 7
fips_prmt 07/01/92