94-100616CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 34827 PACIFIC HWY S Unit: BLD B
PARCEL NO.: 202104-9045
PROJECT DESCRIPTION: FIRE SPRINKLER SYSTEM INSTALLATION FOR BLDGS A & B.
OWNER CONTRACTOR LENDER
HOLIDAY INN EXPRESS MOTEL SAFETY FIRST FIRE SYSTEMS
34827 PACIFIC HWY S P.O. BOX 325
FEDERAL WAY WA 98003 AUBURN WA 98071
Z69151 735-8722
SAFETFF077LZ
SPRINKLERS? ........ :Y
# ZONES........... 0
FIRE ALARM SYSTEM?.:?
# ZONES........... 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
A
HOOD $ DUCT?.......:?
OTHER.....:?
EXTENT OF WORK...:?
INSPECTION RECORD
FEES:
FINAL PLAN CHECK...* S 172.00
SPRINKLER FEE......* $ 218.50
SPRINKLER FEE......* $ 265.00
TOTAL FEES E 655.50
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 t �+ f �_— DATE
fps_prmt 07/01/92
PERMIT NO.:
FPS94�-0017
ISSUED:
04/07/94
BY: FC
FEES:
FINAL PLAN CHECK...* S 172.00
SPRINKLER FEE......* $ 218.50
SPRINKLER FEE......* $ 265.00
TOTAL FEES E 655.50
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 t �+ f �_— DATE
fps_prmt 07/01/92
RECEIVED • PO iit #
HOAR 3 01994 CITY OF FEDERAL WAY
CITY OF FEDERAL, WAY BUILDING PERMIT APPLICATION
6UILDING DEPT. - Please Print -
BOX 1 TENANT NAME: I ICL 104-1 7,,-,
FPS9L4- 00i-7
OWNER ,K, n" WL, C=C. SITE LOCATION .& C - Hui �/
OWNER'S ADDRESS_31" 7 LAS Nw�/ S,: CITY PHONE
DESCRIBE JOB N`o tL L-- )-.t-L,/, r
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME SAFET,/ EK -yr- Fir'c S�,/Si��as vc CONTRACTOR'S REG. # 3AFE7"FF-(-1774Z.
C r1 Card MUST be presented
CONTRACTOR'S ADDRESS 1i Z-�` 57- fl/-/ CITY PHONYZ0(:) 7��1= 8 7 Zi
EXPIRATION DATE to ff�5<
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONqZc-c:,) 73.5--8722
BOX 4 SEWER DISTRICT
BOX 5 ESTIMATED PROJECT COST
BOX 6 PROPERTY TAX ACCOUNT NUMBE
LEGAL DESCRIPTION
u
WATER DISTRICT�i-c:A'
EXISTING BUILDING VALUATION
Ice/ - ��1 -/l
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # PL1"i, 061 c«
BOX BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR2ND FLOOR
3RD FLOOR / 11 Z BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY 711- P1" (Vj NEW CONSTRUCTION ' `�'/3c P`' /,t -
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE r3��,
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
M.
PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0._ FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
TOTAL MECHANICAL FEE
$
I 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 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 OF FEDERAL WAY, 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.
OWNER/AGENT:�DATE:
ANP -008 3/90
k