93-103229 93-/o3aa9
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93-0059
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/29/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 181 S 333RD ST Unit: BLD A
PARCEL NO.: 926500-0250
PROJECT DESCRIPTION: FPS — INSTALL FIRE ALARM SYSTEM
— OWNER — CONTRACTOR — LENDER
COLUMBIA DENTAL GROUP PRIME ELECTRIC INC
181 S 333RD ST BLD A 1312 MW MALL ST
FEDERAL WAY WA 98003 ISSAQUAH WA 98027
575-8500 391-8230
PRIMEEI134BT
SPRINKLERS? •? HOOD & DUCT? •? FEES:
# ZONES • 0 OTHER •? FINAL PLAN CHECK...* $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? FIRE ALARM FEE * $ 10.00
# ZONES • 2 FIRE DEPT FEE * $ 20.00
STANDPIPE? .7
UG FIRE SERVICE?...:?
FIXED SYSTEM? •?
TOTAL FEES $ 60.00
INSPECTION RECORD
Ilk
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 DATE /Z cr " 7✓
,fpsprmt 07/01/92
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• PERMIT F85 3 J 00c9
City of Federal Way
FIRE ALARM PERMIT APPLICATION
11-2
Job Address: I a/ 5 3 3 3 3 ' A /
(Street) (City) (State) (Zip) (Suite I)
•
Owner: Ak/014 (*See - Tenant Name: CO2-14"17 L/9 40.4-'�72541-
Contractor: U!l-T,A"7.0 Tax Parcel # gig 3-00 r �07c O
Address: 13/ 11/Le' /.1 /7----// 57SS ?ce/- Gc. 5',0�7
Phone: 3 / 0 -3c Contractor License #: /i'4J€xpiration Date:
(Card must be presented)
((T
Owner's Address:c2(70� v<fl(�XGr�t� �r7�- /2.-p‘ Pholne: �3 v!
Contact Person: aWL-- Phone: 3 7/�v2..i a
PLEASE SUBMIT THREE (3)SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION PLANS AND CUT
SHEETS WITH THIS APPLICATION. `�
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE: L7`
MAXIMUM PLAN SIZE = 24" x 36"
CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY(VIE IS TRUE AND CORRECT TO THE BEST
OF
piyv.XNOWLEOGE AND•FURTHER THAT I A 4 AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES
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 CLAtM) WHICH MAY BE MADE BY ANY PERSON.INCLUDING THE UNDERSIGNED,AND FILED AGAINST THE'CI Y OF._
FEDERAL WAY,BUT'ONLY WHERE SUCH CLAIM ARISES OUT OF THE'RELIANCE OF THE CITY,INCLUDING ITB OFFICERS AND,;
EMPLOYEES :UPON THE ACCURACY.OF THE INFORMATION SUPPLIED TO THE CITY ASA PART OF THIS APPLICATION-
.
i'll""" :"7-5
Owner/Age �.avor; _ � � �ate:
Office Use Only(Please do not write below this line)
Remarks:
Department of Labor and Industries
Electrical Permit shall be posted Permit•Fee(Includes First Zone) $30.00
at all fire alarm installations. / Additional Zones @ $10.00 ea. /0.o o
/ �D �c
O Received Total Fees $ 1;0-
Route to: Fire Department
Approved by: Date:
CD0491
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FP893-0059
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/29/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 181 S 333RD ST Unit: BLD A
PARCEL NO.: 92 6500-0250
PROJECT DESCRIPTION: FPS — INSTALL FIRE ALARM SYSTEM
.- OWNER - CONTRACTOR - LENDER
I
COLUMBIA DENTAL GROUP PRIME ELECTRIC INC
181 S 333RD ST BLD A 1312 MW MALL ST
FEDERAL WAY WA 98003 ISSAQUAH WA 98027
ti 575-8500 391-8230
1111 PRIMEEI134BT
SPRINKLERS? •? HOOD & DUCT? •? FEES:
# ZONES • 0 OTHER -? FINAL PLAN CHECK...* S 30.00
WIRE ALARM SYSTEM?.:Y EXTENT Of WORK...:? FIRE ALARM FEE * $ 10.00
# ZONES • 2 FIRE DEPT FEE * S 20.00
1 STANDPIPE? -,
1 UG FIRE SERVICE?...:?
FIXED SYSTEM? •?
I TOTAL FEES $ 60.00
1
I
j INSPECTION RECORD
COPTF1R
DS-
s
3 22
9 S
1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU NISHED BY ME I TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPUCABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
4 OMINER OR AGENT DATE (Z,-Z/-93
fps_prmt 07/01/92
SET BACKS AND FOOTINGS . TO POUR FOUNDATION WALLS PL•ING GROUNDWORK
DATE_......_. -..._. BY DATE _.. _.._..BY ._._ -.._. DATE ....- -........BY
PLUMBING ROUGH IN WATER LINE O.K. _.___ - _-... MECHANICAL INSPECTION
DATE ..._BY _ GAS PIPING O.K.--.... _ DATE _...._ BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE .....- - ......_-_ BY -__ DATE _.. ...._._-_.._BY .. .._._ DATE - -._. .BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE_.._...._-....._-........_ BY__._-..........-........__