95-103506 163.5-0 6
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0065
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 02/13/96
Federal Way, WA 98003 BY: RM
661-4000
SITE ADDRESS: 2210 S 320TH ST Unit: A-5
PARCEL NO.: 242320-0050
PROJECT DESCRIPTION: installing a fire sprinkler system.
7— OWNER -= CONTRACTOR LENDER
OUTBACK STEAKHOUSE MOORE FIRE PROTECTION
2210 S 320TH ST, STE A-5 18621 SE MAY VALLEY RD
FEDERAL WAY WA 98003 ISSAQUAH WA 98027
271-5598
MOOREFP116NP
SPRINKLERS? •7 HOOD & DUCT? •' FEES:
' # ZONES - 0 OTHER FINAL PLAN CHECK...* $ 70.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK .7 BUILDING PERMIT....* $ 108.00
# ZONES 0 FIRE DEPT FEE * $ 89.00
STANDPIPE? .7
UG FIRE SERVICE'S •7
FIXED SYSTEM? •?
TOTAL FEES $ 267.00
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 DATE _ /,,
fps_prmt 07/01/92 /"
City of Federal Way
lam' -ir i I
\--W) FIv FAPPL ICAT ION FOR BUILDING PERMIT
DEC 2 11995
PLEASE PRINT CITY OF F" gip WAY APPLICATION #: cPS`I 5- V c c c
SITELOCATION Address Z 2_/ d /
Tenant (if kkno�wknown) Lot # Assessor's Tax #
(N/775,q-Ci t5 7X '-/Oc'5i
Building Owner Name Address
City `Fe ��� Z //-/ State /_-'4 Zip ' eoc 5 Phone
Nature of Work 1,/rj - 7 / 67/5 77/y f/X8 SPI / , 3)/ /6 ,�-*--0/�� 2W L /t-c'�/1�7(1VeZ,
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
'BUILDING CONTRACTOR
ICompany Name
Address
/7,'9y rCZ- y am,
City /..SS'1/1l !- �/r State 4,/ Zip 6:286 _
Contact PersonFaxes U
7 4 ")>," ri°
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes 0 No
•Z9oo,eS. fes' //G/vP
ARCHITECT
Name
tAddress
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93(
STRUCI URE Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑'Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
lCommercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.....................
. . ......................
.....................
PLUMBING CONTRACTOR''
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine DrainsTotalFixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length 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
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: 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 ariseshe 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: ( U-1----`'/� / ��� Date: -Z7 � �
6