96-100184 94, . tDO/gy
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS96-0004
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 01/26/96
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 2210 S 320TH ST Unit: A-5
PARCEL NO.: 242320-0050
PROJECT DESCRIPTION: INSTALLATION OF 4 ZONE FIRE ALARM SYSTEM, WITH 2 ZONE PULL STATION.
= OWNER CONTRACTOR — LENDER
OUTBACK STEAKHOUSE S M E INC OF SEATTLE
2210 S 320TH ST STE A-5 927 RAINIER AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98144
329-2040
SMEINS*066DB
SPRINKLERS? 0 HOOD & DUCT? 0 FEES:
# ZONES • 0 OTHER FINAL PLAN CHECK...* $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK 0 BUILDING PERMIT....* $ 50.00
# ZONES • 0 FIRE DEPT FEE * $ 40.00
STANDPIPE? 0 ELEC. INSPECTION $ 63.00
UG FIRE SERVICE? 0
FIXED SYSTEM'S
TOTAL FEES $ 183.00
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORNJATION 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 -.41 i; DATE 3/V /
fpsjrmt 07/01/92
It
PERMIT # P 3%(,Q DOL FA
City at Federal Way
FIRE ALARM PERMIT APPLICATION
'JAN 1 7 1996
Job Address: < zc &if
(Street) (Gay) (State) IrPBUILDEL kvA
tY
Owner: C, f2-6,¢c1 /, ,owTenant
Name:
Contractor: tS C ,.L,�}C .J P �Q Tax Parcel #
Address: 9,2_7 �� (u Af
Phone 3c9-cO'Q Contractor License #: ,j�'t x,,15 "IOC,.1)'�p
x iration Date:
(Card must be presented)
Owner's Address: Phone:
Contact Person: 1X,1\ (f X- 12) Phone:
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: 4 -
MAXIMUM PLAN SIZE = 24" x 36"
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 APPUCATION 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.
C _
'
'
Owner/Agent: �` 1 Date: //17/ �
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 @ S10.00 ea.
❑ ReceivedTotal Fees $
Route to: Fire Department \
Approved by: T / 2_
' 1 Date:
CD0481
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS96=0004
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 01/26/96
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 2210 S 320TH ST Unit: A-5
PARCEL NO.: 242320-0050
PROJECT DESCRIPTION: INSTALLATION OF 4 ZONE FIRE ALARM SYSTEM, WITH 2 ZONE PULL STATION.
OWNER — CONTRACTOR
LENDER
OUTBACK STEAKHOUSE S M E INC OF SEATTLE
2210 S 320TH ST STE A-5 927 RAINIER AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98144
329-2040
SMEINS*066DB
o
SPRINKLERS? -, HOOD & DUCT?.......:? FEES:
# ZONES • 0 OTHER FINAL PLAN CHECK...* $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? BUILDING PERMIT....* $ 50.00
# ZONES • 0 FIRE DEPT FEE * $ 40.00
STANDPIPE? .' ELEC. INSPECTION $ 63.00
UG FIRE SERVICE? •'
FIXED SYSTEM? .?
TOTAL FEES $ 183.00
INSPECTION RECORD
•
I
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 /.9-6(c,.
fps_prmt 07/01/92
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