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CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0002
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 01/19/95
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 9TH AVE S
PARCEL NO.: 926501-0130
PROJECT DESCRIPTION: FIRE SPRINKLER SYSTEM
= OWNER CONTRACTOR -- LENDER
UNITIED PHYSICIANS SMITH FIRE SYSTEMS
33301 9TH AVENUE S #200 4519 SOUTH ORCHARD
FEDERAL WAY WA 98003 TACOMA WA
248-7300 473-6967
SMITHFS*1360T
Y r INKLERS'' •Y HOOD & DUCT? .7 FEES:
# ZONES • 0 OTHER FINAL PLAN CHECK...* $ 88.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •7 SPRINKLER FEE * $ 135.00
# ZONES • 0 FIRE DEPT FEE * $ 111.50
STANDPIPE? •?
UG FIRE SERVICE? •?
FIXED SYSTEM? •?
TOTAL FEES $ 334.50
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 —r L DATE / /
fps_prmt 07/01/92
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0002
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 01/19/95
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 9TH AVE S
PARCEL NO.: 926501-0130
PROJECT DESCRIPTION: FIRE SPRINKLER SYSTEM
-- OWNER •- CONTRACTOR LENDER
UNITIED PHYSICIANS SMITH FIRE SYSTEMS
33301 9TH AVENUE S #200 4519 SOUTH ORCHARD
FEDERAL WAY WA 98003 TACOMA WA
All07300 473-6967
SMITHFS*1360T
SPRINKLERS' •Y HOOD & DUCT' ' FEES:
# ZONES • 0 OTHER FINAL PLAN CHECK...* $ 88.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •' SPRINKLER FEE * $ 135.00
# ZONES • 0 FIRE DEPT FEE * $ 111.50
STANDPIPE' •'
UG FIRE SERVICE' .'
FIXED SYSTEM' .'
TOTAL FEES $ 334.50
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 / -'/ �- �S
fps_prmt 07/01/92
•
�..� Cit of Federal • RECEIVED
y way
F APPLICATION FOR BUILDING PERMIT JAN 13 1995
CITY OF FEDERAL WAY
BUILDING DEPT. a
PLEASE PRINT APPLICATION #: FPS J s - 0 r52---'
SITE LOCATION • Address 333`�0i 7 'Lk, It/
Tenant (if known) Lot # Assessor's Tax#
11 ; n h ;s ek V\3 E)
Building Owner Name Address
City State Zip Phone
Nature of Work �—rt // f
APPLICANT
Name (F,M,L)
J)1 Jf Cs � or/ S
Address /1 /�1
tic-79 moi) . LJ ri-Gears �G-C‹.1y , 1'vit ,
City
State Zip
Contact Person Day Phone Other Phone Fax
Vle ti i h 8', LIQ 3 —6 6 7,5"- o-D(ic,'
BUILDING CONTRACTOR >'
...............................
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT •
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
(STRUCTURE Existing • /' r Propose
:'ermit includes: ❑ Building ❑ Plumbing ([X. Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor,,C,' 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 l Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
_ iV i i ->!- h ri r e 5 .5-71—:.! v14 5 4/57
`-/ _S<<. �)r c,l�o.�-,'-(
City - /7 04. Gc r+-. c.._ 7 State hi/4 . Zip 12</
Contact Phone Fax
t vi n 8-C !/ //7 -3 -6 6 7 /,/7SJ-- I.a0
License # ' Ali -/../rS j 3 U'' Expiration Date 9'-,75"- ,I-Verified g 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 Drains Total Fixture Count
ME...C....HANICAL>UNTOcom
. .......
. ..........
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 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: - 9..._ Date: / / ;) — i .7
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