95-100187 `o 0 ti 18'7
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0003
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 01/24/95
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 9TH AVE S
PARCEL NO.: 926501-01.30
PROJECT DESCRIPTION: FPS — W/2 ZONES
-- OWNER CONTRACTOR - LENDER
UNITIED PHYSICIANS SUPERIOR BUILDERS INC
33301 9TH AVENUE S #200 34310 - 9TH AVE S #108
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
•-7300 874-3647
SUPERBI112D2
SPRINKLERS? •? HOOD & DUCT? •? FEES:
# ZONES • 0 OTHER FIRE ALARM FEE * $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:NEW FIRE DEPT FEE * $ 25.00
# ZONES • 2 FINAL PLAN CHECK...* $ 20.00
STANDPIPE? •?
UG FIRE SERVICE'S 7
FIXED SYSTEM? •7
TOTAL FEES $ 75.00
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.
OWN4OR AGENT /Ian `" DATE Z__// / c
fps_prmt 07/01/92 ///
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0003
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 01/24/95
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 9TH AVE S
PARCEL NO.: 926501-0130
PROJECT DESCRIPTION: FPS — W/2 ZONES
OWNER — CONTRACTOR — LENDER
UNITIED PHYSICIANS SUPERIOR BUILDERS INC
33301 9TH AVENUE S #200 34310 - 9TH AVE S #108
F ERAL WAY WA 98003 FEDERAL WAY WA 98003
00 874-3647
SUPERB1112D2
SPRINKLERS' .? HOOD & DUCT?.......:? FEES:
# ZONES • 0 OTHER.....: FIRE ALARM FEE * $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:NEW FIRE DEPT FEE * $ 25.00
# ZONES • 2 FINAL PLAN CHECK...* $ 20.00
STANDPIPE? 9
UG FIRE SERVICE'S •'
FIXED SYSTEM? •?
TOTAL FEES $ 75.00
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 �' V DATE /
fps_prmt 07/01/92
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1!/Ep PERMIT. �' —VcI FA
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•
RE . City of Federal Way
FIRE ALARM PERMIT APPLICATION
JAN : 199
CITY OF •
Job Address: 333° 1 `l ll�! IV S 6o WP '1 K.Jpt 18003 2,417 FL .
(Street) (City) (State) (Zip) (Suite C)
Owner: iscii3N 1.J E (L.s Tenant Name: U N‘. 15 h (lit St_ct' s O f- WA
Contractor: JAc5Lhiv._16[1'N Ptts -n„M, :D..Jc. Tax Parcel #
Address: V2-5-3 SEDQ-0A 3-1\-e k4,SZT.4" .S-` S p> i e A °11144
Phone: 32s 3 24 c Contractor License #: 'h1 S -��I '2- •3 Expiration Date: 3 97
(Card must be presented)
Owner's Address: 12"S'3 So vT (. , I 5-241<rrte Phone: " 32$
Contact Person: Z°E}.--i W'Ot7Pt Pc Phone: 32-1 32$$f
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:
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 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.
_ I
Owner/Agent: W' Date: 1 1
0"ice Use Only(Please do not
write below this line)
Remarks: 1/ 2' o�.Nvi.00lL 1 13Utl.�t>�
5 Q t J , P0-11;)p [ Kori\r4-1/40
Department of Labor and Industries
Electrical Permit shall be posted Permit Fee (Includes First Zone) $30.00
at all fire alarm installations. 2- Additional Zones @ $10.00 ea. 2-0.A043 / 2. +
❑ Received Total Fees $ •'Z,7 . &O
Route to: Fire Department
Approved by: Date:
000491