97-101329 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.:/ FPS97g0013
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 05/07/97
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 9TH AVE S
PARCEL NO.: 926501-0130
PROJECT DESCRIPTION: SPRINKLER SYS
OWNER — CONTRACTOR — LENDER
NYDIC SMITH FIRE SYSTEMS, INC.
33301 9TH AVE S, SUITE 105 1106 54TH AVE E
FEDERAL WAY WA 98003 TACOMA WA 98424
926-1880
eSMITHFS1360T
SPRINKLERS' •Y HOOD & DUCT' •) FEES:
# ZONES • 0 OTHER SPRINKLER FEE * $ 72.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •" FPS PRMT ISSUANCE. $ 20.00
# ZONES • 0
STANDPIPE' •7
UG FIRE SERVICE' •"
FIXED SYSTEM' •7
TOTAL FEES $ 92.00
INSPECTION RECORD
1111
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 O���Q —_._..• / - DATE ,5' 7- ? 7
fps_prmt 07/01/92
•
City of Federal Way
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Fry' N LIGATION FOR BUILDING PERMIT
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PLEASE PRINT SAY J 1
DL APPLICATION#:
SITE LOCATION
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r�ti?�c.:'�> �. Address
Tenant (if known Lot # Assessor's Tax #
known)
- �.
Building Owner Name Address
City State Zip Phone
Nature of Work
APPLICANT
Name (F,M,L)
Sty �'f �{/S 7Lc,-,-t
Address
I/n6 - .5-V7`1 Ave
City /8/7/ /
State � � Zip % 02 (.,
Contact Person Day Phone Other Phone Fax
aDV-.vs— O �v`Sor� go)l /888
BUILDING CONTRACTOR :
...........................
Company Name _ C
SrY\ l H I r C S71-e—Jl/ . : ,S
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 4/931
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FF897-0013
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 05/07/97
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 9TH AVE 8
PARCEL NO.: 9265010130
PROJECT DESCRIPTION: SPRINKLER SYS
OWNER — CONTRACTOR — LENDER
NYDIC SMITH FIRE SYSTEMS, INC.
33301 9TH AVE S, SUITE 105 1106 54TH AVE E
FEDERAL WAY WA 98003 TACOMA WA 98424
926-1880
SMITHFS1360T
SPRINKLERS? •Y HOOD & DUCT? •7 FEES:
# ZONES 0 OTHER SPRINKLER FEE * $ 72.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •7 FPS PRMT ISSUANCE. E 20.00
# ZONES • 0
STANDPIPE'S •7
UG FIRE SERVICE? 7
FIXED SYSTEM? •7
TOTAL FEES $ 92.00
is
Ij INSPECTION RECORD
-4?\ 612-1 (c3
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.
CYWNER OR AGENT o , c=� 5 7- 7
DATE
fpsprmt 07/01/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING 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 ojai (9 ',;--=-41)
DATE BY
• •
STRUCTURE Ling Use )posed Use ,,
Permit includes: ❑ Building ❑ Plumbing Fir)Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ( Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ 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 $ Y.T6> `'4*—
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 CONTRACTORi >:< <
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
TotalFxuro;Caunt.,...,;;:..
MECHANICALUNIT 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 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. G
Owner/Agent CI pv��A Date: 1/— / 7 / / __