98-100077 9‘S-)OO 7
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS98-0001
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 01/20/98
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 1727 S 316TH ST Unit: 203
PARCEL NO.: 092104-9304
PROJECT DESCRIPTION: fire sprinkler system : only one wet system
OWNER CONTRACTOR --- — LENDER -
PAN INTRNATIONAL SAFETY FIRST FIRE SYSTEMS INC
1805 S 316TH ST 1415 22ND ST NE, #D
FEDERAL WAY WA 98003 PO BOX 325
AUBURN WA 98001
735-8722
SAFETFF066LT
SPRINKLERS? -Y HOOD & DUCT?.......:? FEES:
# ZONES • 1 OTHER SPRINKLER FEE......* $ 54.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •? FPS PRMT ISSUANCE. $ 20.00
# ZONES - 0
STANDPIPE? •?
UG FIRE SERVICE? •?
FIXED SYSTEM? •?
TOTAL FEES $ 74.00
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 ;00 / / _______
DATE
f ps_prmt 07/01/92
RECEIVED Permit # 000 I
�y CITY OF FEDERAL WAY
JAN 0 $ BUILDING PERMIT APPLICATION
D,t Y t;r t-LIOLttA_�W Y —Please Print—
ILDING ' /k/'{ IN 7h"T i Z'),'#2�
BOX 1 ENANT NAM • 1L01* STREeT pLAzik I UL LU N6, B iOJAN I TMPPOue- 1 1
0" ' SITE LOCATION /SO 5 S. 3/4, 57'
OWNER'S ADDRESS /905 S . 3/&71-1 .S7. CITY / 77EX4L c/ty PHONE
DESCRIBE JOB FI Re 4PRINKLE�2 vE1,1ANT SM9R-DUeYYn eUT-5
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME SAFETY FI Rsr /2E SYST mm(I tc CONTRACTOR'S REG. # SA TFFb(o(ol-j"
AA '' '' Card MUST be presented
CONTRACTOR'S ADDRESS ILII - 22"'D fit i1 1)2 CITY tCVBUR►ll WA- PHONE 253" 735"8722
EXPIRATION DATE 0 Co `A8 / cm
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 043E FsU LKr•iE— PHONE(2-5 3)735 87ZZ
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST - 1 Ll 50! EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 A/ URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN : �.i!�i tt• (- . / 4 DATE: C/ go
ANP-008 3/90