93-102330 9b, )6`2: 0
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93®0035
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/21/93
Federal Way, WA 98003 BY: ELF
661-4000
SITE ADDRESS: 2110 S 314TH ST
PARCEL NO.: 092104®9053
PROJECT DESCRIPTION: FIRE PROTECTION SYSTEM m INSTALL SPRINKLERS TO EXISITNG TENANT SPACE
OWNER CONTRACTOR LENDER
JENNY CRAIG WEIGHT LOSS CENTER THE SAFETY TEAM
2110 S 314TH ST 670 S LUCILLE ST
FEDERAL WAY WA 98003 SEATTLE WA 98104
762-1450
I
SAFETT*11ORGIIIIL
f SPRINKLERS? •Y HOOD & DUCT? •? FEES:
# ZONES • 0 OTHER •? BUILDING PERMIT....* $ 30.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? BUILDING PERMIT....* $ 21.00
# ZONES • 0 FINAL PLAN CHECK...* $ 14.00
STANDPIPE? •? SPRINKLER FEE * $ 17.50
UG FIRE SERVICE?...:?
FIXED SYSTEM? •,
TOTAL FEES $ 82.50
INSPECTION RECORD
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
CERTIFY THAT THE INFORMATION FU:` ISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT /74 ' / e 4/ t DATE g— 21_q
fps_prmt 07/01/92
RECEIVED F : Per 't #
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• �
SEP 1993
CITY OF FEDERAL WAY IR
CI BUILDING AL AY BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: k)y (�- Z l�U S 3/47'6 5-2—
OWNER
%OWNER SITE LOCATION - k 8 O 31 4 5T
OWNER'S ADDRESS Zl(:)a iS 314sem" CITYSp� / 5 PHONE ONE
DESCRIBE JOB 'lDITC007 -1—C3 'E)USr' &
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS (Q70 S LUC(LE ST- CITY EA- PHONE -1 t1:2..2-l4 S o
EXPIRATION DATE
— 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 lAmX-E J Q-`sod PHONE -7612714S C�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST Boo. °O 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 = ) (X) EXISTING STRUCTURE
(SI, COMMERCIAL/INDUSTRIAL 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 X. OTHER F‘ SPet ) $
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, UP N THE CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
*OWNER/AGENT: �'l DATE: 9- g—q3
ANP-008 3/90