95-100320 9‘-lo03x0
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0006
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 02/10/95
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33320 1ST WAY S
PARCEL NO.: 926500-0255
PROJECT DESCRIPTION: FIRE ALARM SYSTEM - WITH 8 ZONES
OWNER r- CONTRACTOR — LENDER
HIGHLINE COMMUNITY COLLEGE PACIFIC CONSTRUCTION SYSTEMS,.
33320 1ST WAY SO. BLD A 2275 116TH AVE NE SUITE 100
FEDERAL WAY WA BELLEVUE WA 98004
455-3000 S.
PACIFCS187PK
SPRINKLERS? .7 HOOD & DUCT? •? FEES:
# ZONES • 0 OTHER • FIRE ALARM FEE * $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? BUILDING PERMIT....* $ 100.00
# ZONES • 8 FIRE ALARM FEE * $ 20.00
STANDPIPE? .7
UG FIRE SERVICE? •?
FIXED SYSTEM? •?
TOTAL FEES $ 150.00
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INSPECTION RECORD frbOROVE CT
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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 i2i �C�
fps_prmt 07/01/92
0 RECEIVED PERM rpseo-
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City of Federal Way
FIRE ALARM PERMIT APPLICATION
Job Address: )( ,.))/ -' �' S /,7:71' ;ya / l..�, " liI,, 3
(Street/ (City) (State) (Zip) (Suite#)
Owner: /� 4 t ra-l7-'.i /"„”) =;�''7 7,7'--/-/--Tenant Name: -fel 1l��/l.-`—/C2 i�': �'���G' E�
lU1 /
Contractor: //'.---/,'9,-f '- '7 2C, Tax Parcel #
f
Address: /II ) - i ti.% 7z1,7-7// 1.1— -Z- SS.9-t%6,-4/ , h
Phone: I /-- .2c0' Contractor License #://z4M1 L/Iif, ✓Expiration Date:
(Card must be presented)
Owner's Address: /G30 /9-.G/'6'Ir - /1-Iv/� � Phone:
Contact Person: qtr-4)-7,40,z;--p___ ,� Phone: _1` ,16)
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: ,J
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.
Owner/Agent:'�lJ��,e �� -- Date: /".
Office Use Only (Please do not write below this line)
Remarks:
Department of Labor and Industries
Electrical Permit shall be posted Permit Fee (Includes First Zone) $30.00
at all fire alarm installations. ' Additional Zones @ $10.00 ea. /�,o0
❑ Received r (_, bare e
Total Fees $ p
Route to: Fire Department
Approved by: Date:
C D0491