99-104132 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0105
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 11/04/99
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADDRESS: 33663 WEYERHAEUSER WY S
PARCEL NO.: 212104-9002
PROJECT DESCRIPTION: FPS — INSTALL FIRE DETECTION FOR PREACTION SPRINKLER SYSTEM ON 3RD FLOOR (EAST)
= OWNER CONTRACTOR — LENDER
WEYERHAEUSER COMPANY GRINNELL FIRE PROTECTN SYS CO
33663 WEYERHAEUSER WAY 4TH 1215 S CENTRAL AVE # 128
FEDERAL WAY WA 98003 KENT WA 98032
-2166 253-589-5066
GRINNFP0660D
SPRINKLERS' •' HOOD & DUCT'S •' FEES:
# ZONES • 0 OTHER PLAN CHECK FEE $ 81.41
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •? FIRE DEPT FEE $ 105.25
# ZONES • 0 FPS PRMT ISSUANCE $ 1.52
STANDPIPE'S •? FPS PRMT ISSUANCE $ 18.48
UG FIRE SERVICE'S •'
FIXED SYSTEM'S •7
TOTAL FEES $ 206.66
INSPECTION RECORD
S
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
fps_prmt 07/01/92
ai n' r- • RECEIVED • BUILDING DIVISION
EZ . -=F11-_ 33530 First Way South
uv Fll OCT211999 Federal Way,WA 98003
(253)661-4000
ID
Fax(253)661-4129
;ITY OF FELEFIAL WAY
Rt.'It_DING DEPT.
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number: 330.6
FPS
/ ? - filGS
PARCEL # ?(� U f0 2 Commercial XI Residential 0
SITE LOCATION
Tenant/Owner 41e/Ci'Le C areY CD• Phone e5:3- 1�z y-'3489
Address/City/State/Zip 33 44 3 AZ ye/40C hemi- Lld> > !'tem /(1A� �4. 9$ O 3
Nature of Work A'de &e7"<< i'e ee 7~moo.✓ Project Valuation: $ 3;2O av
—rio..,-,I1r .r y��. l=i to - 3 ` i
APPLICANT
Name G f.,,,/„i r 7/ 4.-/1-c-
ll.
- p
•Address/City/St/Zip /2/.5.- -S 6.-el./6.-el./tel-0/�d c _, #228/ // e-,u7' (.//4, 941o.7Z
I
�G%#' R5.3- QS7-,T044 Fax BfS9'.fzSS
Contact Person r� Phone �
CONTRACTOR
Company Name 67-16,-14-1,r// `//e
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# 6/21.4'A/A", D 6 6 Exp.Date 2-ZOGO
(Card must be presented)
PLEASE SUBMIT THREE (3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
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 fur her 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
0 made by any person,including the undersigned,and filed against the City of Federay 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 cityas a part of this application.
Owner/Agent , Date /4 -24 ,/
ITS API,
Revmsxo 5/19/99 ()0.\D
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