99-104436 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0117
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 12/15/99
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 33663 WEYERHAEUSER WY S
PARCEL NO.: 212104-9002
PROJECT DESCRIPTION: FPS — INSTALL SPRINKLERS FOR PREACTION 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
GRINNFP066QD
SPRINKLERS? •Y HOOD & DUCT? •7 FEES:
# ZONES 0 OTHER PLAN CHECK FEE $ 108.71
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •7 FPS PRMT ISSUANCE $ 20.00
# ZONES 0 FIRE DEPT FEE $ 147.25
STANDPIPE? •7
UG FIRE SERVICE? •7
FIXED SYSTEM? •7
TOTAL FEES $ 275.96
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 AGENTV U,.,1 ' �CjQ�I Q DATE I ZJ())fps_prmt 07/01/92 J
• RECEIV
J
BUILDING DIVISION
o NOV191999 33530 First Way South
y Federal Way,WA 98003
(253)661-4000
CITY OF FEDERAL WAY
BUILDING DEPT. Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
FPScjq - D//212 �
PARCEL # I -q O Commercial lie Residential ❑
SITE LOCATION ft- V1 ��r n e�
Tenant/Owner t/v � ii � Phone
Address/City/State/Zip 3 10. O e Li-eyta E ( w 1 RdLutalLual
/1.)� /
Nature of Work_(A GV P et_` ' " SG1 � 'V r ' Project Valuation:$ 1000
APPLICANT
Name G1 ►
•Address/City/St/Zip 1 J C-e ' I S ` '� ' , -Q-I ft)
Contact Person ) r71
_ LL C ( Phone 5 J &S q 9 u "ax
CONTRACTOR
Company Name -Y a9 0-01)v`i-
Address/City/St/Zip
Contact Person Phone Fax
�,
State L&I Contractor Registration# � N FP � Exp.Date VDD
(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 1 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 bytormation any persincluding 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
infsupplied
on,to the city as a partof this application. /
Owner/Agent "' " '%��'`� `�e Date ` /// 3/q
FI'S.APP
Revrsen 5/19/99