99-104175 99 -Jo V175-
CITY
17,5CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0107
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 11/05/99
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADDRESS: 1414 S 324TH ST Unit: B103
PARCEL NO.: 150050-0080
PROJECT DESCRIPTION: FPS — FIRE SPRINKLER TI
= OWNER — CONTRACTOR - LENDER —
ARMY RECRUITING OFFICE ASSURED FIRE PROTECTION INC
1414 S 324TH ST, #6103/104 11206 32ND ST E
FEDERAL WAY WA 98003 EDGEWOOD WA 98372
i253/863-9548
ASSURFP072L5
SPRINKLERS? Y HOOD & DUCT? ? FEES:
# ZONES • 0 OTHER PLAN CHECK FEE $ 35.10
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •? FPS PRMT ISSUANCE $ 20.00
# ZONES • 0 FIRE DEPT FEE $ 34.00
STANDPIPE? •?
UG FIRE SERVICE? .
FIXED SYSTEM? •?
TOTAL FEES $ 89.10
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFO ATION FURNISHED BY ME IS TR ,E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT I DATE
fps_prmt 07/01/92
CITY OF G • �' • BUILDING DIVISION
ED 33530 First Way South
```` A Fa C F Federal Way,WA 98003
v v �� (253)661-4000
Fax(253)661-4129
OPT f 1gQQ
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
FPS - lO�"
PARCEL # Commercial Residential 0
SITE LOCATION
Tenant/Owner /C. �n C"�a u,tet r r 1 r'L i' Phone
Address/City/State/Zip 055 Pc- Za e9)7t a�C 6„„ .,relL s/-5 e ia'4 e /> :).S:
Nature of Work 24,/cam 7 i= Project Valuation: $ 1• Soo
APPLICANT
Name /+ss�. A fl' i3 lam'z� r
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Address/City/St/Zip //02 o 6 ;�vv ;. F, �.�r ,:), L/ cc--;'
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i
Contact Person -'o Phone z S•-•?-e'G 3-`j S f 8 Fax �," eC
CONTRACTOR
Company Name '475 s.,;z e 7 ,C n �?--e9'r -c T7u. ��
Address/City/St/Zip /o?o G 3 ~" ST �- G ;Dl ch) e.z).'q " `7 c 3 7 "2-
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Contact
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Contact Person .- ,v J3.4G., .71 e%%rz_a Phone z S 3 eAh3 `)s L/ L Fax .z
State L&I Contractor Registration# / SC'Z Ft U 7 c2 S" Exp.Date 2/3i/F9
(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.1 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 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 city as a part of this application.
Owner/Agent -C Date
FPS.App
Revtsro 5/19/99