93-101461 93- )o l 'il,/
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93®0021
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/18/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33901 9TH AVE S
PARCEL NO.: 926480-0160
PROJECT DESCRIPTION: FIRE PROTECTION SYSTEM INSTALLATION
OWNER CONTRACTOR LENDER
CITY OF FEDERAL WAY J R ELECTRIC
33530 1ST WAY S 30241 188TH AVE SE
-
FEDERAL WAY WA 98003 KENT WA 98042
661-4041 872-8545
JRELE**126CJ
410
SPRINKLERS? •N HOOD & DUCT' .? FEES:
# ZONES • 0 OTHER •? FIRE ALARM FEE * $ 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK •? BUILDING PERMIT....* $ 60.00
# ZONES • 0
STANDPIPE? •?
UG FIRE SERVICE? •?
FIXED SYSTEM? •?
TOTAL FEES $ 90.00
INSPECTION RECORD ^
APPRp APPROVE-
T
462
KING CO.FIIII
RE
3 Z2 15
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 e> -- /% _ /,5
fps_prmt 07/01/9
a,0, r—
• City of Federal Way
.).) APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #:
F ('593 -coil
SITE LOCATION Address 390/ 97'17 /7V S
Tena t,.. known,/ a1.i0 k ��7bJ4,� Lot# Assessor's Tax #
�. Gl `f/ 7`�' .7'Z G 540 -.0/4 0
Buildin O�vger Name Address
�', _/j cit —e� GC�°�9 3 �'v ( s-I Zt.)01,7 S
City State ZipPhone
Nature of Work r,y ,l
-.2 ,, -i i `.,' -r-z_
APPLICANT ,�,r/
Name (F,M,L) /14 .; '
(. QGv
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR 91 I L� ' t.'LVfuC
Company Name
Address c C
City - Amer," State ---4717=t-- Zp 42-1
Contact Perso / p16, Phone _ Fax
7 -/ D i'/— 7
Contractor's #(card must be presented) Expiration Date Verified Yes 0 No
4&
ARCHITECT
Name /1
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE fisting Use 'Proposed Use -
t
Permit includes: Building ❑ Plumbing 0 Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
..................
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning Lot Size Existing Bldg Valuation S
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine r Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
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 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.
v / y �y
Owner/Agefit: Date: 6/j///