96-101406 904-61 VO
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS96m0022
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 05/28/!6
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 1901 5 SEATAC MALL BLVD
PARCEL NO.: 7622400025
PROJECT DESCRIPTION: FPS — ADDING AND RELOCATING SPRINKLER HEADS ON FIRST FLOOR (PHASE I)
OWNER ---------___ ----- _ ^ CONTRACTOR — — LENDER
BON MARCHE COSCO FIRE PROTECTION
1901 S SEATAC MALL 10910 117TH PL NE
FEDERAL WAY WA 98003 KIRKLAND WA 98033
513-579-7816 827-9654
COSCOFP110NM
SPRINKLERS? •" HOOD & DUCT? •7 FEES: •
# ZONES • 0 OTHER.,..,: SPRINKLER FEE....,.* $ 54.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •.2
# ZONES • 0
STANDPIPE? •7
UG FIRE SERVICE? •'7
FIXED SYSTEM? •?
TOTAL FEES $ 54.00
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.
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OWNER OR AGENT -/d (/ ---,-,/-7 DATE S 21- 2_c
fps_prmt 07/01/92
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�..r EGENnh1t #_ F( (s - OO a a''
iqq CITY OF FEDERAL WAY ~9
m AEINILDING PERMIT APPLICATION
u�f.��rtA, — Please Print—
�„ BUILDING DEPT.
PDX 1 TENANT NAME: 150 I..1 M P 1,c
ISE-
OWNER 1�PE,EA Tc 1 Dar'I_ 5jcpraSITE LOCATION s ATt'ke; MIA-L .
OWNER'S ADDRESS p•o. . o_, 125 is CITY -�dArTI-E PHONE '0 -7e?-1
DESCRIBE JOB OD 'j�Ej crATE -PILE. ; ucglef> F't ' Ftcc. Int+P- E f-A\
THE PROPERTY IS OWNED BY: SINGLE/MARRIED_ PARTNERSHIP CORPORATION '
_
PoX 2 CONTRACTOR'S NAME 005CE, f I12t- T i E-C'-T'1 n r4. CONTRACTOR'S REG, #S-:_.65( C 1=PILL)N
Cerd MUST be presented
CONTRACTOR'S ADDRESS 1(>2)1 0- i i l'4 rt,I ( - 1C1;C:- CITY_ iCi.12ic-.L K D PHONE) 2 1 - ,54 __
EXPIRATION DATE =; i - Q1
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18,27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Do(XI Ca L 1 L-A RtL: — `i Rc,J Er:T Pe.t ,i PHONE 8 Ll - 4,.;'4
BOX 4 SEWER DISTRICT _ WATER DISTRICT 4
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION `it 2,2 )e--'
HOX 6 PROPERTY TAX ACCOUNT NUMBER .
LEGAL DESCRIPTION
c,--k-v-� M i fcLe i t, .
(I1 necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
( 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR I BASEMENT_/ DECK /_ GARAGE_______,J
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS -= ) (Y.) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ___ SQ FT
BOX 9 PLUMBING FIXTURES (including rough-Ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC.�__.—.GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
_DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET _UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE
_DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
-) OTHER Ft 12t S'P(Z I►JV-t..e6!`-� $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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'
''S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
4D FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLIYES, UPON THE ACCURACY OF HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
O NER/AGENT: ,�►lr„ _ (2 ,r .t/ 6, ZZ- 1 CaDATE:
AHr-001 tie
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