96-104102 94-/09'/O
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS96-0052
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 11/08/96
Federal Way, WA 98003 BY: FC2
661-4000
SITE ADDRESS: 1901 S SEATAC MALL BLVD
PARCEL NO.: 762240-0025
PROJECT DESCRIPTION: FPS - ADD AND RELOCATE SPRINKLER HEADS IN REMODELED AREAS.
T- 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? -Y HOOD & DUCT? •N FEES:
# ZONES - 0 OTHER SPRINKLER FEE * $ 271,50
FIRE ALARM SYSTEM?.:N EXTENT OF WORK...:MOD FPS PRMT ISSUANCE. $ 20.00
# ZONES . 0
STANDPIPE? •?
UG FIRE SERVICE? •?
FIXED SYSTEM? •Y
TOTAL FEES $ 291.50
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 AGENT DATE
fps_prrtit 07/01/92
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RECEIVED
�, •� 111, City of Federal Way 411
' A
- - FnErz� NOV 0 6 1996
F1 ' APPLICATION FOR BUILDING PERMIT
• CITYL FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #:-FDI ' 005 p�
SITE LOCATION Address 1061 S . SCAT AC MALL BLv D.
Tenant (if known) Lot # Assessor's Tax #
¶ k2 30Li µAM MG 7&,ZZ40- OOZ5
Building Owner Name Address
A-p_caE.. 1901 SCATIAG. 7)L\1D .
City FEoePhAt. State W Fi� N Zip no°3 Phone(513)5101_ 7 Oq
I�O
Nature of Work ANiN A.iO 2eLoCATE. SPRIQKLti2- iA AQS IIJ (ZEHoDGLeD A AS
APPLICANT
Name (F,M,L)
Go CO FI
Address
1O '') LC — /�II1TN ?LA GC N, E
City KI e It LAOf) State t,J ASS . Zip $00 3
Contact Person D y Phone., Other Phone Fax
POJ[a CLAZk eZo( 8Z1- 065 A- 82.7- 7414
BUILDINGCONTRACTOR
ompany Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
—4/6. /6- '7 :► ' ;� ico „ „ 'GL
4111
Please Complete Reverse Side
C00492(Rev 4/93)
I
STRUCTURE ting Use ilkoposed Use
k Permit includes: ❑ Building ❑ Plumbing 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 III
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area _ sq ft
l J 4/6`C5.
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ y G°). c u
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name
Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
CcDSco ^DQE ? TE, -T in LI ►o�10 -lt-tt" FuRcc 0, E .
City K.IR.kLAQI) State Loi Asg . Zip /So 33
Contact /�
po C GL C L A(Z IL P87.1- 0654, Fax
z:7- 1474
License # 6'65 Co (=f " Q 1. 1,,AExpiration Date'.'.01/ Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City
State ZipIII
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 Drains Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUATION ONLY $
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
BBO'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 o
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,expense ,
and attorneys'fees i curred 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 laim arises out of the reliance of the ty, in ding its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: / �_, Date: