97-101550 97-1b/ 550
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS97-0023
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 06/03/97
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 31002 14TH AVE S
PARCEL NO.: 082104—9 088
PROJECT DESCRIPTION: INSTALLING 6 ZONE FIRE .LARM SYSTEM.
OWNER — CONTRACTOR — LENDER
EVERGREEN LODGE EDWARDS DIV OF GS BLDG SYSTEMS
31002 14TH AVE S 647 STRANDER BLVD
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
III 575-2911
EDWARDG04569
SPRINKLERS? •7 HOOD & DUCT?.......:? FEES:
# ZONES • 0 OTHER.....: FPS PRMT ISSUANCE. $ 20.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? FIRE ALARM FEE.....' $ 80.00
1 # ZONES • 6
STANDPIPE? •7
UG FIRE SERVICE? •'
FIXED SYSTEM? •7
TOTAL FEES $ 100.00
INSPECTION RECORD
'""7/i ) 7 -� ,, ,:::4)--i-L.'
1 �.� ej_ 94,L (4%
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 % 6.,DATE 3' /q -7
fps_prmt 07/01/92 /
CITY OF �� BUILDING DIVISION
• 33530 First Way South
ED Federal Way,WA 98003
(206)661-4000
rI,' ' '
Fax(206)661-4129
PERMIT# rt✓ l 4 -00n
toy 199706
t;tfY(7F FEbERALWAIf FIRE ALARM PERMIT APPLICATION
BUILDING DEPT. }}
ob Address: 3) Dd ..� I �v c � r ),,R 4 L w 4 Y w.4 '7Y0 0 3
(Street) (City) (State) (zip) (nate a)
I Owner: Lr L E R 6‘- Q FEti G-0 G Tenant Name: t< (--) 702.-C:' Rcam=-ci C G C----
Contractor:
Contractor: 6 - S, C-Th 1-c./4-e--7S Tax Parcel#
Address: 6 Y 7 -S r'eN -t-1 E K B c v;) ,/F`f7 t v-9 `? ./
Phone: S 7 S---- 2 `j/ I Contractor License#: Expiration Date:
(Card must be presented)
Owner's Address: Phone:
)(Contact Person: J Oeli 67--R.t 'f-P(r✓ Phone: P L - NS 7v $?
PLEASE SUBMIT THREE SETS OF FIRE ALARM WIRING DIAGRAMS,DEVICE LOCATION PLANS,
AND CUT SHEETS WITH THIS APPLICATION. //,,
INDICATE NUMBER OF ZONES ON PANEL,INCLUDING SPRINKLER ZONES,IF APPLICABLE: i,
MAXIMUM PLAN SIZE=24"x 36"
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.
Owner/Agent: / b ! � Date: /
Office Use Only(Please do not write below this line)
Remarks: b W CS /VD T ,I I/,zJ I L/4 e L C �� R T/!k e v�C a S v B . rr,1 i s' o-t-,z y
City of Federal Way Electrical
Permit shall be posted at all Permit Fee(Includes First Zone) $30.00 3G ``
fire alarm installations. I) Additional Zones @$10.00 ea. 7`
Processing fee $20.00
D Received Total Fees $itx-r•-
Route to: Fire Department
Approved by: Date:
FmEAIAM.APP
REVISED 12./11/96 .