99-100901 9946, b9n /
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99®0021
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 03/12/99
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 2200 S 320TH ST
PARCEL NO.: 242320-0050
PROJECT DESCRIPTION: INSTALLING NEW 8 ZONE PREACTION FIRE ALARM SYSTEM
OWNER — CONTRACTOR - LENDER
CAPITAL ONE GRINNELL FIRE PROTECTION SYSTM
2200 S 320TH ST 1215 CENTRAL AVE S 128
FEDERAL WAY WA 98003 KENT WA 98032
253/859-5066
4110 GRINNFP137LE
SPRINKLERS? •7 HOOD & DUCT? •' FEES:
# ZONES 0 OTHER FPS PRMT ISSUANCE $ 20.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK •' FIRE DEPT FEE $ 80.00
# ZONES • 8 PLAN CHECK FEE $ 65.00
STANDPIPE? •7
UG FIRE SERVICE'S •''
FIXED SYSTEM? .?
TOTAL FEES $ 165.00
INSPECTION RECORD
• 7-(,(-1(n—
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 / "T7 DATE 2 -le - '
fps_prmt 07/01/92
CITY OF G •
BUILDING DIVISION
33530 First Way South
EO Federal Way,WA 98003
(253)661-4000
/� Fax(253 6614129
�Y
PERMIT# �� Jq`)1 -
FIRE ALARM PERMIT APPLICATION
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Job Address: �C7t-
Y '3fr' 16e . /rCO'<�rn
(Street) (City) (State) (Zip) (Suite 8)
Owner: C4/40i / Q,✓C- Tenant Name: f� t
Contractor: Gj•,w.ve// /C//re Tax Parcel#
Address: /e/S .03Z-c� '/Z2 2I232 3f)
Z.r3-
Phone: f.5,-SO G L Contractor License#: 4-,e/,Miyfj°0 664A Expiration Date: /2-/a'2000
(Card must be presented)
Owner's Address: Phone:
Contact Person: -�l y ,l�,d.,,�`�... Phone: 2.r-7"
.ro�G
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:
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: Date: 7' -7 9,
Office Use Only(Please do not write below this line)
Remarks:
City of Federal Way Electrical
Permit shall be posted at all Permit Fee(Includes First Zone) $30.00
fire alarm installations. Additional Zones @$10.00 ea. r ,
Processing fee .$26:2,0
❑ Received Total Fees $
Route to: Fire Department
Approved by: Date:
FIREAIRM.APP
Revisor 8/26/97