96-102628 VIIMIP. 9 -1616 2S
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS96-0035
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 11/13/96
Federal Way, WA 98003 BY: FC2
661-4000
SITE ADDRESS: 34525 16TH AVE S
PARCEL NO.: 889700-0060
PROJECT DESCRIPTION: FIRE SUPPRESSION SYSTEM — FOR KITCHEN HOOD.
= OWNER — CONTRACTOR — LENDER
TIMEOUT TAVERN INN R & T HOOD SERVICES INC.
34525 16TH AVE S 87 S DAWSON
FEDERAL WAY WA 98003 SEATTLE WA 98134
838-0086 726-0940
RTHOOD*088QL
SPRINKLERS' •7 HOOD & DUCT'S •7 FEES:
# ZONES • 0 OTHER SPRINKLER FEE * $ 25.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •7 FPS PRMT ISSUANCE. $ 20.00
# ZONES • 0
STANDPIPE? .7
UG FIRE SERVICE? •7
FIXED SYSTEM'S •7
TOTAL FEES $ 45.00
INSPECTION RECORD
•
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INF•RMATION FURNISHED BY ME IS TRUE AND ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / DATE /7 _ I.3 ._
fps_prmt 07/01/92
e ��
Cityof Federal Way
Y
F1 ' APPLICAT NElla J DING PERMIT
Atie o 71996 l,,
PLEASE PR/NT _GF FFDFRAL WAY APPLICATION #: cps 1.1� -0D .
SITE LOCATION Address. 1/5-2g tJILSVG D •
Tenant (if known) Lot # Assessor's Tax #
7-/1 o(I7' 771`ve'i ) _
Building Owner Name Address
i
City State Zip Phone
Nature of Work s,re/ue2 JT l7A -.5-1)pp .ssi,,/
APPLICANT
Name (F,M,L)
Address
City
State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
CorLitoany Name
r aop
Address__
�® Penosoj
City,��=7lry_ 44J07• State 0-}l7 _ Zip
1813
Contact Person f v Phone
�/
7�/j/l/( 2 — ?Y-O Fax 707-Z o7
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
7- hie,ot7 44' 0941_ y-3o--?7
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE •tin Use *posed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: O Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
x. 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 ElSewer Availability ❑ On Site Septic System Availability ❑ Project Valuation $/r ,
Zoning Lot Size Existing Bldg Valuation $
LENDER �//
Name Address V
City State / Zip
i
MECHANICAL CONTRACTOR
Contractor Name Adds‘
City /State Zip
Contact ,/ Phone Fax
License # / Expiration Date Verified ❑ Yes ❑ No
:i
I.•
�IPLUMBING CONTRACTOR'
Contractor Name J Address
City ; State Zip
J
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs • Dish Washers Drinking Fountains Other
i
Showers • Electric Water Heaters Sumps
Lavatories • Washing Machine Drains Total Fixture Count
MECHANICAL UNICOUNT MECHANICAL VALUATION ONLY $
Fuel Type (electri9iother) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Aping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100WBTUs Gas Log Unit Heater 50+ Tons
Furn >1 5 y BTUs Fans Miscellaneous Fuel Tanks
i
Gas HXt Hood Boilers Above Ground
/
Cop,Burner Duct Work 0-3 Tons Underground
7{3O'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'fee. ncurred 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- claim arises out of the r�_eli@nce of the Ci cluding its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.fNOY/y
wnerlAgent: ►j- Date: 1;2-- 76"
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