96-103615 5c,-)o3(aS5
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS96-0044
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 10/08/96
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 31002 14TH AVE S
PARCEL NO.: 082104-9065
PROJECT DESCRIPTION: INSTALLING PRE—ENGINEERED FIRE SUPPRESSION SYSTEM IN CLASS I KITCHEN EXHAUST HOOD.
OWNER CONTRACTOR LENDER
WOODWAY INN FIREMASTER
31002 14TH AVE S 505 PUYALLUP AVE
FEDERAL WAY WA 98003 TACOMA WA 98421
800-322-3806 383-3804
FIREM**066LA
SPRINKLERS? -' HOOD & DUCT?.......:? FEES:
# ZONES • 0 OTHER FPS PRMT ISSUANCE. $ 20.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? SPRINKLER FEE * $ 33.00
# ZONES • 0
STANDPIPE? •?
UG FIRE SERVICE? •7
FIXED SYSTEM'S •7
TOTAL FEES $ 53.00
INSPECTION RECORD
ALL PERMITS EXPIRE 1-!'D S AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRE 0 E BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.OWNER OR AGENT DATE � A ��
fps_prmt 07/01/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE . BY DATE BY DATE . BY
FINAL O.K. TO OCCUPY
DCD PSD FD /0/315 c
DATE BY
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41I
PERMIT # TP 4& �OO ( FA
City of Federal Way
FIRE ALARM PERMIT APPLICATION
Job Address: '-73/60), (----
0UoZ / ! 1-)\/91/ ( -->,' K26 a, 1A7 'tel / x,64 `� d7
(stree) (City) // tt (State) (Zip) (suite sl
Owner: i__>.)CKl1)Wim/ 1- L✓
A-% Tenant Name: OODI-J / _EWA/
Contractor: 6-714,q:s2,IL Tax Parcel # (40710q- g005
Address: �d i'u y -t7,-;" "71V 84 1 %1/
/
Phone: ,Y06,.3.2.2-35)6G Contractor License #: Expiration Date:
(Card must be presented)
Owner's Address: Phone:
Contact Person: .-C-_,-,]cn,1 --.-' "1--J-'e-----C-----"2---V Phone: '3o 38OL.( r/1/)
PLEASE SUBMIT THREE (3) 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: j
MAXIMUM PLAN SIZE = 24" X 36"
t1
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 APPUCATION 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, NDERSIGNED,AND FILED AGAINST THE CITY OF
FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT • HE -z ANCE OF THE CITY,INCLUDING ITS OFFICERS AND
EMPLOYEES, UPON THE ACCURACY OF THE INFORMATIO UPPLIED 0 THE CITY AS A PART OF THIS APPLICATION `
r
Owner/Agent: - �1.4111 /- Date: G U
Office Use Only (Please do not write below this line)
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Remarks:
Department of Labor and Industries
Electrical Permit shall be posted Permit Fee (Includes First Zone) $30.00
at all fire alarm installations. _Additional Zones @ $10.00 ea.
❑ Received Total Fees $
Route to: Fire Department
-)
Approved by: r"��' Date:
C00491