94-100721 q9 . )6 7a)
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS94c0019
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/29/94
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1816 S 320TH ST
PARCEL NO.: 092104-9208
PROJECT DESCRIPTION: FIRE SPRINKLERS c RELOCATING APPROX. 100 READS, ADDING 10 NEW
OWNER CONTRACTOR ® LENDER
OLD COUNTRY BUFFET SMITH FIRE SYSTEMS
1816 S 320TH ST 4519 SOUTH ORCHARD
FEDERAL WAY WA 98003 TACOMA WA
473-6967
' SMITHFS*1360T
SPRINKLERS? Y HOOD & DUCT?.......:? FEES:
# ZONES 0 OTHER.....:? FINAL PLAN CHECK...* S 99.45
FIRE ALARM SYSTEM?.:? EXTENT OF WORK..,:? FIRE DEPT FEE * 5 126.00
# ZONES - 0 SPRINKLER FEE * % 153.00
STANDPIPE? .7
UG FIRE SERVICES
FIXED SYSTEM'S •?
TOTAL FEES S 378.45
INSPECTION RECORD
APPROVED
1111 KING CO. FIRE DISTRICT#39
3 /2Z
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 1/1- ,r)j Vim'° .1 p 0 A D 171.-1 DATE 4/oZ q / 7L/
fps_prmt 07/01/92
RECEIVEDi 4(( *mit #
APR 1 4 1991, CITY OF FEDERAL WAY FP S - e 0 �I
CITY OFFEDERAL WA'=BUILDING PERMIT APPLICATION
BUILDING DEPT — Please Print—
BOX 1 TENANT NAME: OLD COUNTRY BUFFET
OWNER BUFFETS, INC. SITE LOCATION 1816 S 320TH ST
OWNER'S ADDRESS 10260 VIKING DR CITY EDEN PRAIRIE PHONE(612)942-9760
DESCRIBE JOB RELOCATING APPROX. 100 SPRINKLER HEADS, ADDING 10 NEW HEADS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME SMITH FIRE SYSTEMS CONTRACTOR'S REG. # SMITHFS1360T
Card MUST be presented
CONTRACTOR'S ADDRESS 4519 S ORCHARD CITY TACOMA PHONE 473-6967
EXPIRATION DATE 9/25/94
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON DARTUGHFY PHONE 473-6967
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST $6,849 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 092104-9208
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 9,000 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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:
ANP-008 3/90