94-100550 qij-JooSS-0
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS94-0044
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/05/94
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 1818 S 320TH ST Unit #i.6
PARCEL NO.: 092104-9208
PROJECT DESCRIPTION: FPS — INSTALL FIRE SUPRESSION SYSTEM.
OWNER — CONTRACTOR LENDER
OLD COUNTRY BUFFET FIRESAFE FIRE SFTY EQUP CO INC
10260 VIKING DR 1017 54TH AVE E
EDEN PRAIRE MN 55344 TACOMA WA 98424
612-946-4763 922-6897 1800422-7702
FIRESF121QZ
SPRINKLERS? •' HOOD & DUCT? •? FEES:
# ZONES • 0 OTHER •' FINAL PLAN CHECK...* $ 15.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? SPRINKLER FEE * $ 23.00
# ZONES • 0 FIRE DEPT FEE * S 19.00
STANDPIPE? •7
UG FIRE SERVICE? 7
FIXED SYSTEM'S •7
TOTAL FEES $ 57.00
INSPECTION �` D
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A, .. RE o,Ssffic1 1139
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5 6c#1oIa1Sia 31114 '00 ONDI
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNIS 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 -..---7 ,f72,L 12� DATE 5 �'/Z I
fps_prmt 07/01/92
G"cr s r'EIVED City of Federal Way
�' APPLICATION FOR BUILDING PERMIT
t ptil 2 21994
cm u�LD NG DEPT.F FEDERAL WAY
PLEASE PR/N7Sto APPL/CATION #: F Pj
C
$ i i LOCAno 9 AddressAgi, '7 i P774 ,��E7E��GGf// (4. ?Y,Cr.3
Tenant (if known) � Lot # Assessor's Tax #
JL1.7 /..t72‹.A,/T,' /c/c:/'✓G�T
Building Owner Name Address
City State Zip Phone
Nature of Work
APPLICANT
Name (F,M,L) /
Address
/. /7 c;.1"--q r/.4
City 7-7-- --c7,-?-2/4, State
.4 Zip
Contact Pemon Day Phone Other Phone Fax
3ef•- z 0-CoEW97 9zZ- Z73
. .. ...................... ..................................... .
BUII,DIlVG CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
AItCmTEGT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
StkYJCTmtB
Sling Use posed Use s?
Permit includes: ❑ Building ❑ Plumbing U Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
IH"Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
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 ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Rro/eot V $ 9:.41
ZoningLot Size Exlsttn Bld VaIpation
1
..................... .. .. ....................:: :i::............................
.............................. .................. ..................... ...........
..................... .. ... . .......................................................
................................................. ..................... ...........
LEND
Name Address
City State Zip
................ .............................:::-• .. ........................K:i
................. .....................................................................
........................................................................................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLVNIBTNG CONTRACTOR:
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
.........................................................
.........................................................
Lavatories Washing Machine Drains Total:Fixture Count
1ECRANICAL UNIT'COUN
4 T
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ'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'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. J/ /
Owner/Agent: fit c /v�fj/�(.16,1 Lls�Ctt<1 Date: -5�Z Z/9`�