99-101835 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0041
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 05/24/99
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 32057 PACIFIC HWY S
PARCEL NO.: 150050-0110
PROJECT DESCRIPTION: INSTALLING NEW 7 ZONE FIRE ALARM SYSTEM
= OWNER — CONTRACTOR — LENDER
RITE AID MARK E DICKSTON CO
32057 PACIFIC HWY S 99 FOOTHILLS RD
FEDERAL WAY WA 98003 LAKE OSWEGO OR 97034
503.939.6663
1111 MARKEDC044BW
SPRINKLERS? HOOD & DUCT? •7 FEES:
# ZONES 0 OTHER PLAN CHECK FEE $ 10.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK •7 PLAN CHECK FEE $ 53.21
# ZONES 7 FPS PRMT ISSUANCE $ 20.00
STANDPIPE? .7
UG FIRE SERVICE? •7 FIRE DEPT FEE $ 77.25
FIXED SYSTEM? •7
TOTAL FEES $ 160.46
INSPECTION RECORD
•
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 DATE — ,) t(_V
fps_prmt 07/01/92
CrTYOF #— I • BUILDING DIVISION
33530 First Way South
':� :8�—' Federal Way,WA 003
� ir_.L.!14PF (253)661--4000
f[ jFax(253 661-4129
MAY 13 1999 PERMIT# Pc:PP'
- Coq 1
G,TY OF FEDERAL BUILDING DEPT RE ALARM PERMIT APPLICATION
39•D‘94'
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Job Address: 9D� T f 1-:'7,0'd� _ i_� , S. VQ//AA `5)0
(Street) J (City) (State) (lip) (Suite n)
Owner: I /4--
LI`1`e Tammy C _ Tenant Name: ;� ! o
Contractor:it/1,A1 t )-- �4) c Tax Parcel#
Address: (le( �v 0-7 c-i k,��5 F-0) - �/4"1GbJ 1i,y k'd-z.A ✓ 0,31._ q---L-0 3`1
Phone: /l 3c' --I 0_ 3 Contractor License#:i:LeCa ''l/4f-k-ru)Cv '-l'-1 +-J Expiration Date: ' i( ` Q`-'
(Card must be presented)
Owner's Address: _5",4 Arv‘rz_ Phone:
Contact Person: Phone:
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:)...,/tIC: .----.- `—^"" Date: `I _?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.
Processing fee $20.00
❑ Received Total Fees $
Route to: Fire Department
Approved by: Date:
FmEAnu.App
REv,sm 8/26/97