99-101773 9- ia1773
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0039
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 05/25/99
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADDRESS: 32057 PACIFIC HWY S
PARCEL NO.: 150050-0110
PROJECT DESCRIPTION: fire sprinkler system
= OWNER CONTRACTOR LENDER
RITE AID GRINNELL FIRE PROTECTION SYSTM
32057 PACIFIC HWY S 1215 CENTRAL AVE S 128
FEDERAL WAY WA 98003 KENT WA 98032
253/859-5066
• GRINNFP137LE
GRINNFP137LE-
SPRINKLERS' •Y HOOD & DUCT' .' FEES:
# ZONES • 0 OTHER PLAN CHECK FEE $ 63.21
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •' FPS PRMT ISSUANCE $ 20.00
# ZONES • 0 FIRE DEPT FEE $ 77.25
STANDPIPE' •'
UG FIRE SERVICE' .'
FIXED SYSTEM'
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
if 9fui t a W DATE
fps_prmt 07/01/92
BUILDING DIVISION
CITY OF 33530 First Way South
pE' E ' i� Federal Way,WA 98003
uv f (253)661-4000 1!
MAY 0 71999 Fax(253)661-4129
;11.1"OF FEDERAL WAY
BUILDINGp
APPLICATION FOR BUILDING PERMIT
IT
PLEASE PRINT APPLICATION tt F- i°C.. 91 - 0 0 st;1
>i<
Address
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Tenant (if known) R I ,; ; J Lot # Assessor's Tax#
TC
Building Owner's Name Address
City State Zip Phone
Nature of Work
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
LICENSE> _ FEDERAL
WAY
BUS INE SS LIC #
Company Name Qi L)Le LL Fl r-P tPro-\i (t)-171
Address !7- I - c -e n (�/, --e, s 1 29,
City 1, -e 1f State 1A )r� Zip 649)U3
• Phone Fax Person mGC I�Q '� Sq- O
2� f525rriK •
Contractor's # (card must bep
resented) t' Expiration Date Verified ,/Yes 0 No
p -� ��1�11��rr�r3� ��i . `:' - 1 - q -
iiiiiiRCHt'`E T> ''€ f€€> >?> ` ><< <<
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
oS•
/
Please Complete Reverse Side
1
fS�UCTV:...... . . Existing Use �T Q�� • Pro Proposed Use
S T U).2__C— r_
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical 0 Other -
Type of Work: ❑ Residential 0 New ,0 Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed 0 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
V
Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation $ .))r'7 I .
Zoning I Lot Size Existing Bldg Valuation $
LENDER:::`:'.?::<:<::? ><<i>g"`'`?>`?``zgM <<<?et<>:>: ::>
Name Address
City State Zip
rti��c�A�vcA�.. :. . fir �'. ......:.... .:.....
RNmimm
Contractor Name Address
City State Zip _
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
........ ......................................................................
............................ .........................................................
........ ......................................................................
............................ .........................................................
........ ......................................................................
UMBINM O1V' RAC7 E > > um
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
Water Closets Sinks- : _ Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other -
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total-Fixture:Count
............... ............................... .::.:, ...X::i.................Nii;
......... . . ............................... ....................................
MKCUANICALUNIT COUN'1 > ;: '. >`':< MECHANICAL EVALUATION ONLY $
... .............................................. ....................................
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 Court
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 own
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,.
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 o
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: ! II C Date: 1
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RFv6E0 8126197 — -.