99-102422 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.:9
FPS99-20053
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 07/14/99
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 31523 PACIFIC HWY S
PARCEL NO.: 082104-9174
PROJECT DESCRIPTION: Fire alarm 3 zones
OWNER — CONTRACTOR LENDER
JO-ANN ETC ADT
31523 PACIFIC HWY S 841 POWELL AVE SW #101
FEDERAL WAY WA 98003 RENTON WA 98055-2910
• 425-624-3103
ADTSESI03205
SPRINKLERS? •'' HOOD & DUCT?.......:? FEES:
# ZONES • 0 OTHER PLAN CHECK FEE $ 63.21
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? FIRE DEPT FEE $ 77.25
# ZONES • 3 FPS PRMT ISSUANCE $ 20.00
STANDPIPE? •,
UG FIRE SERVICE? •?
FIXED SYSTEM? •7
TOTAL FEES 5 160.46
I
( ( A, t L INSPECTION RECORD
(-Lrl '616(
• 17 /-- - iv,
G
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FU ED BY ME '0 •1ND COR; 0 TH BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
�'� -,
OWNER OR AGENT - �--
DATE 1 / - (
fps_prmt 07/01/9 -
•
RECFif
I Fr; •
CITY OF G BUILDING DIVISION
!- E� 33530 First Way South
v v FTy JUN 2 41999 Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129
el CY
BIJILD!NG DEPT.
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License number:
p FPS �'7 -
PARCEL # 90 2(0g C11 Commercial Residential 0
SITE LOCATION
Tenant/Owner \ D r N T` �� �y�`CS Phone �J-3/q 7 !-Z Z73
Address/City/State/Zip
Nature of Work `?) S i b" Project Valuation:$
3
APPLICANT � ff '
Name f1� ��
Address/City/St/Zip :"'")\5 2 J
Contact Person t O 131 C Phone 62-sis) 7 -3 Fax
CONTRACTOR
Company Name APT
Address/City/St/Zip 4 I Powe-1 `J Vv
Contact Person � (' �bQ Phone �/0 /5S9 -C� T.3Fax
State L&I Contractor Registration# .AST S - I,Pf J _O5 Exp.Date
(Card must be presented)
PLEASE SUBMIT THREE(3)SETS OF DRAWINGS AND CUT SHEETS,PER NFPA STANDARDS.
MAXIMUM PLAN SHEET SIZE: 24" x 36"
DISCLAIMER:1 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 dy-ofFed . Way as to any c gier(mcluding 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 a e City of Fed- . ay o •.y wlieere such claim arises out of the reliance oftlte city,including its officers and employees,upon the accuracy of the
information supplied to the city as a part of__thi„wplic5 on. _! ,. --
Owner/Ag t Date - 1 ��
FPS.Arr
REvrsm 5/19/99