99-102372 CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMITPERMIT NO.: F S99-052
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 06/23/99
Federal Way, WA 98003 BY: FC
253-661-4000
SITE ADDRESS: 31601 PACIFIC HW S
PARCEL NO.: 082104-9017
PROJECT DESCRIPTION: FIRE PROTECTION
OWNER - CONTRACTOR -- LENDER n(00 ���� C1--c,'
JO ANN ETC GRINNELL FIRE PROTECTION SYSTM
•
31523 PACIFIC HWY S 1215 CENTRAL AVE S 128
FEDERAL WAY WA 98003 KENT WA 98032
253/859-5066
GRINNFP137LE
SPRINKLERS? •Y HOOD & DUCT?.......:? FEES:
# ZONES • 0 OTHER PLAN CHECK FEE $ 81.41
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:MOD FPS PRMT ISSUANCE $ 20.00
# ZONES • 0 FIRE DEPT FEE $ 105.25
STANDPIPE? .7
UG FIRE SERVICE? •7
FIXED SYSTEM? •7
TOTAL FEES $ 206.66
INSPECTION RECORD
• r f _ 1
, 12
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 / 0VC__ DATE Videl. /?..)Y.
fps_prmt 07/01/92 /
411
rxrr OF G
' 5C.E t"�`" BUILDING DIVISION
`�`` 33530 First Way South
`
v v JUN 2 1 1999 Federal Way,WA 98003
(253)661-4000
INGPT,AY
Fax(253)661-4129
FIRE PROTECTION SYSTEM APPLICATION
Federal Way Business License nuGITmber:uIL® C)p �OS
FPSI'1 - 4o52
PARCEL # Commercial 011 ' Residential 0
SITE LOCATION
Tenant/Owner 9 (2i C = Phone
Address/City/State/Zip ?/5 2 S PCS (fp ( kV,, S.- red," ,� J4 � afi
•
/�
Nature of Work I fl(L2 ±I `, f Qd I • Project Valuation:$=� E a,
Com.
APPLICANT
Name �� , .
•
Address/City/St/Zip `
l (� 11 £1. - •lI /9- - .Ked) L68. c, ;L)- •
ciAn �j
Contact Person Phone(
CONTRACTOR
Company Name a-,CL) • cubo�c `Q
Address/City/St/Zip
Contact Person Phone Fax
State L&I Contractor Registration# (7q/Alit./FP E- Exp.Date f ip
(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 furtherer,. to save harmless the City of Federal Way as to any claim(mchding costs,expenses,and attorneys'fees incurred in investigation and defense of such claire),which may be
made by any person,including the undersignfled against the City of Federay Way but only where such claire arises art of the reliance of the city,including its olrrcers and employees,upon the accuracy of the
information supplied to the city as a part of this application
I
Owner/Agent Date (� •�
MAN.
Revt=ID 5/19/99