94-100548 9L1 /OD5Ya
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS94-0012
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/13/94
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 1115 S 347TH PL
PARCEL NO.: 215470-0020
PROJECT DESCRIPTION: INSTALL FIRE ALARM SYSTEM IN NEW SMALL ANIMAL HOSPITAL
OWNER — CONTRACTOR -- LENDER
A SMALL ANIMAL HOSPITAL WHITE ENTERPRISES II
1115 S 347TH PL 1921 PALIMINO DR.
801 S 338TH BOTHELL WA 98012
FEDERAL WAY WA 98003
• 481-6525
WHITEE[121NE
SPRINKLERS? .7 HOOD & DUCT? •7 FEES:
# ZONES . 0 OTHER •7 BUILDING PERMIT....* $ 30.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK •7 FIRE ALARM FEE * $ 30.00
# ZONES • 0 FIRE ALARM FEE * $ 30.00
STANDPIPE? .7
UG FIRE SERVICE? •7
FIXED SYSTEM? •7
TOTAL FEES $ 90.00
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 `i/ 4...,* G''�✓ ---, DATE /7---/ ///
fps prmt 07/01/92 /
e'
CI.
PERMIT 195" ( w I - FA
i i �-�lJ
City of Federal Way
FIRE ALARM PERMIT APPLICATION
J r/
Job Address: -1 n.,
(Street) (City) (State) (Zip) (Suite I)
Owner: /'1 y (47r- ,�/1 Tenant Name:
Contractor: 1./h/ `/7-7j���L�,�f` J Tax Parcel # 7G) - e)0„.2.c
Address: l'� / / ti i,r.c•) /?'J " �l —��- �//: 7a'9/ 2
Phone: 95/ Contractor License #: -. '/f, i,�:,-�; 1.,-Expiration Date: c3.4>
(Card must be presented)
Owner's Address: . Phone:
Contact Person: igniN /c tie; Phone:
PLEASE SUBMIT THREE (3) 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 APPUCATION 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 APPUCATION.
_7 7.
Owner/Agent: /7, ,L—Il 1 _ Date: .-2/ clel
Jffice Use Only (P/ease do not write below this line/
Remarks:
Department of Labor and Industries RECEIVED
Electrical Permit shall be posted Permit Fee (Includes First Zone) $30.00
at all fire alarm installations. _Additional Zones @ $10.00 ea. ;�'c-.6)
Received MAR 2 21994 0 T�< qv
Total Fees $ 1O-C'U
Route to: Fire Department
CI BOF UILD NG DEPT. AY
Approved by: Date:
CD0491
gy4oO 5't2
:ITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: PP594-0012
3530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/13/94
ederal Way, WA 98003 BY: PC
61-4000
ITE ADDRESS: 1115 S 347TH PL
ARCEL NO.: 2154700020
ROJECT DESCRIPTION: INSTALL FIRE ALARM SYSTEM IN NEW SMALL ANIMAL HOSPITAL
- OWNER — CONTRACTOR — LENDER
A SMALL ANIMAL HOSPITAL WHITE ENTERPRISES II
1115 S 347TH PL 1921 PALIMINO DR.
801 S 338TH BOTHELL WA 98012
FEDERAL WAY WA 98003
481-6525
4111 WHITEEI121NE
SPRINKLERS' •7 HOOD & DUCT? •7 FEES:
# ZONES • 0 OTHER.....:? BUILDING PERMIT...." $ 30.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? FIRE ALARM FEE * $ 30.00
# ZONES • 0 FIRE ALARM FEE.....* $ 30.00
STANDPIPE' 7
UG FIRE SERVICE' 7
FIXED SYSTEM' •7
TOTAL FEES $ 90.00
INSPECTION RECORD APPROVED
KING Co.FIRE DISTRICT#39
'3 2 •
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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.
IWNER OR AGENT � DATE
ps_prmt 07/01/92