90-1015930 0
CITY .:iJF FiEDERAL WAY
FIRE ALARM PERMIT APPLICATION
(Permit Required For 6 or More Devices)
09-C n 11
Job Address p t-� Zc', 336_Sc G so Suite #
Owner V t eTenant Name,` tN"
CONTRACTOR (cru cv �1�n ADDRESS /FC,30 '_" wes .<iLrnv.r °
LOW VOLTAGE OR JOURNEYMAN
CONT. PHONE 77,E `Zy �� _Elect. Cert.
Owner's Address 05 al-x,,e_ Phone i5� icy
CONTACT PERSON Phone ' 77N`cr,,g-t
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.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF MY K OWLE GE.
OWNER OR AGENT DATE �C�y lJ�
cFivEo
NOV 19 1
C 8UlLDi o, ,,_L WAY
RR.C'F,I
Office use only (Please do not write below this line)
REMARKS
Department of Labor and Industries Permit Fee (includes
Electrical Permit shall be posted the First Zone) $30.00
at all fire alarm installations. additional zones
@ $10.00 ea. t�
Z- D F_ mak. —tet
TOOkL FEES $ S -"v
ROUTE to Fire Dept.
PERMIT NO. N6 O 7 -FA
Approved By Date ( Z- ) CT C)
2-28-90
CITY OF
FEDERAL WAY
BUILDING PERMIT
9� -Jo/ 5 g3
BUILDING INSPECTION
941-1555
90-1807 FA
WRCO 33650
6TH S. "
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR PROCOMM
ADDRESS 19630 40TH AVE WEST LYNNWOOD
CONT. PHONE 74-9099
CONT. REG. NO. PROTECI165L8 OWNER'S PHONE 455-2900 OWNER'S ADDRESS 33650
6TH AVE S
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE DATE OF APPLICATION 1 1 -1 9-90
BUILDING IN ORMATIO
ZONE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. FT.
SET BACKS: FRONT
SIDE REAR STORIES
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT.
AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE INCLUDES THE FIRST ZONE: $30.00
FIRE DEPT FEE 15.00
ARMIT FEE 30-00
AN CHECK FEE
45.00
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
FIRE DEPT APPROVAL R C 1 -3-90
PART PIC FEE
SEPA REVIEW
DATE:
WATER SERVICE
AMOUNT:
WATER MAIN CHG.
S.B.C.C. FEE
RECEIPT:
OTHER FEESF. D. 15
00
AMOUNT DUE 4-9-00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY MEI RUE AN CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAl
REQUIREMENTS WILL BE MET: % // / /I
-'WNER OR AGENT ��i"� DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
NE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. FT.
SET BACKS: FRONT
SIDE REAR _ STORIES
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER _
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
RETURNED _
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
"'IRIr: YZE INCLUDES `f" FIRS` ` W7.1 ' . $30.00
FIRE Dr" m 15.00
PERMIT FEE
PLAN CHECK FEE
45.00
PLUMBING FEE
CHANICAL FEE
t TAL BLDG. FEES
`'IRE UE hT)PROvAL K c 12-3-90
PART P/C FEE
SEPA REVIEW
,3ATE S t
WATER SERVICE
AasOM
WATER MAIN CHG.~�
S.B.C.C. FEEtrf`??j
Tse
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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
0 0
SET BACKS AND FOOTINGS
DATE ...... __ BY
OX TO POUR FOUNDATION WALLS
DATE _-.___ BY -
PLUMBING GROUNDWORK
DATE - - BY _
PLUMBING ROUGH IN
DATE,.-- ___ __ BY
_
WATER LINE O.K.
GAS PIPING O.K..
_
MECHANICAL INSPECTION
DATE _ _ _- BY
O.K. TO ENCLOSE FRAMING
DATE - _.-. __.. BY -_.
_-...
INSULATION
DATE
_-....._BY - -
WALL BOARD AND FIRE WALL
DATE - . - --._. BY
FINAL O.K. TO OCCUPY
DATE _/lL_ BY _
--
DCD
PSD
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