93-101405 93-10) Yo 5
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93-0017
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/17/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33901 9TH AVE S
PARCEL NO.: 926480-0160
PROJECT DESCRIPTION: SPRINKLER SYSTEM FOR COMMUNITY/SENIOR CENTER
OWNER T CONTRACTOR LENDER
COMMUNITY/SENIOR CENTER TRINITY FIRE PROTECTION INC
33901 9TH AVE S 11021 CRAMER RD K.P.N.
FEDERAL WAY WA 98003 GIG HARBOR WA
206-857-5222 206-954-3237
TRINIFP101DK
4
SPRINKLERS' •Y HOOD & DUCT' •N FEES:
# ZONES • 1 OTHER •' FINAL PLAN CHECK...* $ 25.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:NEW BUILDING PERMIT....* $ 259.00
# ZONES • 0 FINAL PLAN CHECK...* $ 168.00
STANDPIPE' •' SPRINKLER FEE * $ 213.50
UG FIRE SERVICE' 'Y
FIXED SYSTEM'
TOTAL FEES $ 665.50
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS T'UE A, • CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
014/4
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OWNER OR AGENT 410iA i �6''•� DATE 6 - /7- 93
fps_prmt 07/01/92
•
/
City of Federal Way
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APPLICATION FOR BUILDING PERMIT
R 'VC
SUN p 8 1993
PLEASE PRINT -
�� �A+ APPLICATION #: / 'S 3 -00 j 7
SITE LOCATIOI ' ;1 Address
au
Tenant (if known) 111 Lot# Assessor's Tax #
�E2AL (,0 Avj S (12-4 LI L.2 - 1) 1 lc L)
Building Owner Name Address
A t3 o U "— 3 3 ct o G( A
City F-F-b€z A- State W A Zip c2LSoo -3 Phone
Nature of Work F,�rt- �P2i `/\.} --PsL_l✓{--0,\-)
APPLICANT
Name (F,M,L)
I ,T ��� p�TE-z I1�
Address
11c�Zi C2Aw,? 12 > K P�
City ((C( ��v1�P�0 Z State t A Zip "tk z
Contact Person r 1 Day Phone Other Phone Fax
1(e 4t-, ft I�STcup (,tom iS4 . 23'-? 2_z Z
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
•
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/93)
[ TRUCTURE "pasting Use "'Proposed Use
- Permit includes: 0 Building 0 Plumbing 0 Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ 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
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation 8.;:
Zoning Lot Size Existing Bldg Valuation $
...........................................................................................
.......................................................... .................................
........ . . . ......................................... ...............................
LENDER:
Name Address
City State Zip
MECHANICAL CONTRACTOR ;;
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
..... .... .......................................................... . ... .............
PLUMBING:CONTRACTOR
...... .................................... . .................. ... .. .......
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT`
.. ................ .. ............................................................
Water Closets Sinks Urinals Lawn Sprinkiers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT ii-
............... ... ........... .................................................
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 Count
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 owner
of 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,
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 ares o t of h reli. ce of ,0. City, including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. _ /
Owner/Agent: 7 / �� �. Date: f� "8 C7-3
9�,/°/ yo n
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93-0017
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/17/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33901 9TH AVE S
PARCEL NO.: 926480-0160
PROJECT DESCRIPTION: SPRINKLER SYSTEM FOR COMMUNITY/SENIOR CENTER
OWNER CONTRACTOR LENDER
COMMUNITY/SENIOR CENTER TRINITY FIRE PROTECTION INC
33901 9TH AVE S 11021 CRAMER RD K.P.N.
FEDERAL WAY WA 98003 GIG HARBOR WA
206-857-5222 206-954-3237
TRINIFP101DK
4111
SPRINKLERS' •Y HOOD & DUCT' •N FEES:
# ZONES • 1 OTHER •' FINAL PLAN CHECK...* $ 25.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:NEW BUILDING PERMIT....* $ 259.00
# ZONES • 0 FINAL PLAN CHECK...* $ 168.00
STANDPIPE' .7 SPRINKLER FEE * $ 213.50
UG FIRE SERVICE' •Y
FIXED SYSTEM' -Y
TOTAL FEES $ 665.50
INSPECTION RECORD
APPROVED
KING CO, FIRE DISTRICT X39
-2/c7
S
111)
3 z
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS T•UE AA %