99-103794CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318
Federal Way, WA 98003
253-661-4000
SITE ADDRESS: 1618 SW DASH POINT RD
PARCEL NO.: 122103-9074
PROJECT DESCRIPTION: ADDING NEW SPRINKLERS IN OLD COOLER AREA AT OLD QFC
OWNER
COLLIER INTERNATIONAL
1618 SW DASH POINT RD
FEDERAL WAY WA 98023
;.405.2943
SPRINKLERS?........:?
# ZONES... .... 0
FIRE ALARM SYSTEM?.:?
# ZONES........... 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
HOOD & DUCT?.......:?
OTHER......
EXTENT OF WORK...:?
CONTRACTOR
GRINNELL FIRE PROTECTION SYSTM
1215 CENTRAL AVE S 128
KENT WA 98032
253/859-5066
GRINNFP137LE
INSPECTION RECORD
�9 4 637.9Y
PERMIT NO.: FPS99-0093
ISSUED: 10/11/99
BY: FC2
LENDER
i
FEES:
PLAN CHECK FEE $ 54.11
FPS PRMT ISSUANCE S 20.00
FIRE DEPT FEE $ 63.25
TOTAL FEES S 137.36
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 r DATE
fps_prmt 07/01/92
CITY OF C^
BUIIAING DIVISION
33530 First Way South
Federal Way, WA 98003
(253) 6614000
Fax (253) 6614129
o f.1RE PROTECTION -SYSTEM APPLICATION
Federal Way Business License number: L� U
Ai
Ya + s F P S I-
e
PARCEL #t�—
Commercial i .' Residential ❑
SITE LOCATION f
1'enant/Owner d 11 I-e. K V n Phone
Address/City/State/Zip U-013 ' point
Nature of Wor Project Valuation:
9416TAWINAS l uffikNi
APPLICANT
Name r 1 ,7
Address/City/St/Zip r} V rK-e J T l 32
Contact Person UL'— Phone
CONTRACTOR
Company Name _ t "� r 2 `� I `''"
Address/City/St/Zip l Y A S' �U '�1 �
Contact Person Phoner Fax
r i ii r
State L & I Contractor Registration # �� ! �E � � l� � L � 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 3611
DISCLAIMER: I cer*. wider ptFWty of perjury, that the infosmalion fimushad by me is bw and corrret to the beat army knowledge and further that 1 em aufhor»cd by the awncr oftho above premfscs to Perform the wort:
for which permit application is made- I ftWher&Wm to save hmTdcss the City ofFedrnd Way as to any ciahn (mciuding casts, expenses, and attameys' foes incurred in investigation and deraue of such claim), which may be
made by any person, includ ng the undessipmd, and fslcd against the City of pederay Way but ordy where such than anus out Draw reliance of the city, atcluding its officers and employees, upon the Jwuumcy orthe
aermstimu supplied to she city as a pan of this application.
Owner/Agent Date
FPS.Arp
REVISED 5/19/99