93-101159 CITY OF FEDERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT N09 FPS93J 0013
33530 First Way South BUILDING iNSPECTION - 661-4140 ISSUED: OS/25/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 1919 S SEATAC MALL Unit: #B20
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: F'IRE SPRINRLER SYSTEM FOR TI - REMODEL EXISTING SPACE FOR NEW RETAIL STORE (THE
CLOSET)
OWNER CONTRACTOR LENDER
THE CLOSET (MAURICES) FIRE SYSTEMS WEST
1919 S SEATAC MALL SPACE #820 1502 PIKE ST NW #4
105 W SUPERIOR ST AUBURN WA 98002
FEDERAL WAY WA 98003
833-1248
FIRESWI14061
SPRINKLERS?........:? HOOD & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....:? BUILDING PERMIT....* S 72.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? FINAL PLAN CHECK...* S 47.00
# 20NES..........: 0 SPRINKLER fEE......* $ 59e50
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES S 178.50
INSPECTION RECORD
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORIC IS STARTED.
1 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.
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OWNER OR AGENT � DATE � Z-Yj ?i
fps�rmt 07/01/92
i����'�� Permit #_ ��S�'3 -C�o,C3
MAY 1 � 1993 '
CITY OF FEDERAL WAY
'� � " A�'�� BUILDING PERMIT APPLICATION
� ��� —Please Print—
PE�v�v► i--[� � G313 - 0 443
BOX 1 TENANT NAME: (h��r �E�,� E3 P-Z��
OWNER ��EP^Tf�c MPw �SSo�, SITE LOCATION ��1\"l S_ 5�--�rnc.- ►'Kt�c�.
OWNER'S ADDRESS 1�12�'�..� 5� �'�'T�� w�P'�.� CITY PHONE 3 3"t—�o���o
DESCRIBE JOB ���tf-1+�� �'" T< <�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �l�.E 5'Y�A1� 'IG,��T CONTRACTOR'S REG. # ti��'�1
Card MUST be presented
CONTRACTOR'S ADDRESS Z-la1 �'P-�NT�� �� CITY PP�-1�IC� K/A�PHONE � '��'r�"2-4�
EXPIRATION DATE � "��—�3
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX3 CONTACTPERSON JiYh �.VA1z.1L PHONE ��3--12z�.�,
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 4�`�� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
P/��t�L �- `7��� � --ao�o
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) �j' EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER � P�1N�--1�^�S $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 AG/�INST 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 APPLICATION.
OWNER/AGENT: � DATE: � � � 3�9 3
ANP-008 3/90