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CITY OF FEDERAL WAY FI RE PROTECTIOIV SI�S`TEIVI PERIVI I`T PERMIT NO.: FPS92-2013
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/01/92
Federal Way, WA 98003 BY: RC
661-4000
SITE ADDRESS: 184� S SFl�TAC E�LL
PARCEL NO.: 762240-0010
PROJEC�T DESCRIPTION: FIRE DETECTIOIJ & SIIPRE�SION SYSTEI�I
061NER CONTRACTOR LENDER
APPLEBEE'S NEIGHBORHOOD G&B SANDERSON SAFETv
1842 S. SEATAC MALL 2600 AIRPORT WAV S
FEDERAL WAY 41A 98003 SEATTEL WA 98134
"'^•6156 340-4300
SANDESS024R0
SPRINKLERS?........:? HOOD 8 DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....:? BUILDING PERMIT....* E 35.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? FINAL PLAN CHECK...* S 23.00
t� 20NES..........: 0 FIRE DEPT FEE......* S 29.00
STANDPIPE?.........:7
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:7
TOTAL FEES E 8T.00
INSPEC'i'ION RECORD
ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
t CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEOGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWhER OR AGENT �_��� DATE /�/ / �
fps_prmt 07/01/92
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W I nit # � 7
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��� � ��2 CITY OF FEDERAL WAY
�y���,� BUILDING PERMIT APPLICATION
���� — Please Print—
BOX 1 TENANT NAME: � �''�L�r?j�-"�� ��?�p�U�,'�lhi/
OWNER SITE LOCATION
OWNER'S ADDRESS �t ��T�- ���-1- CITY T-G7���L ���T'PHONE
DESCRIBE JOB ll`[57 f��-�- ��� uP�?`�ro(v �7Si�E�-1
THE PROPERTY IS OWNED BY: SINGLE/MARRtEO PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `�AIVC�:�ckv Caf\F��� CONTRACTOR'S REG. #SAND�SSv:�Yr�:�
Card MUST be presented
CONTRACTOR'S ADDRES� ��C'C'� �f�2!'C�T I.vP.� � CITY `�� � T�`� PHONE 3��v'-'��'���
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.
BOX 3 CONTACT PERSON �'i�"L� I������ PNONE 3t1C3 �`f'��'�-'
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I; 11�C�: 4C� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7� � ��r O I
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal tlescription.)
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 = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL 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 S
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 S
DRINKING FOUNTAINS COMMERCIAL HOOD S
SUMPS, SPRINKLER VACUUM BREAKERS OTHER �
DRAINS S
OTHER _ $
TOTAL FIXTURES S
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 ASTO 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 AGF�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 TNE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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OWNERlAGENT: � / �L`'Z-�. DATE: _1 / - � — �l"02
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