95-100490 C�b� )DO Y g �
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-0012
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 03/09/95
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 1928 S SEATAC MALL
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: SPRINRLERS RELOCATION
OLJNER CONTRACTOR LENDER
MR RAGS PATRIOT FIRE PROTECTION, INC.
1909 S SEATAC MALL 2004 A 48TH AVE. CT. E.
FEDERAL WAY WA 98003 TACOMA 41A 98424
2-" --9-6156 926-2290
PATRIFP099Cf
SPRINKLERS?........:Y HOOD & DUCT?.......:? FEES:
# ZONES........... 0 OTHER.....:? SPRINKLER fEE......* $ 54.00
FIRE ALARM SYSTEM?.:? EXTENT OF 410RK...:? BUILDING PERMIT....* $ 44.50
# 20NES..........: 0 FINAL PLAN CHECK...* S 35.00
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FlXED SYSTEM?......:?
TOTAL FEES $ 133.50
IN3PECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK 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 < y,s�
fps_prmt 07/01/92
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�Q G City of Federal Way
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��� APPLICATION FOR BUILDING PERMIT
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PLEASE PR/NT APPUCAT/ON tt: �!-� ��" �"'�
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Tenant Gf known) � � Lot A' Assessor's Tax�
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Buiiding Owner Name Address A 1
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APPI�ICANT
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Address � / � / � �-1
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Cont�ct Person Day Phone Other Phone Fax
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BYT"'D7NG�CONTRACTOR Z'�C ,? �' 1 '" � �`'�
mpany Name
Address '
C�ty State Zp
Contact Person Phone Fax
Contractor's # (card must be prese�ted) Expiration Date Verified � Yes � No
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AR;CHTTECT
Name
Address
C�ty State Z�P
Contact Person Phone Fax
LEGAI DESCRIPTION �
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' Please Comp/ete Reverse Side
cooaez iae�are3t
STKUCT�LE ' ting Use oposed Use
Permit includes: �, Building 0 Plumbing .r Mechanical ❑ Other
Type of Work: ❑ Residentiat O New O Remodel ❑ Number of Units_ 0 Deck
❑ Commercial ❑ Addition O Gerage ❑ Shed ❑ Othe�
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existinp Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq k Proposed Total Area sq ft �
Water Availebility ❑ Sewer Availability 0 On-Site Sepdc System Availability ❑ ;:` Prnject Valuatiart 5 �
Zoning Lot Size Exisbng Bldg lTa(uation; $
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Name Address
Gty State Zip
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Contractor Name Address
City State Z�p
Contact Phone Fax
Lice�se # Expiration Date Verified ❑ Yes ❑ No
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Co�tractor Name Address
City State Z�p
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
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�LLT�BING k'I�URE�QUN'fi ,:
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Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
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Lavatories Washi�g Machine Dreins ;Total;:Fxttrre<;�ount;:;;::;;;;::;:<::;::;;::;:::;;:;::;;:;:
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r'1ECHANICAL UNIT C(�UNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Le�gth of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <t00K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilere Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BfiQ's Wood Stoves 3-15 Tons Total U�it Counc
DISCLAIMER: I certify under penalty of pery'ury thet the informetio�furnished by me is true and correct to the best of my knawledpe end furtherthat I am euthorized by the
of the ebove ptemiaea to perform the woric tor which permi[epplication is made.I further agree to save hermless the City of Federel Wey as to eny claim(includinQ costs,ezpi•.
and ettomeys'(ees incurred in investigation end defense of�uch claim�,which mey be made by s�y person,includinQ the undersianed,a�d filed egeinst the City o(Federel�v.y,
but only whe suc claim srile�out of the rqlepnce�of the City,includinp its officers and employee�,upon the accurecy of the information iuppliad to the City es a pert of this
applicstio�. � � /�
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