97-102981 ��-�a 9$�
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS97—A044
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 09/15/97
Federal Way, WA 98003 BY: FC2
661-4000
SITE ADDRESS: 2130 S 314TH ST
PARCEL NO.: 092104-9053
PROJECT DESCRIPTION: REVISING AND EXTENDING THE EXISTING FIRE SPRINRLER SYSTEM.
OWNER CONTRACTOR LENDER
HARTS ATHLETIC CLUB TRIANGLE FIRE PROTECTION
2130 S 314TH ST PO BOX 264
FEDERAL WAY WA 98003 WOODINVILLE 41A 98072
206-527-5211
TRIANfP2740P
SPRINKLERS?........:Y HOOD & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....: FPS PRMT ISSUANCE. S 20.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? SPRINKLER FEE......* $ 63.00
# 20NES........... 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES $ 83.00
INSPECTION RECORD
l�- 5 - r � ��1 � �-�� C��
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
i CERTIFY THAT THE INFORM TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE C17Y OF FEDERAL WAY REQUIREMENTS WILL BE MET.
C
OWNER OF AGENT (�f c� � DATE �lS� � �
fps_prmt 07/01/92
: ; ��---�
i J I
J
r >- Q >-
Y m z m � m
� o
o> � ' � a
7 '� w � '�, �-�-
� �
z n- p I
� � z '
O I, z C '
� I � �' o �
� � Q
z � z ; m �
m Q
� W � � J �
~ W Q
a o � o � o
�
�, j �
J � I i o
J �
Q ' � � a
� I i � i
z
o r � y�
i=- m � m
a ;
z I � j �
�
O � O Y �
� ' �
w Z
Z Z O
a I -� a � ,
� Q
w
a �
~ � r- u, � � o
0 0 � � z a o
� ;i ; �
I ' � '
I �I'
� � � � !
� i Z
z r y � r Y
� m m Q m a m
o � ? � � i
o i = ; � ��
w U �'.
� i O O i OO �i
a � � ��
C7 z Y i
Y i Z � w '� 1
Q i m � �
m \'
w � w � w Q w
F H � H Y F F
Z
cWn o a o O o � o
BUII.DING DIV7SION
�� G
' APPROVED 33530 First Way South
�� ��� Federal Way,WA 98003
KING .FlRE DISTRICT� (206)661-4000
� _ " Fax(206)661-4129c
` < �
A�� � � ��
�►PPLICATION R BUILDING PERMIT
PLEASE PR/NT �13d APPLICATION# ��
:�+ :::<:;��<::f>:«::::::::'>�::;:::::::>:::::::::::::<:::::::;:::::>:»><:>::
�
-� �
�
,(� . `�
: Ad c'
i'A....<.x>x:;S;:;:.::;:s:;.:<:;:;::.;:;:...':;ic:::>[:;:s;:::?=;;:':::::::;:2:s;::::::::::;?i::;i:.'::::::;:::::::#:::: dress
.�t . . ;. �7C `� �.�fl'.' .) ..T" ` '7�[,� . .;
... .: . �����i7R........::::::::::::::::.::.::::.::.::..::::::.,.::::. � �-` °.� �� �' , .. �.; r
Tenant(if known) j( //�Jy/ - -- . •"' Lot# Assessor's Tax#
�•``� '�r' �7r.C" /f� �-.� L"�/.,)
'•,� Building Owne ' e ; , Address -
� � � ;� ;���G�s �4 rr�--<<;� ��i. :�� r��z� `���
� �� � State �i� � Zi �'� ��' PhoneL'c,�-�''�'J��'��-�,
. -
Nature of Work ���� C`" � 'IC�''- 7 .� ��- � !)� 7,' �� �' - -i�� �"�-
,, - � , . ,
i' ��cJ� '' t
,_
:>::;:; :::»>::::; .;>::;;:::::.
A��'�.1CANT...... ,:;::':;::;:::�;;:,,;:..°°;:':;>';?:>::::>'::.
Name (F,M,L)
Address
C� State Zi
Contact Person Day Phone Other Phone Fax
t
.��;:<..><:�::><;:«..:::,.;::::«..:;::::>:::;:>::>:;:::;».::'.:':�,�`.':::<::«::::':::::>:<:><>:::<�';:'::>:::`��>::;
...I��3Ji5C�`a..�'����..T..#..��E,�''�'..f�i.:.:.:.:.:.:.:.>:.;:.:<,::<:.::.;;;;;::.:::.:
Company Name ,
-T,�� � , �
//''C_� -t� C'��' �L�%
Address
'G �o ���5�
r / c� 't ii�r i� ;-/ stete " ;' z� 'C� ?Z.
�( Contact Person �y `� Phone �i ^
����%�`� /\'/^;X��� �.ti�� .r7 ♦- � FeXy- - �
�'— �- -«� C� .,�:� �� G'
Contractor's # (card must be presented) -y-,�1Y , �, �� Expiration�ate - Verified Ci Yes ❑ No
11� .L.-��;/��� ���'r'' ,_ cs7
� J I .
:
ARC��>E�' :: .. ;:::::
Name �
Address
Ci State Zi
Contact Person Phone Fax
LEGAL DESCRIPTION
. ����
P/ease Comv/ete Revers_ S�.�P `'����� ���
v ��
�
�y,���y� r
! �
p'�
q
`�i —�
/
r
�
?» Existin u
Use Pro osed Use -�
0 v �. ,
::::::....:.:.:..:..............
''...'F'`�.''�V�.��-�i.'�:�F:V'..F+E�P.':`<�'sE«:`��?�»:<::`:��::i::>'%t:�i:�:��:;E'.'•.:i:::<�::::::z:`�:#::>::��z�#::: �� ... P '`,.
. r-.
. . ...... . ........:...... V ,� .;,�,� .�, l�L �,�
Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical Other
Type of Work: � Residential ❑ New ,�Remodel� ❑ Number of Units_ O Deck
Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other
r7- .�
Enter 1 st Floor �c.� ��_-7sq ft 2nd Floor sq ft 3rd Floor sq ft ExisU�g Floor Area ; j��S sq ft J `
Area Basement ? ''�? s ft 'Decks s ft Gara e s ft Pro osed Total Area ,' %t'� s ft
Water Availabili � Sewer Availabili ❑ On-Site Se tic S stem Availabili O Pro'ect Valuation $
Zonin Lot Size Existin Bld Valuation S
�;:Ef�I?�ff .. ...:.. ;::: >.:: .>; �
__ _.__................_........ _......................:.....
Name Address
Ci State Zi
:���:�l�k�:��`}��'•:���������..�.�.�.��.�s':>:«':'.>:�::::'::�<:`:::
.. ...... .k............, :...:....�, :�...:�:.:::.::.:.::.:::::..
Contractor Name Address
Ci State r
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
�
>��:�ll�<:::>:<:::>:<:,:>:.:::;;:>::>::>:>::,:;>::;><.:::s:;> .>::::::>::::::>z:::::;?:;:<::<::;::::<::
�E�G��1SI�'EfiA��'�#3�...... _. . ... ��
_ ___. _..................._. l
Contractor Name \ Addrqss
t
Ci ,State Zi
Contact %� P Fax
/
Licensa# 'ra'on Date Veri£ed ❑ Yes ❑ No
:��:.>;:«<:s:�»s_:::�.s::�<::<::<.:�>:��::><:>::::'<.:":>:::::::::::>:::>::>:<._:'<:;;;::::�:::::�:::::;;:;�:`:'`�:
�
:...� .�. ��.����i����:....... :::::�
Water Closets Sinks f Urinals Lawn S rinklers
Bathtubs Dish Washers / Drinkin Fountains Other
Showers Electric Water Heat�fs Sum s
Lavatories Washin Machipel Drains 74ta1.�ixture Gount
j' /' .
����11I�A�::�����'C�i�.�k:l`�::::::>::::>::>:`:::::::<::::::::::::::�: MECHANICAL EVALUATION ONLY $
. . ...... ... ................. ..
Fuel T e (electric/other) s D er Air Handlin < = 10,000 CFM 15-30 Tons
Len th of Gas Pi in .% Ran e Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs � Fans Miscellaneous Fuel Tanks
Gas Hwt /'� Hood Boilers Above Ground
Conv Burner � Duct Work 0-3 Tons Under round
BBQ's -
Wood Stov
as 3 15 Tons
;:�;::>:>g;�::::s:z<; ;dirrit:<:<::>::::::::::::>::>:::'.>:i:>::::>:':
at 1:. .n4t C _..................................
r
DIS CLAIM ER:j.certif'y under penalty of perjury that the informaiion fumished by me is true and comct to the best of my knowledge,and further,that I am authorized by the owner of
the above pre�tses to perfoiu►the work for which permit application is made.I fu�ther agree to save harmless the City of Federal W ay as to any claim(including costs,expenses,and
attomeys'f6es incu�red in investigation and defense of such claim),which may be made by any persoq including the undersigned,and filed against the City of Fedetal Way,but only
where such claim arises out of the reliance of the city,including its officers and employees,upon the accutacy of the infotmaiion supplied to the city as a part of this application
��---� � ����
� � _ ���
Owner/Agent:_ .��.- �_`---�._- Date: '" �= t (
, —
/ mc.Arr ` -"� (�
n�otvtt/ee f1�L t4-��c�l;.J � )j����V��