94-100100 9y-loDiod
CITY OF FEDERAL WAY FI RE PRO°TECTIOIV SYSTEIV� PERI�/I I1`� PERMIT NO.: F°PS94�0003
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: A1/19/94
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1825 S 330TH ST
PA�CEL NO.: 298690�0010
PROJECT DESCRIPTION: IN3TALLING FI1tE ALARM SYSTEM Y1�1 BOII�DIYJGSo #A, #C, �E, �F, AND �Ge
041NER CONTRACTOR LENDER
CPC LIMITED INTERCEPT CONTROL SYSTEMS INC
18404 — 104TH AVE NE P.O. BOX 1386
BOTHELL WA 98011-3414 KENT WA 98035
487-1961 854-3030
INTERCS101GE
SPRINKLERS?........:? HOOD & DUCT?.......:? FEES:
tt 20NES..........: 0 OTHER.....:? FINAL PLAN CHECK...* S 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? BUILDING PERMIT....* S 240.00
# ZONES..........:19 FIRE ALARM fEE....o* S 135.00
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES t 405.00
IN3PECTION RECORD '�`-
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 CERTIFY THAT THE INFORMATIO URNISHED B IS RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE ��i `
fps�rmt 07/01/92
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Job Address: �g?.�Sr 5' ..33�� 5 � 1JL-l�Ets� /-� � G � L � F � F C-�
IStreeU ICity) �St�te1 IZip� ISuite 1)
Owner: Gf� L//L1/T�l� Tenant Name: Ty�` �'`g'�K
ContractorT�-�,p,��� �pN�L S�2�S ��vC Tax Parcel # 29�'� 40 � aor a
Address: ��-�� i3 k6 kn.-c� c,c�A- 4�D3S^
Phone:�S `�"�73o Contractor License #: (it//'�71L5�0! Qt Expiration Date:
ICard mwt be presented) Fl����� ��.
Owner's Address: ���y��� � ��y � �-✓f /UL >:.>� f�it�/ Phone: �6 �— ' '�� f
Contact Person: „JE�� ��{,,¢,.c.0 Phone: �57�'-�U-3 v
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION'P,�ANS AND CUT
SHEETS WITH THIS APPLICATION. C ���D� �
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� INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE: /��L�_ �['j.U�S
MAXIMUM PLAN SI�E = 24�� X 36"
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I CERTIFY UNDER PENAiTY OF PERJURY THAT THE INFORMATiON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST> ' p
' OF MY KNOWLEDGE AND PURTHER TNAT I AM AUTHORIZED BY 7HE OWNER OF THE ABOVE PREMISES TO PERFORM THE '`
WORK FOR WHICH PERMIT APPUCATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL VJAY AS`
TO ANY CLA1M (INCLUDING COSTS,EXPENSES,AND"ATTORNEYS'FEES 1NCURRED IN INVESTIGATION AND DEFENSE OF
SUCH CLAIM);WHICH MAY BE MADE BY ANY PERSON,1NCLUDING THE UNDERSIGNED;AND FILED AGAINST THE CITY OF
FEDERAL WAY, BU7 ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY',INCLUDING ITS OFFICERS AND
EMPLOYEES,UPON THE ACCURACY'OF THE 1NFORMATION SUPPUED TO THE CITY AS A PART OF THIS APPLICATION,
Owner/Agent: Date: ��
O ce Use On/y(Please do not wrrte be%w this/inel �EC�A V
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Remarks:
Department of Labor and Industries
Electrical Permit shail be posted PermiTFee (Includes First Zone) S30.00
at all fire alarm installations. ��Additional Zones @ S 10.00 ea. .�°f'
' w � �':,
= O Received � Total Fees $
� Route to: Fire Department
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Approved by: �' Date: / / � � �� �
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