93-102846 CITY OF FEDERAL WAY FIRE PROTECTSON SI�STEIl� PER11�11T PERMIT OJ F°P�9 064
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: gl/12/93
Federal Way, WA 98003 BY: ELF
661-4000
SITE ADDRESS: 1825 � 330T�i ST II�ait: �LD �
PARCEL NO.: 298690-0010
PROJECT DESCRIPTION: INST1�IoLINC, AIITO1sATIC F°YItE SPRYNRI�EY2 �YSTEM IN Bip%LDYNGB: #Ao �Co �Ea �Fo �D #Ge
ONNER CONTRACTOR LENDER
CPC LIMITED SMITH FIRE SYSTEMS
18915 142ND AVE NE SUITE#140 4519 SOUTH ORCHARD
4100DINVILLE NA 98072 TACOMA LIA
487-1961 473-6967
SMITHFS*1360T
SPRINKLERS?........:� HOOD & DUCT?.......:? FEES:
# 20NES..........: 0 OTHER.o...:? BUILDING PERMIT....* S 395.00
' fIRE ALARM SYSTEM?.:? EXTENT OF WORK...:7 FINAL PLAPI CHECK...* S 257.00
# ZONES..........: 0 F[RE DEPT FEE......� S 326,00
STANDPIPE?.........:?
UG FIRE SERVICE7...:7
FIXED SYSTEM?......:?
TOTAL FEES S 978v00
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AlL PERMIYS EXPIRE 980 DAYS 6►PTE6t ISSUANCE IF PIO WORK 7S STARTED.
1 CERTIFY THAT THE INFORMA710N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ������f��"_ C/l�'�C��'(-�I�� DATE <�/ l����s�
fps�rmt 07/01/92
' � City of Federal Way
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�� �' APP��CATION FOR BUILDING PERMIT t
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PLEASE PR/NT � APPL/CA T10N #:�� ,���'C�`� �
SITE LOCATION Address � '� ' Sv, - ��} •7--
Te�ant (if known) j���. .�� , , Lot J! Assessor's Tax # '
" � ��'. �E' c� � ; �� � �`�7.��'U -C�4�C1 �-(, � ��
Building Owner Name Address I
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City �'1/(�C�n//l/l/'�L�-.�' State �/ . ZiP -/ C� Z Phone �� -fC"� i
Nature of Work F �k S `� � N ,� s y �. �j3
APPLICANT :
Name (F,M,L)
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Address
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?� r� r
City �Gc' State � Zip � - '
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Contact Person Day Phone OtherPhone Fax �
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BUILDING CONTRACTOR. '
Company Name
�-f'G l-�td:
Address • 'I,
/ �9 /� ��2 -� ��� ,-_ .�� ��;� ~ I
City �j� L _ State j�/ Zip bi�
Contact Person Phone !-{,�7-Zs5'G<y Fax ;
��'1" -' i,✓u�^�.t. � - . ._/�G � -Z2`J�- i
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No �
ARCHTTECT
Name,
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Address I,
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c�tv L� ste�a y� z;p q U ;
Contact Person Phone Fax � �
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LEGAL DESCRIPTION
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Please Comp/ete Reverse Side
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GITY OF FEDE�t'�.�.�d",��;t'
-----BUILDINf�E�'T
J'I'RiJ(-'T�E Existing Usa �/(C`�r'� •-��� Pr^^osed Use �f - �/y .,` ��
V ir
Permit includes: ❑ ding p Plumbing echanical Other
Type of Work: Residential New ❑ Remodel Number of Units� ❑ Deck '
❑ Commercial ❑ Addition C��arage p Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Fioor Area sq ft
Aree Basamant sq ft Decks sq ft Garaga sq ft Proposed Total Aroa " "' sq ft �
Water Availability C�1�Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuauon S L7
Zoning ��_ 2%�(J�i Lot Size ii3 /�t y/�; Sj 6cisling Bidg Valuation S
LENDER
Name Address
,;,,y��:
City State Zip
ME�HANTCAL CONTRACTOR �r� S' ' ��,,,�a�fz�r
Contractor Name Address
SC� �Z� �
City State Zip
Contact Phone Fax
License # ��Yf��` Expiration Date Verified ❑ Yes ❑ No
PLUI�ffiING CONTRACTOR;
Contractor Name Address
City State Zip
Contact Phone Fex
License # Expiration Date Verified ❑ Yes O No
_._ _
_ _.
PLUMBING'FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinkle_rs
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHAMCAL UMT COUNT
Fuel Type (electric/othar) Gas Dryer Air Handling < = 10,000 CFM z 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellanaous Fuel Tanks �
Gas Hwt � Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
ggQ's Wood Stoves 3-1 S Tons Total Unit Count
DISCLAIMER: I certify under penelty of perjury thet the information furniehed by me is true end correct to the beet of my knowledge and further thet I am authorized by the owner
of the above pramines to perform the work for which permit application is made.I further aQree to�eve hermless the City of Federal Wey as to eny cleim(includinq coste,axpences.
and attorneys'fees incurred in investipetion and defenee of such claiml,which may be mada by any penan,includinp the undersigned,and filed aQeinet the City oi Federel Wey,
but only where such claim erises out of the reliance of the City, including its officers end employee�,upon the accuracy of the information supplied to the City as a part of this
epplicetion. �
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-'n�ant: l.� � iA � '—�,� /I� Date:�