98-100891 ROTECTION SYSTEM PERMIT PERMIT NO.: FPS98-o005
FIRE P ISSUED: 04/03/98
CITY OF FEDERAL WAY FIRE DEPARTMENT INSPECTION - 253-946-7318 gy; FC2
33530 First Way South
Federal Way, WA 98003 y'8� /O 0$ 9�
253-661-4000
SITE ADDRESS: 34515 9TH �,VE S
PARCEL NO.: 750451-0050
PROJECT DESCRIPTION: FIRE AI�ARl"I-1 ZONE LENDER
CONTRACTOR
OWNER MASTER PROTECTION CORP
PEDIATRICS NORTNWEST 505 PUYALLUP AVE
34515 9TH AVE S, #220 TACOMA WA 98421
FEDERAL WAY NA 98003
253-383-3804
MASTEPC0770S
FEES: g 20.00
NOOD & DUCT?.......:? FPS PRMT ISSUANCE. * 30.00
SPRINKLERS?........�N OTHER.....: FIRE ALARM FEE..... $
# 20NES..........: 0
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:?
# 20NES........... 1
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:? TOTAL FEES $ 50.00
(t, INSPECTION RECORD
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFOR
MATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
���� DATE ��3���
OWNER OR AGENT :'w
fps�rmt 07/01/92
CRY�F G BUILDINCDIV(SION
� 33530 First Way South
ED �'���:�'�� Federal Way,WA 98003
vv F7Y 33530 E�� ��4Y (206)661-4000
�$t�'/�y SO Fax(206)661-4129
Federa!�✓ay. Wq 98003 rE�rr# j �- . - _ -
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FIRE ALARM PERMIT APPLICATION
JobAddress: ��sl,S ��' a-v� S - , F?�,/�,�HI t../c.y t�'A `��lI��3 LZO
,
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Owner: (�e���u�'�''�c.._s N:. .�'l�f,.�e 1 t Tenant Name: �E��``t+ri c s /V.irt1�we,� t
C�ntractor:__J�ti d fe�� f��'��"f c.fiv� L� i-P J�<<f i,�� Tax Parcel#
Address: `Sv-� P�^Y�` !1`"P Avc � �coco-,c� , (N A 9 3�/2. !
Phone: C ZS3) 3 j.3 ' 3���� Contractor License#: M�S 7�. P y��'� �-S E�iration Date: �/�� /q g
_ _
(Card must be prosentedj
o��'s Address: 31(� r��� `�`�y�S
(.��u,- f�-��,�. J r. �✓�.y � Tuw'"`' Phone: C 2.� 3) 3 �3." J ��-�
Contact Person: D�i c,h� 7 c�v�b�,��, Phone: X . 3 C' l
PLEASE SUBMiT 1�REE SETS OF�RE ALARM WIRING DIAGRAMS�DEVICE IACATION PI,ANS�
AND CUT SHEETS W1TH THIS APPLiCATION.
'' INDICATE NUMBER OF ZONES ON PANEI.�INCLUDING SPRINKLER ZONES�IF APPLiCABLE• / 'i�� d^
Ma�tuM Pr.arr S�=24"x 36" �
I certify under penalty of pe{jury 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 as to any claim(including costs,expenses,and attomeys'fees incurred in investigation and defense of such claim),
which may be made by any person,including the undersigned,and filed against the city of federal way,but only where such claim arises out
of the reliance of the city,including its oflicecs and employees,upon the accuracy of the information supplied to the city as a part of this
application.
Owner/Agent: /�-- � Date: ���,�Q�
Office Use Only(Please do not write below this line)
Remarks:
City of Federal Way Electrical
Peimit shall be posted at all Pertnit Fee(Includes Fust Zone) 530.00
fire alarm ins4allations. �Addifional Zones�510.00 ea. o�1D.�'�
���g f� $20.00
❑ Received Total Fees $�(�
Route to: Fire Departrnent .
APProved bY� Date:
Ft�rAuer�.nee
R�nsFv l�/I I/96