02-104462 City of Federal Way Fire Prevention System Permit #:02 - 104462 - 00 - FP
Community Development Services
33530 Ist Way S
Federal Way,WA 98003-6210 p
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.035.3�5�
Project Name: KENNEDY JENKS
Project Address: 32001 32ND S Parcel Number: 162104 9001
Project Description: FPS-Add power supply and�ire alarm devices for of�ce space.
Owner Applicant Contractor
FOSS REDEVELOPMENT PRECISION ALARM PRECISION ALARM
PO BOX 94449 4]00 ALDERWOOD MALL BLVD 219 FRONTAGE RD S SUITE B
SEATTLE WA 98124 LYNNWOOD WA 98036 PACIFIC WA 98047-1023
(253)833-1248
PERMIT EXPIRES April 28,2003,IF NO WORK IS STARTED.
Pernut issued on October 30,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: �C�!_ Date:��•�d• ��
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�ECEI�f��
��F G CONSTRUCTION PERMIT APPLICATION
� �Er�L OCT O 9 ZOOL pp�CATION NUMBER: �^�:- � �
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�""''�.-�Y OF FEDERAL W��' FPL-ICATION NUMBER: _ _ - _ _ _ _ _ _ - _ _
.=3IJ11_!�ING DE!'r pp�Cq-�ON NUMBER: - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
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SITE ADDRESS: ;��x��-� � I fl�'�� �������� � ��� ASSESSOR'S TAX/PARCEL #: � �,� � (��' ��,'z."�
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LEGAL DESCRIPTION OF SUB7ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• • • • •
TYPE OF PROJECT(This application): ❑ BUILDING c PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING 'g�FIRE PREVENTION SYSTEM
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PRO)ECT DESCRIPTION(Provide detailed description): �.� ( �Ll 1 i (.l.� k� `;�,�l(lL Y � }^-; � 1� �
F�� k'�`P.� t�;� :���Y T�`1� L�` , T�� (
PRO]EGTNAME: ��� �t ���� 4;�� � �� (', It `� , �� � �� � ��.� .� , � ,'.�I;< l. ' f �.�.�. � � h .._
• • • • •
PROPERTY OWNER: NAME: DAYTIME PHONE:
�=�% � l �,� i����� t: � � �l� ��� < <� f�.' � (.'�i� �' ��{ �-�� - � �� � �
MAILING ADDRESS(STREEf ADDRESS;CITY,STATE,ZIP):
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/�CONTRACTOR: NAM : DAYTIME PHONE:
G ��1' �( �`LZ, ..L(1 (1-�1`:;.) 4 -' - l��L (/
, MAILIN DRESS( ADDRES ,C STATE,Z EVENING ONE: �
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OF FEDERAL WAY BUSINESS LICENSE NUMB . - F NUMBER: � -� i
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CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
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APPLICANT: � NAME: DAYTIME PHONE:
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MAILING ADDRE55(STREEf ADDRESS;CITY,STATE,ZIP): .�,S�5E_ EVENING PHONE:
1L'L r-�1L���1�'t.� (`"��� �1�1�LC �( � �) `�� �17°> �S L� �•ti.-�C c�� C ) -
RELATIONSHIP TO PROJECi: FAX NUMBER:
❑ ARCHITECT ❑ TENANT q OTHER( DESCRIBE): LC�ti 4��-� ��l`[�t� (���� _��'.� -'� ( j ��
E-MAIL ADDRESS:
CONTACT PERSON FOR TH IS PRO]ECT: ❑ PROPERTY OWNER j�APPLICANT ❑ CONTRACTOR
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EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ :'
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: ���`I�� ��
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
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WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• • • • •
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FLOOR ' EXISTING S . FT. PROPOSED S . Ff. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(5) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(5) FIREPLACEINSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(5) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) p ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(5) WASH MACHINE OUTLET
GAS PIPE OUTLET(5) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
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I certify under penalty of perjury 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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the
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 whe e such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supp' d to the city as a part of this p lication.
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NAME/TITLE: - - t � � DATE: /�
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR