94-100421 9y-�aa ��,�
CITY OF FEDERAL WAY FI R� PRO�E�TIOIV S�(STEIVI PERIVIIT PERMIT NO.: FPS94�0009
33530 First Way South BUILDIPVG INSPECTION - 661-4140 ISSUED: 03/10/94
Federal Way, WA 98003 BY: FL�'
661-4000
SITE ADDRESS: 35101 STH �iVIE SW
PARCEL NO.: 242103-9088
PROJECT DE�CRIPTION: FIRE PROTEC'd'ION SY�'a°El� Ifl�YS'd°1�Ys%aAT%ON (SPRYNRLERS)
ONNER CONTRACTOR LENDER
FEOERAL NAY SCHOOL DISTRCT 210 FIRE CONTROL CO INC
314405 - 18TH AVE S 4008 - 276TH ST E
FEDERAL NAY WA 98003 SPANAWAY WA 98387
206-941-0100 EXT. 255 847-1416 847-1533
FIRECCI148RE
SPRINKLERS?........:Y HOOD � DUCT?.......:? FEES:
# 20NES..........: 0 OTNER.....:? FINAL PLAN CHECK...* f 354.00
FIRE ALARM SYSTEM?.:? EXTENT OF WOROC...:? BU[LD1NG PERMIT....* S 545.00
# 20NES..........: 0 SPRINKLER FEE......* S 4k9.50
STANDPIPE?.........:? FINAL PLAN CHECK...� E Oo00
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
YOTAL FEES f 1348,50
gx��Ec�aorr REco�D . ' .
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�.F1RE DISTRICT�
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61LL PERMITS EXPi6tE 180 DAYS AFTER ISSUANCE IF NO WORIC IS SYAitYED.
i CERTIFY THAT THE INFORMATION FURNIS6iED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT �,--wLv� �� �G^L'-Z_�� DATE � " ✓L� — �r�-j�
City of Federal Way
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APPLICATION FOR BUILDING PERMIT
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PLEASE PR/NT 6�1' - - APPUCAT/ON #:
SITE�.QCAT�ON Address � 7'/' 'h
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Tenant (if known) �T Lot A' Assessor's�x #
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Building Owner Name Address y
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APPLICANT:;. :
Name (F,M,L) �
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Address , ��
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Contact Person � Day Phone . Other Phone Fax
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�.UII.DING CONTRACTOR:>
Company Name
A�dress •
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes O No
ARCHITECT ;
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Complete Reverse Side
cooae2�a��aisai
# STRUCTURE ;ting Use roposed Use
Permit includes. ❑ Building O Piumbing O Mechanicai �Other 5
Type of Work: O Residential ❑ New ❑ Remodei ❑ Number of Units_ ❑ Deck
❑ Commarcial ❑ Addition ❑ Garage ❑ Shed D Other
Enter lst Floor3���y'j sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposad Total Area _sq ft
Water Availability ❑ Sewer Availability O On-Site Septic System Availability � > Project'Valuatian S ''� -;
Zoning Lot Size �cisfing Bldg Valuation $
LENDER
Name / � _ / -� `�`�' Address
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Clty StetO Zp
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14�CHA:I�TTCA� COIVTRACTQR
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Contractor Name Address
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city 5 /� t�1(� '2_`.+4 state • �1 Zip r, �,'3�; .
Contact + -� � ' Phone Fax
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License �f �,R� (_�, ( - � � ;5` 2 � Expiration Date;-�-�f,7'' Verified ❑ Yes O No
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PI;uMBING G:ONTI.2ACTOIt
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
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�LUIVIBING FIXTURE CQiJNT
Water Closets Sinks Urinals Lewn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fxture ICount ::>
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1�'IECHE�NICAI..UN�T: COUN'�'
Fuel Type (electric/other) Gas Dryer Air Handiing < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heatar 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under panalty ot perjury that tho information furnishad 6y me is true end corract to the best o(my knowledgo end further thet I em authorizad by the owner
of the above pramises to periorm the work for which parmit applicetion is mada.I furthar apree to save hermless the City of Federel Way as to any claim�including costs,expensas,
and ettorneys'faes incurrad i�investigetio�and detenne of such claim�,which may be made by any person,i�cluding the undarsignad,and filed egainst the City of Fedaral Way,
but only whare such claim arises out of tha reliance of the City, including its officers end employees,upon the accuracy of the information supplied to the City es a part ot this
application.
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Owner/Agent• �..B�z-�t��t-�t1�" � ' �-���`�`"7 Date: 7 � � �{