94-101321 j w
5Y-/a/3�.�
CITY OF FEDERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT NO.: FP594-0029
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/22/94
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 35101 STH AVE SA
PARCEL NO.: 42103 —9088
PROJECT DESCRIPTION: NEW PUBLIC ELEMENTARY SCHOOL #22.
SUPPRESSION SYSTEM FOR THE RITCHEN HOOD AND DUCT
OWNER CONTRACTOR LENDER
SCHOOL 22 LONGVIEN PLBG/HTNG CO INC
05 - 18TH AVE S #10 INTERNATIONAL WAY
FEDERAL WAY WA 98003 P 0 BOX 338
LONGVIEW WA 98623
206-941-0100 EX7. 255 206-425-7500 206-425-4210
LONGVPH258NP
SPRINKLERS?........:? H000 & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....: FINAL PLAN CHECK...* S 30.00
FIRE ALARM SYSTEM?.:? EXTENT Of WORK...:? BUILDING PERMIT....* S 34.00
# ZONES..........: 0 FIRE DEPT FEE......* S 32.00
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES S 96.00
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABIE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
� -=7 ,i
�
QWNER OR AGENT � DATE �' Z�-' 9�
�.,,� G City of Federal Way
-�— �^�rzr—n
�`� APPLICATION FOR BUILDING PERMIT ;
PLEASE PR/NT APPL/CAT/ON #: t �� � '� a�`"' C���
SITE LOCATION < Address�r��,.,� $-��, r-;+
5 �� 3'�
Tenant (jf known) Lot#� Assessor's Tax#
i..—,� � ./�-�'o 'j'k�/C1r_ .�S' �,�:r—ti�'2 : R- 3-� �
Building Owner Name Address
� �G�-fc�G /'�.�.-�: �.Z�D
City �i� � ��./ State � Zip , � Phone
Nature of Work
_ __ ..... . .__
APPLICANT
Name (F,M,L)
""�/�'�Si'�
Address
,�G`/�� _S'Y/T"'�'� � �'�.
City • ;yr� State
Gv.�- z�P � �
Contact Perso Day Phone Other Phone Fax
�iv° �'-�-3�--Y_3 5'G Z Z- G?7_Z 7��
___ __ _ __ _ _ .
BUII,DT.NG CONTRAGTOR
__
Company Name
Address •
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Oate Verified ❑ Yes ❑ No
s�� :5 i L
_ ._ __ _ .
_ _ _ _
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
����� �/ �D
�.
P/ease Complete Reverse Side
�����ILQING DEPT AY
CD0492(Rev 4/93)
STRUCTURE 'ng Use osed Use �f��yG_
Permit includes: ❑ Buiiding ❑ Piumbing ❑ Mechanical ❑ Other
- Type of Work: ❑� �R idential ❑ New ❑ Remodel ❑ Number of Units ❑ Oeck
� LYCommercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existi�g Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ IProject Valuatio� $ �� ,:; ��� ,
Zoning Lot Size F"acisting 81dg Valuation 5
LENDER'
Name Address
City State Zip
MECHA1vICAL'CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes O No
_ _ __. __ _ __ _ _. _ _ _.
__ __ _ _ ___ ___ _ __ _ _ _.
_ _ __ _... _ _.. __ __
_ __ __ _ _ __... __.. .. ..... __...
PLUMBING CONTRACTOR::
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiretion Date Verified O Yes ❑ No
PLUMBING FIXTURE COiJNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fxture CounL
MECHANICAL UNIT'COUN'I`
Fuel Type (electric/other) Gas Dryer Air Handling < = 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 Heater 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 penelty of perjury thet the information furnished by me is true and correct to the best of my knowledge and furtherthet 1 am authorized by the owner
of the above premises to perform the work for which permit epplication ie made.1 further agree to save harmlese tha City of Federal Way as to any claim(including coste,expenses,
and attornays'fees incurred in investigation and defense of euch claim�,which may be made by any person,including the undersigned,end filed egainet the City of Federal Way,
but only whare such claim arises out of the reliance of the City,including its officers and employees,upon the accurecy of the information eupplied to the City as e part of this
application.
Owner/Agent: Date: /l�—�y