91-101095 . 91- �o /og �
CITY OF � BUILDING INSPECTION
FEDERALWAY BUILDING PERMIT 941-1555
PERMIT NO. 91-1048 FA OWNER'S NAME SECURITY FENCE CO JOB ADDRESS 2012 S 341ST PL FEDERAL WAY
CONTRACTOR F'IRE CHIEF EQUIPMENT CU�d�i� 13300 S E 30TH BF.LLF.VTTF., Wg CONT. PHONE �d�-�� ��
CONT. REG. NO. FIRECECZ Z rJLC OWNER'S PHONE S 3 H—�I S 7 S OWNER'S ADDRESS R�l� SW �fi RTH FED��T?�Y-,—��
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER FTRF. AT•ARII� pEg�TT
TAX ACCOUNT NO. 21.ZZO4—OOSZ—Og LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE f i . ' I DATE OF APPLICATION g—�r�
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDIING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _
RETUfINED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION FIRE DEPT APPROVAL: CR/KC 8-13-91
PERMIT FEE 4O.OO
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
OTAL BLDG. FEES
PART P/C FEE DATE: � ` � S / ,`
SEPA REVIEW
WATER SERVICE AMOUNT: �6O_OO
WATEF MAIN CHG.
S.B.C.C. FEE RECEIPT: �;�r� �; �
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OTHER FEES F',D, 7(1 _ (1 f1
AMOUNT DUE C fl n n
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPIICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL ET:
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�+ Job Address: _,[. �� � �� � i l� �: ' f ' ' � ' ���� ��_L �� �)
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Owner: �L ,i�fJ�R ;t t � r ! Tenant Name: �� ,t i i �t�, ( I ���; L. I�.��. � �.
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�� Contractor: �' � �� `� / �- '
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� Address: � � �� l >� .. ��/�.,�;.+ � ��. ..' E� 3 � i� _! L_ -- �--: � `_?
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Phone: �� � � I,�, / Contractor License #: ��� � � � �.__��-_� � ' ����xpiration Date: �`" ��-� l�'�
(Card mwt be preaented)
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Owner's Address: �� �,...� � ; r. � "��, rL�. 1,(J�� Phone: �� l��
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Contact Person: , _�/, j / �' -:�,�� �'� �i � Phone: � ' t��- � ,
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION PLANS AND CUT
SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPUCABLE: --'�
MAXIMUM PLAN SIZE = 24�� X 36��
'I CERTIFY UNDER PENAL7Y OFPERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORREC7 7'O THE BEST
OF MY KNOWLEDGE AND FURTHER THAT 1;4M AUTHORIZED BY THE OWNER''OF THE A80VE PREMISES TO PERFORM THE . '
WORK FOR 1NHICH PERMIT APPUCATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS> ''
> TO ANY CLAIM (INCLUDING COS7S, EXPENSES,AND'ATTORNEYS'FEES INCURRED 1N INVESTIGATION AND DEFENSE OF
SUCH CtAIML'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'OFFICERS AND '
' EMPLOYEES,UPON THE ACCURACY OF THE INFORMATION'SUPPLIED TO THE'CITY AS A PART OF THIS APPLICATION.
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Owner/Agent: , Date: � � f �
O�ce Use Only (P/ease do not w�ite be%w this lineJ
/
' Remarks:
Department of Labor and Industries
Electrical Permit shall be posted Permit Fee (Includes First 2one) S30.00
at all fire alarm installations. ,Additional Zones @ S 10.00 ea.
❑ 'Received Total Fees $
Route to: Fire Department� '
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Approved by: �- - Date:
CD0481