96-102693 .
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CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMITNO.: FPS96-0037
33530 First Way South � — � FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 08/26/96
Federal Way, WA 98003 BY: FC2
661-4000
SITE ADDRESS: 515 S 312TH ST
PARCEL NO.: 082104-9038
PROJECT DESCRIPTION: FPS — INSTALLATION OF FIRE SPRINRLER SYSTEM
OWNER CONTRACTOR LENDER
ST LUKE'S LUTHERAN CHURCH SMITH FIRE SYSTEMS
515 S 312TH ST 1106 54TH AVE E
FEDERAL WAY WA 98033 TACOMA WA 98424
839-0172 926-1880
SMITHFS1360T
SPRINKIERS?........:Y HOOD & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....: SPRINKLER FEE......* S 432.50
FIRE ALARM SYSTEM?.:? EXTENT OF LIORK...:? FPS PRMT 1SSUANCE. $ 20.00
# ZONES........... 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
F1XED SYSTEM?......:?
TOTAL FEES $ 452.50
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 APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT a—�SL DATE �� �CO — ��p
fps_prmt 07/01/92
.
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p,,,� ,_ City of Federal Way '
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�� �' APPLICATION FOR BUILDING PERMIT ; � � 1996
. . ._ir FEDEiiAI WAY
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°LEASE PR/NT APPL/CAT/ON#: �"� S��— �O 3�
SITE�:�UCATION: Address SQ, ,a� �C c�a� � �p
Tenant(if known) ` / Lot !f Assessor's Taz !/
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Building O ner Name Address
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City State Zip Phone
Nature of Work / - - /
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APPLICANT
Name (F,M,U
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Address
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City ��
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Contact Person � Day Pho�e Other Phone Fax
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BUII;DTNG''>CONTRACTOR
Company Name
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Address
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City State Zip
Contact Person Phone Fax
Contractor's !1(card must be presented) Expiration Date Verified ❑ Yes ❑ No
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ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
EGAL DESCRIPTION L
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Please Complete Reverse Side
C00492 IR<v 4iU31
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�J1RYJ��E 'i Existi�g Use ( G� Proposed Use � �
V�tiw. v�r G�
Parmit includes: ❑ Building ❑ Piumbi�g Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial Additio� ❑ Garage � Shed ❑ Other
Ente� lst Floor 3S�3 q 2nd Roor sq ft 3�d Floor sq ft Existing Floor Area sq ft
Area Basament sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
___ _ _ _ _ ._ ...
Water Availability ❑ Sewer Availability O On-Site Septic System Availability ❑ P�oject Valua6ort: $
�```�S
Zo�i�g LotSize '.':Existin� Bldg'Va[uatwn;:; 5
LENDER
Name Address
City State Zip
MECI�ANTCAL CONTRACTOR
Contractor Name Address
City State Zip
Coat�+_;t Phone Fax
Ucense Jf Expiration Date Verified ❑ Yes ❑ No
PLiJMBTNG CONTRACTOR '
Contractor Name Address
City State Zip
Contact Phone Fax
License !! Expiration Date Verified ❑ Yes ❑ No
PLiJMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fxtu�e Count
MECI�ANICAL:UNTT COUNT:
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 Boile�s Abova Ground
Conv Burner Ouct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 To�s 7otal Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me ie true and correct to the best of my knowledge a�d further that 1 am euthorized by the owner
of the above premises to perform the work for which permit epplication is made.I further agrea to seve harmless the City of Federal Wey as to any claim(including costs,expenses,
and attorneys'fees incurred in invastigation and defense of such claiml,which mey be made by e�y perso�,including the undersigned,and}iled against the City of Federal Way,
but only where such cleim erises out of the reliance of the City,including its officers and employees,upon the eccuracy of the information supplied to the City es a part of this
applicetiar�.
Owner/AgonC _ _ �ate: _ � /� " �� _