95-103037 ��,/v3b37
CiTY OF FEDERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS95-005�
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: li/16/95
Federal Way, WA 98003 BY: FC2
661-4000
SITE ADDRESS: 501 S 336TH ST
PARCEL NO.: 926480�0240
PROJECT DESCRIPTIOfVa FPS � FIRE PiIvARM SYSTEM (4 ZONES)
OWNER CONTRACTOR LENDER
WEYERHAEUSER FIRE ONE INC
i 501 S 336TH ST 219 SW 41ST ST
i
FEDERAL WAY WA 98003 RENTON WA 98055
575-0311
FIREOI*099KW
SPRINKLERS?........:? HOOD & DUCT?.....,.:? FEES:
# ZONES..........: 0 OTHER.....: FIRE ALARM FEE.....* S 30.00
FIRE ALARM SYSTEM?.:Y EXTENT OF WORK...:? FIRE DEPT FEE......* $ 30.00
# ZONES..........: k FINAL PLAN CHECK..a* $ 30.00
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL fEES $ 90.00
INSPECTION RECORD
ALL PERMITS EXPIRE 180 DAYS 61FTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURIVISHED 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 ��\-�!"����-� �'`�����'.-i�'�-'� �� DATE I ������'� ���
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Owner: �= =���,�i�+���'�;`�_:�:i � Tenant Name: �T`.'c=-`''�! �C►Si�.�.,`�u� LC.._�_�_.
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Contractor: �\ � �' ��'(�� ���L • Tax Parcel # ���i'� � a`-' �=�''�� L'
Address: ����� � V�.� ���� c_�`
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Phone: `<-��``y � ��\ Contractor License #:-� �t 1����t �'= Expiration Date: � l'�<<��
ICard must be presentedl
Owner's Address: Phone:
Contact Person: �� E�C L:;�- ������;� 4� ��-.v�� �-���-�;C� Phone: ���`-� '��c31 \
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION PLA#3 ATtD-GtLT
SHEETS WITH THIS APPLICATION. ' �
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INDiCATE NUMBER OF 20NES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE:
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MAXIMUM PLAN SI�E = Z4" x 36�� - ---_------_"-` '
I CERTIFY UNDER PENAiTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND FURTHER THAT 1 AM AUTHORIZED BY:THE OWNER OF THE A80VE'PREMISES TO PERFORM THE '
WORK FOR WHICH PERMIT APPLlCAT10NlS MADE. i FURTHER AGREE TO SAVEHARMLESS THE CITY OF FEDERAL'YVAY AS »"
TO ANY CLAIM iINCWDING COSTS;EXPENSES,AND ATTORNEYS'FEES 1NCURRED IN 1NVESTIGATION AND DEFENSE OF
SUCH CLAIMI,WHICH MAY BE MADE BY ANY PERSON;.WCLUDING THEUNDERSIGNED;AND FILfD AGAINST THE CITY OF
FEDERAL>WAY, BUT ONtY WHERE SUCH CLAIM ARISES OUT OF THE RELIQNCE OF THE CITY,INCLUDING ITS OFFICERS AND '
'EMPLOYEES,UPON THE ACCURACY OF'THE INFORMATION SUPPLIED TO THE ClTY AS A�ART OF THIS APPLICATION.;
Owner/Agent: � 1� ' t�-,� �°����'-� _ Date: 1 �'- =', �=��_�,
Otfice Use Only (P/ease do not write be%w thrs/inel
Remarks:
Department of Labor and Industries
Electrical Permit shall be posted Permit Fee (Includes First Zone) 530.00
at aIl fire alarm installations. _Additio�al Zones @ S 10.00 ea.
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❑ Received `—\; Total Fees S
Route to: Fire Department �
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Approved by �� /� / Date:
._..-
C00491 i