97-102992 q�,�a�. 4 9�
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS97-0046
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 09/18/97
Federal Way, WA 98003 BY: FC2
661-4000
SITE ADDRESS: 34515 9TH AVE S
PARCEL NO.: 750451—OA20
PROJECT DESCRIPTION: FIRE ALARM EQZJIPMENT FOR CORE OF MEDICAL PAV.
OWNER CON7RACTOR
LENDER
ST FRANCIS BUILDING CORE MASTER PROTECTION CORP
34515 9TH AVE S 505 PUYALLUP AVE
FEDERAL WAY WA 98003 TACOMA WA 98421
591-6616 253-383-3804
MASTEPC0770S
SPRINKLERS?........:? HOOD & DUCT?.......:? FEES:
# ZONES..........: 0 OTHER.....: FIRE ALARM FEE.....* $ 100.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? FPS PRMT ISSUANCE. $ 20.00
# ZONES........... 8
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES S 120.00
�
-���%_!-� Ly""` __,/ �� INSPECTION RECORD
I � l ��l� 7
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
1 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.
i
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OWNER OR AGENT i �� j � ' -' � � DATE �l{ ����/
fps_prmt O7/01/92
GTY OF G BUII.DIIYG DIYISION
� EO 33530 First Way South
```` Federal Way,WA 98003
�/y �y (206)661-4000
„__ Fax(206)661-4129
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PERMIT# I � � �- J� U
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FIRE ALARM PERMIT APPLICATION
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Job Address: �� J l J ���� ���� � �1 .� ���,�i LU�
��� (a�r) (smt�) (�e) (su�a�
Owner:��..�l�C�.�(_'a... M Pd�i c � � ��I�/c�enant Name:
� Contractor: �S� P�-8�p���-� ,�Q ��{P���faxparcel#
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Address: 5�� ��!`o���c.►A ��. �iaer�C W� ����
Phone: ��j' ���� Contractor License#:�c-�-e 0 G �7�_ Expiration Date:
(Card mnst presented)
Owner's Address: Phone:
Contact Person: Phone:
�
PI EASE SUBMII'THI2EE SETS OF I�RE ALARM WIRING D7AGRAM3�DEVICE IACATION PI,ANS�
AND CUT SHEETS W1TH'I'HIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEI,�INCLUDING SPRINKLER ZONES�IF APPLICABLE: ���t.'���l�
MnxnKUNt Pr.ax S�=24"x 36" '
I certify under penalty of pegury that the infonnation fumished by me is true and correct to the best of my knowledge and further that I am
authorized by the owner of the above premises to perform the work for which permit application is made. I further agree to save harmless
the city of federal way as to any claim(including costs,expenses,and attomeys'fees incurred in investigation and defense of such claim),
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 informa6on supplied to the city as a part of this
application.
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Owner/Agent: ' Date: o(�l/Gl7
Office Use Only(Please do not write below this line)
Remarks: CQl'� f-'tlLt�►Cnn �X/`�'t�Vvti � �+�
City ofFederal Way Electrical
Pertnit shall be posted at all Pennit Fee(Includes First Zone) 530.00
fire alarm instatlations. Additional Zones @$10.00 ea.
���g f� $20.00
�Received Total Fees $
Route to: Fire Department .
Approved by: D�:
FyREAIRA(.APP
° (t�V13ID17/ll/96