97-100668 g�-!oa 668
CITY OF FEDERAL WAY FIRE PROTECTION SI�STEM PERMIT PERMIT NO.: FPS97-0007
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 03/07/97
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 34515 9TH AVE S
PARCEL NO.: 750451-0020
PROJECT DESCRIPTION: TI - Adding 8 sprinkler heads and relocating 12.
OWNER CONTRACTOR LENDER
ST FRANCIS CATH LAB ROOM PATRIOT FIRE PROTECTION, INC.
34515 9TH AVE S 2004 A 48TH AVE. CT. E.
FEDERAL WAY WA 98003 TACOMA WA 98424
591-6616 926-2290
PATRIFP099CF
SPRINKLERS?........:Y HOOD & DUCT?.......:? FEES:
# ZONES..........:20 OTHER.....: SPRINKIER fEE......* $ 25.00
fIRE ALARM SYSTEM?.:? EXTENT OF WORK...:? FPS PRMT (SSUANCE. S 20.00
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
F�XED SYSTEM?......:?
TOTAL FEES S 45.00
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 APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
fps_prmt 07/01/92
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�w APPLICATION FOR BUILDING PERIIJIIT �' � �gg�
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Buildi�g Owner Name Address
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ARCH�EC'�`
Name
Address
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LEGAL DESCRIPTION
' P/ease Comp/ete Reverse Side
cooaez ia��4/931
S'j`��JCT�R� Existing Use s ,a Proposed Use �
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Permit includes: C Iding p Plumbing lechanical ❑ Other
Type of Work: ❑ Residential ❑ I�1ew A Remodel ❑ Number of Units ❑ Deck
Ja�Commerciel �E7�Addition � Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement eq ft Dacks sq ft Garege sq ft Proposed Totai Area � sq ft
Weter Availebility ❑ Sewer Availability ❑ On-Site Septic System Availability O Froject Valua6an: S
Zoning Lot Size �cisting Bldg Ve(uation: $
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Name Address
C�tY State Zip
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License # �g;,�/�''��f ��� �� Expiration Date .� �.� - Verified ❑ Yes ❑ No
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PLL�NIBING CONTRACTOR
Contractor Name Address
City State Zip
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License �F Expiration Date Verified ❑ Yes ❑ No
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PLV�3TNG k'�XTUR��OI3N'� ;
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washin Ma '
e
chme Drains
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Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Ges Piping Range Air Handline > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ To�s
Furn >100 BTUs Fans Miscellaneous Fuel Te�ks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ�s Wood Stoves 3-15 Tons "
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DISCLAIMER: I certify under panelty o(perjury thet the i�(ormetio�furnished by me is true and correct to the best of my knowledpe end furthar thet I em euthorized by the c
of the above premisec to parform the work for which permit epplicetion is made.I further agrae to save hermlesc the City of Federal Wey ac to a�y cleim(includi�Q coste,exp
end ettomeyc'teea incu�red in investigation end defense oi such cleim�,which mey be made by e�y pereon,including the undercip�ed,e�d filed egainst the City of Federal o...�;
but only where such cleim erices ut of tha relienca of the City,including itc officerc and employeec,upon the accuracy of the informetion supplied to the City ac a pert of this
epplicetion. �
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OwnedAgeot // Oete: 2 � �