97-101852CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33801 1ST WY S Unit: 281
PARCEL NO.: 926504-0160
PROJECT DESCRIPTION: INSTALLATION OF it NEW FIRE SPRINKLER HEADS.
OWNER
JOHN DEERE
33801 1ST WAY SO, SUITE 281
FEDERAL WAY WA 98003
SPRINKLERS? ........ :Y
# ZONES..........: 0
FIRE ALARM SYSTEM?.:?
# ZONES........... 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
HOOD & DUCT?.......:?
OTHER.....:
EXTENT OF WORK...:?
CONTRACTOR
SMITH FIRE SYSTEMS, INC.
1106 54TH AVE E
TACOMA WA 98424
926-1880
SMITHFS1360T
INSPECTION RECORD
LENDER
PERMIT NO.: FPS97-0030
+ ISSUED: 06/17/97
BY: FC2
FEES:
FPS PRMT ISSUANCE. S 20.00
SPRINKLER FEE...... $ 72.00
TOTAL FEES I S 92.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATIOKI FURNISHED BY ME IS TRUE JAND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY RE UIREMENTS WILL BE MET.
OWNER OR AGENT i/t/ - �! DATE i
fps_prmt 07/01/92
City of Federal Way
`ApPUCATION FOR BUILDING PERMIT
B Sdk6I
PLEASE PRINT CI-FY OF FEDERAL WAY APPL/CAT/ON #:
�_.,Q,'�.::>• Address '�"
Tana [if known) Lot # Assessor's Tax #
Building Owner Name Address
City I State Zip 9 Pho
Nature of Work -0, '� r
BUILDING CONTRACTOR.
Company Name
r r [rn
Address
r
City e_,na State
Contact Persgp Phon
ah�,
Contractor's # (card must be presented) Expiration Date
N F I 3 G d�--�- 9
-
kRCMUCT
Name
:GAL DESCRIPTION
Zip q&�L-2
Fax
Verified ❑ Yes ❑ No
Please Carnplete Reverse Side
CD0492 (Rev 4/931
ZUCT URA
;i;3•
Existing Use
Proposed Use
Permit includes:
❑ Building
❑ Plumbing
echanical ❑
Other
TyF-e of Work: ❑
Residential
❑ New
Remodel
❑ Number of Units ❑
Deck
Commercial
❑ Addition
❑ Garage
❑ Shed v ❑
Other
Ei tr 1 st Floor -4p �q ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Proposed Total Area
eq ft
Water Availability ❑
Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning
Lot Size
Fir $.<:::;»>
'"Al
LENU,ER.
Name
Address
City State Zip
MECHANICAL. CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License ff I Expiration Date I Verified ❑ Yes ❑ No
;IilVII�3ING. CONTRACTOR
Contractor Name Address
City I State
Zip
Contact Phone Fax
License rX Expiration Date Verified ❑ Yes ❑ No
PLUMBING' FGYTURE COMT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains a'tal Fixiiiie=Count
MECHANICAL UNIT 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 Tanka
Gas Hwt
Hood
Boilers Above Ground
Conv Burner
Duct Work
0-3 Tons Underground
BBQ's
Wood Stoves
3-15 Tons Total Unit -Count
11SCLAIMER: 1 certify under penalty of perjury that the information fumishad by me is true and correct to the best of my knowledge and further that I am authorized by the owner
-f the above premises to perform the work for which permit application is made. 1 further agree to save harmless the City of Federal Way as to any claim (including costs, expenses,
,nd attorneys' fees incurred in investigation and defense of such claiml, which may be made by any person, including the undersigned, and filed against the City of Federal Way,
ut only where su h claim arises out of the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City or a pert of this
pplication. <-�
)wner/Agent: Date:
CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33801 1ST WY S Unit: 281
PARCEL NO.: 926504-0160
PROJECT DESCRIPTION: INSTALLATION OF 11 NEW FIRE SPRINKLER HEADS.
OWNER
JOHN DEERE
33801 1ST WAY SO, SUITE 281
FEDERAL WAY WA 98003
CONTRACTOR
SMITH FIRE SYSTEMS, INC.
1106 54TH AVE E
TACOMA WA 98424
926-1880
SMITHFS1360T
LENDER
11T NO.: FPS97-0030
ISSUED: 06/17/97
BY: FC2
SPRINKLERS? ........ :Y HOOD & DUCT?.......:?
FEES:
# ZONES..........: 0 OTHER.....:
FPS PRMT ISSUANCE.
S 20.00
FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:?
SPRINKLER FEE......*
S 72.00
# ZONES........... 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES
S 92.00
INSPECTION RECORD
ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THAT THE INFORMATION FURN04ED BY0E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
OWNER OR AGENT DATE / ,+ " / —
fps_prmt 07/01/92
IREMENTS WILL BE MET.
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE _. -BY
PLUMBING GROUNDWORK
DATE _-. BY
PLUMBING ROUGH IN
DATE.__- -_BY
WATER LINE O.K.
GAS PIPING O.K.. _-_ ..� _
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY _
WALL BOARD AND FIRE WALL
DATE
FINAL O.K. TO OCCUPY
DATE --__-• __,�BY
DCD
PSD
FD