93-100592CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS93-0003
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/24/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 33801 1ST WY S Unit: #361
PARCEL NO.: 926504-0130
PROJECT DESCRIPTION: FIRE ALARM
OWNER
DR THELEN
33801 1ST WAY S #361
FEDERAL WAY WA 98003
661-7484
SPRINKLERS?........:?
# ZONES..........: 0
FIRE ALARM SYSTEM?.:Y
# ZONES..........: 0
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
HOOD & DUCT?.......:?
OTHER.....:?
EXTENT OF WORK...:?
CONTRACTOR LENDER
SYSTEM CONTROLS TCHNLGS INC
21828 - 87TH AVE SE STE #A2
WOODINVILLE WA 98072
206-487-1308
SYSTECT107NH
i
INSPECTION RECORD
FEES:
FIRE DEPT FEE......* S 15.00
FIRE ALARM FEE.....* S 30.00
TOTAL FEES S 45.00
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 S DATE ���/ ��f_� ct J
fps_prmt 07/01/92 -
SET BACKS AND FOOTINGS
DATE BY
PLUMBING ROUGH IN
DATE BY
O.K. TO ENCLOSE FRAMING
DATE - _ BY
FINAL O.K. TO OCCUPY
DATE __
OX TO POUR FOUNDATION WALLS
DATE
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE __BY
DCD
PSD
PLUMBING GROUNDWORK
DATE BY
MECHANICAL INSPECTION
DATE _ BY
WALL BOARD AND FIRE WALL
-- -BY -
FD
,,� PERMIT #
Aiqq
t b 3, t5
ICltyl ISletel (Zip) ISuite SI /any
Tenant Name: ���� S' 10
Contractor: SX-sTlg-M TENN..1C.Y 1925 IAjG Tax Parcel # bLbqFN
Address:
Phone: 4qW, I SL)g Contractor License #:` Criji7�' KIr-H Expiration Date:(Card moat be presented)
Owner's Address: _ ] 5r
���61W Is, -_rAl,� lei Phone: (" 44 C:�.-T-
Contact Person: ! j KqJ. VV7-1 _ Phone: r 4-484
PLEASE SUBMIT THREE (3) SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION PLANS AND CUT
SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE:
MAXIMUM PLAN SIZE = 24" X 36"
FCERTIFY TINDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED 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 ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF
SUCH CL.AIM)' 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
Owner/,
Remarks:
Department of Labor and Industries
Electrical Permit shall be posted
at all fire alarm installations.
O Received
Route to: Fire Department _
Approved by:
r, A —
Date:
Office Use Only (Please do not write below this line)
Permit Fee (Includes First Zone) $30.00
Additional Zones @ $10.00 ea.
Date:
Total Fees
CD0491