95-102664CIITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318
Federal Way, WA 98003
66 1-4000
SIfTE ADDRESS: 31413 PACIFIC HWY S
PARCEL NO.: 082104-9013
PROJECT DESCRIPTION: FPS — INSTALLATION OF FIRE SPRINKLERS (14,720 SF)
OWNER
BLOCKBUSTER MUSIC
31413 PACIFIC HWY S
FEDERAL WAY WA 98003
7,7` '-006
SPRINKLERS? ........ :Y
# ZONES.. ........ 0
(FIRE ALARM I SYSTEM?.:?
# ZONES........... 0
STANDPIPE? ......... :?
WG FIRE SERVICE?...:?
(FIXED SYSTEM?......:?
HOOD & DUCT?.......:?
OTHER......
EXTENT OF WORK ... :NEW
CONTRACTOR
SMITH FIRE SYSTEMS
1106 54TH AVE E
TACOMA WA 98424
926-1880
SMITHFS1360T
INSPECTION RECORD
LENDER
95-/odGGy
PERMIT NO.: FPS95-0047
ISSUED: 10/20/95
BY: FC
FEES:
SPRINKLER FEE......* $ 225.00
BUILDING PERMIT....* $ 225.00
FINAL PLAN CHECK...* $ 146.00
TOTAL FEES S 596.00
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.
OIAI MER OR AGENT - DATE !; j
fps_prmt 07/01/92
SET BACKS AND FOOTINGS
DATE BY ______
OX TO POUR FOUNDATION WALLS
DATE _____BY
PLUMBING GROUNDWORK
DATE--- -BY
PLUMBING ROUGH IN
DATE BY_ R_
WATER LINE O.K. _..
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE _ __BY
ENCLOSE FRAMING
DATE . - _BY
INSULATION
DATE BY _
WALL BOARD AND FIRE WALL
DATE _ BY _
FINAL O.K. TO OCCUPY
DATE_ BY
DC❑
PSD
�.
FD(�_?
-J
RECEIVED
PLEASE PRINT
5I TE
City of Federal Way
APPLICATION FOR BUILDING PERMIT
OCT 1 01995
CITY OF FEDERAL WAY
OWDING DEPT
OLAPPL/CAT/ON it.. r
'I:OGATION
Address 314
Tenant (if known)
L [r r
Lot #
Assessor's Tax #
Building Owner Name
Address
City
State
Zip
Phone
Nature of Work rr n' C
J APPLICANT
Name (F,M,U
,
1 r r2Y1
Address
City 6
State 1A44
Zip
Contact Person
Day Phone
Other Phone
Fax
AA r
0OG —
1 BUILDING CONTRACTOR
Company Name
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
I ARCH ITECT
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
sting Use
Permit includes:
❑ Building
❑ Plumbing
Type of Work: ❑
Residential
,K New
❑ Remodel
❑
Commercial
❑ Addition
❑ Garage
Enter 1 at Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Water Availability ❑
Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning
I Lot Size
Name
City
MECHANICAL CONTRACTOR
Contractor Name
City
Contact
License #
SING: CONTRACTOR"
Contractor Name
City
Contact
License #
[JMBING FIR'TURE COUNT:
Water Closets Sinks
Bathtubs Dish Washers
Showers Electric Water Heaters
Lavatories Washing Machine
nxECR:ANICAL uNFr COUNT.:
Fuel Type (electric/other)
Gas Dryer
Length of Gas Piping
Range
Furn <100K BTUs
Gas Log
Furn > 100 BTUs
Fans
Gas Hwt
Hood
Conv Burner
Duct Work
BBQ's
Wood Stoves
oposed Use A
Mechanical ❑ Other T
-r
❑ Number of Units ❑ Deck
❑ Shed ❑ Other
Existing Floor Area sq ft
Proposed Total Area sq ft
Projtict Valuation:
Existing Bldg Valuation $
Address
State
Address
State
Phone
Expiration Date
Address
State
Phone
Expiration Date
Urinals
Drinking Fountains
Sumps
Drains
Air Handling < = 10,000 CFM
Air Handling > = 10,000 CFM
Unit Heater
Miscellaneous
Boilers
0-3 Tons
3-15 Tons
Zip
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
Total
15-30 Tons
30-50 Tons
50+ Tons
FuelTanke
Above Ground
Underground
Total' Unit=Couht
DISCLAIMER: I certify under 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 claim), which may be made b., any person, including the undersigned, and filed againet 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. J
Owner/Agent:/ _—Date: