95-1027219s-id a7z/
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: 31401 PAC:IF'IC HWY S
PARCEL NO.: 082104-9216
PIROJECT DESCRIPTION: FPS o FIRE ALARM (5 ZONES)
OWNER
BLOCKBUSTER VIDEO
31401 PACIFIC HWY SO
FEDERAL WAY WA 98003
SPRINKLERS?........:?
# ZONES..........: 0
FIRE ALARM SYSTEM?.:Y
# ZONES........... 5
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
HOOD & DUCT?.......:?
OTHER......
EXTENT OF WORK ... :NEW
CONTRACTOR
NW COMMUNICATIONS & ALARM INC
2100 196TH ST SW #D-113
LYNNWOOD WA 98036
775-4456
NWCONAI11ODL
INSPECTION RECORD
LENDER
PERMIT NO.: F°PS95-0048
ISSUED: 11/03/95
BY: FC2
FEES:
FIRE ALARM FEE.....* S 30.00
FIRE DEPT FEE......* $ 40.00
FINAL PLAN CHECK...* S 0.00
TOTAL FEES $ 70.00
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.
�.
WNER OR AGENT I� 't f DATE
OIi�
fps_prmt 07/01/92
PERMIT #�� FA
Job Address: fI 'L J ` 0 � J ) f d) ' S (-C. �% _ t't-��%•
lstrWl (City) GIU OF PFRIWAAL iii O#)
CLUING DEFT.
Owner: Tenant Name.-.
Contractor: i' �� .,� �, � -��; ,;,,�; �� ; � ;—!��s,-,k_ Tax Parcel #
�IJ Y� x 2 C, 2
Address: - !_._.y �� � f Ic_ ���_ �.,�,! i• _ ,rt_ L�. C.
Phone: Contractor License #:&+r :�,<- '" : � � Expiration Date:
(Card mt.at be presenfedl - -
Owner's Address: Phone: c1 0 U �'] 7 - Vy_ r �.
Contact Person: Phone: { `
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: 4—
MAXIMUM PLAN SIZE � 24" X 36"
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 I. WHICH MAY BE MADE BY ANY PERSON. INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF
FEDERAL WAY, SLIT 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/Agen.t: '- r•_ Date: Z6 Lid
Office Use Only (Please do not write below this line/
Remarks.
Department of Labor and Industries
Electrical Permit shall be posted
at all fire alarm installations.
O Received
Route to: Fire Department
Approved by:
Permit- Fee (Includes First Zone) $30.00
Additional Zones @ $10.00 ea.
Date:
Total Fe it $
CD0491