94-102003CITY OF FEDERAL WAY FIRE PROTECTION SYSTEM PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31858 PACIFIC HWY S
PARCEL NO.: 092104-9207
PROJECT DESCRIPTION: COMMERCIAL — FIRE ALARM (3 SETS), FLOOR PLAN.
OWNER
GOOD GUYS, THE
31858 PACIFIC HWY S
FEDERAL WAY WA 98003
415-615-6131
SPRINKLERS?........:?
# ZONES........... 0
FIRE ALARM SYSTEM?.:Y
# ZONES........... 4
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
HOOD & DUCT?.......:?
OTHER......
EXTENT OF WORK...:?
I CERTIFY THAT THE INFORMATION FURNISHED BY
CONTRACTOR
CAMCO PACIFIC CONST CO INC.
20250 ACACIA ST SUITE 200
SANTA ANA HEIGHT CA 92707
244-7120 660-7447
CAMCOPC064C2
INSPECTION RECORD
LENDER
9y-to.2d��
PERMIT NO.: FPS94-0048
ISSUED: 10/31/94
BY: FC
FEES:
FIRE ALARM FEE.....* S 60.00
FIRE DEPT FEE......* S 30.00
TOTAL FEES $ 90.00
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
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 O: -3iZf
fps_prmt 07/0119
SET BACKS AND FOOTINGS
DATE BY
.;.K TO POUR FOUNDATION WALLS
DATE --- __-BY _
PLu.vrBJNG GROUNDWORK
DATE
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
TFD
R CEIVED PERMIT # , 6 FA
Job Address: 31 gsg —P4c-I F I c-- tom' F �QA•L [ %0C]3
(Street) (City) (Stete) (Zip) ISt to 9)
Owner: t-1 ooD tom'; t5 Tenant Name: v t
Contractor: TG . C? to t •., r-i F LVTR-t c- Tax Parcel # CAc,2 4�Dq 1 goo f
Address: 2 t Z 1C;-' L--) A, dr031
Phone: Contractor License #: FJC xpi ration Date:
(Card moat be preaentedl
Owner's Address:
600
ns.4 ,6102
C%A- Phone:
Contact Person:
D'Am t
ate'—
Phone:
.i Kg - 71 z-o C0`1�
9-z V - 33,F
PLEASE SUBMIT THREE (3) SETS OF FIRE ALAR[VWiRING DIAGRAMS, DEVICE LOCATION�PLANS AND CUT
SHEETS WITH THIS APPLICATION. I kL I�4Q__ 6C� tk r Cq (C L� (a A DGGf
INDICATE NUMBER OF ZONES ON PANEL, INCLUDING SPRINKLER ZONES, IF APPLICABLE:
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 CLAIMI, 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/A
Remarks:
Department of Labor and Industries
Electrical Permit shall be posted
at all fire alarm installations.
❑ Received
Route to: Fire Department
Approved by: _
Lam'
Date: !T
Office Use Only (Please do not write below this line)
Permit -Fee (Includes First Zone) $30.00
Additional Zones @ $10.00 ea. 30
Total Fees
Date:
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