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97-103500CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 FIRE PROTECTION SYSTEM PERMIT PERMIT NO,: FPS97-0049 FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 10/03/97 BY: FC SITE ADDRESS: 33702 21ST AVE SW PARCEL NO.: 930100-0010 PROJECT DESCRIPTION: Modifying extIg fire sprinklers. — OWNER FRED MEYER — CONTRACTOR LENDER 33702 - 21ST AVE SW RELIANCE FIRE PROTECTION, INC. FEDERAL WAY WA 98023 500 S. LANDER ST. SEATTLE WA 98134 503-797-3525 (206)682-6636 RELIAFP102LI SPRINKLERS? ........ :Y HOOD & DUCT?.......:? FEES: # ZONES..........: 1 OTHER.....: FIRE ALARM SYSTEM?.:? EXTENT OF WORK ... ;MOD FPS PRMT ISSUANCE. $ 20.00 # ZONES........... 0 S PRINKLER FEE......* $ 243.00 STANDPIPE? ......... 0 UG FIRE SERVICE?...-? FIXED SYSTEM? ...... 0 TOTAL FEES $ 263.00 INSPECTION RECORD ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. 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 A , .Ie' l DATE /a 3 — y :)s_prmt 07/01/92 "W C E©EJ= A ON, FTY PLEASEPRINT APPLICATION FOR BUILDING PERMIT APPLICATION # BuiLDING DIVISION 33530 First Way South Federal Way, WA 98003 (253) 661-4000 Fax (253) 661-4129 FPs R�-ooy`i �> • :.>;1v ° Address o SW 7-IS-F AVE Tenant (if known) ME E2 Lot # _ Assessor's Tax # Building Owner's Name /1-,,z4D �EYEn- Address ,3 70 Z_ Z.JS r A-,IE ,City E7 W.4 State L;W =;Q'— WA I zip poi PhonZD3 7 7-35 ZS Nature of Work p /j= — /S ,✓l /2C ice. &&7e WIN Name (F,M,L) Address - City State i✓A— zip `!' T % 3 ¢ Contact Person Day Phone z - �G 3� Other Phone Fax (g Z -6-74-¢ Company Name Address City SE L.E k1,4 State Zip Contact Person /Lc. STEw�+2r Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No LEGAL DESCRIPTION Please Complete Remr,2e i Existing Use Proposed Use Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical Other Type of Work: ❑ Residential Ge'Commercial ❑ New ❑ Addition O'Remodel ❑ Garage ❑ Number of Units ❑ Shed ❑ Deck ❑ Other Enter 1 st Floor Area Basement sq ft sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area 2060 sq ft Proposed Total Area sq ft Water Availabili ❑ Sewer Availabili ❑ On -Site Septic System Availability ❑ Pro'ect Valuation $ coo Zoning Lot Size Existing Bldg Valuation $ Name Address Contractor Name Address Ci State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count . ?�#Ak� id' IT C.�.UR. ....; = ... MECHANICAL EVALUATION ONLY $ Fuel Type (electric/other) Gas DrVer Air Haa±!92 < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handlina > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Loa Unit Heater 50+ Tons Furn > 100 BTUs Fens Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count.:.' 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 by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out ofthe reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application. Owner/Agent: A� /? �*/ fi�l-•.� Date: '7—,17 - Bow .Aw Aey6co 8/29/97 C1TY OF FEDERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS97-0049 33530 First Way South FIRE DEPARTMENT INSPECTION - 946-7318 ISSUED: 10/03/97 Federal Way, WA 98003 BY: FC 661-4000 SITE ADDRESS: 33?02 21ST �iVE SW PARCEL NO.: 9301A0�0010 PROJECT DESCRIPTION: Modifying ext°q fire sprinklers. OWNER CONTRACTOR LENDER FRED MEYER RELIANCE FIRE PROTECTION, INC. 33702 — 21ST AVE SW 500 S. LANDER ST. FEDERAL WAY WA 98023 SEATTLE WA 98134 503-797-3525 (206)682-6636 RELIAfP102L1 SPRINKLERS?........:Y HOOD & DUCT?.,.....:? FEES: # 20NES..........: 1 OTHER.....: FPS PRMT ISSUANCE. S 20.00 FIRE ALARM SYSTEM?.:? EXTENT OF WORK...:MOD SPRINKLER FEE.....e* $ 243.00 # ZONES........... 0 STANDPIPE?.........:? UG FIRE SERVICE?...:? FIXED SYSTEM?......:? TOTAL FEES S 263a00 � � INSPECTION RECORD � ^ �'� /A z G�� V` � , ��1�� 6\LL 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 YVIET, OWNER OR AGENT ��j,�,f'G�. �/%r%�� DATE /C'S �� 7 fps_prmt 07/01/92