99-100121 CITY OF FEDERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0001
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: O1/15/99
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADDRESS: 33702 21ST AVE SN
PARCEL NO.: 242103-9099
PROJECT DESCRIPTION: FPS (ALARM) REMOVE EXISTING FIRE PANEL (THORNE 200) . INSTALL PROPER SUPPORTING
EQUIP. TIE INTO RADIONICS 9112. WHICH CURRENTLY SUPPORTS HOLLYWOOD VIDEO
OWNER CONTRACTOR LENDER
FRED MEYER SECURITY PLUS
33702 - 21ST AVE SW 22526 127TH AVE E
FEDERAL NAY WA 98023 PUYALLUP WA 98338
360/893-0970
SECURIP*027DT
SPRINKLERS?........:? HOOD & DUCT?.......:? FEES:
# tONES..........: 0 OTHER.....: PLAN CHECK FEE $ 63.21
FIRE ALARM SYSTEM?.:Y EXTENT OF uORK...:MOD FPS PRM7 ISSUANCE $ 20.00
# ZONES..........: 8 FIRE DEPT FEE S 77.25
STANDPIPE?.........:?
UG fIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES $ 160.46
INSPECTION RECORD
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 DATE `'� /��— � �
fps_prmt 07/01/92 T—
CITY OF FEDERAL WAY FI RE PROTECTION SYSTEM PERMIT PERMIT NO.: FPS99-0001
33530 First Way South FIRE DEPARTMENT INSPECTION - 253-946-7318 ISSUED: 01/15/99
Federal Way, WA 98003 BY: FC2
253-661-4000
SITE ADDRESS: 33702 21ST AVE SW
PARCEL NO.: 242103-9099
PROJECT DESCRIPTION: FPS (ALARM) REMOVE EXISTING FIRE PANEL (THORNE 200) . INSTALL PROPER SUPPORTING
EQUIP. TIE INTO RADIONICS 9112. WHICH CURRENTLY SUPPORTS HOLLYWOOD VIDEO
ONNER CONTRACTOR LENDER
FRED MEYER SECURITY PLUS
33702 - 21ST AVE SN 22526 127TH AVE E
FEDERAL NAY 41A 98023 PUYALLUP WA 98338
360/893-0970
SECURIP*027DT
SPRINKLERS?........:? MOOD 8 DUCT?.......:? fEES:
# ZONES..........: 0 OTHER.....: PLAN CHECK FEE $ 63.21
FIRE ALARM SYSTEM?.:Y EXTENT OF HORK...:MOD FPS PRMT ISSUANCE S 20.00
# ZONES..........: 8 FIRE DEPT FEE S 77.25
STANDPIPE?.........:?
UG FIRE SERVICE?...:?
FIXED SYSTEM?......:?
TOTAL FEES S 160.46
INSPECTION RECORD
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 DATE L /�S '— �
fps_prmt 07/01/92 / \
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� C�--� �I�5'�,,6 '- j�;,� �T�) 33530 First Way South
�J�J '"^'" Federa!Way,WA 98003
�� � (253)661-4000
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FIRE ALARM PERMIT APPLICATION
Job Address: �� � � j�� � � ' � � �''��
(S�) (C�b) (state) CLP) (s�ite�
Owner: �� - �- �• ' , Tenant Name:-� � �`� •-- �� 1/r(�+�j
Contractor: = � - � Taac Parcel# o �`—� ^ "- � ��'
.�-- / �
Address: �s�`�'�;� ��i l� �t�f�' � �'f�<�/'�1 M_T_� S�>>��
����
Phone: �`-�j---�� f�ontractor License#:�S�C 1l'�`R-��a,� �Expiration Date:
(Card muct presented)
Owner's Address: Phone:
Contact Person: Phone:
PLF.ASE SUBMIT TffitEE SETS OF I�YRE ALARM WII2ING DIAGRAMS�DEVICE LOCATION PLANS�
AND CUT SHEETS WITH THIS APPLICATION. ,
INDICATE NUMBER OF ZONES ON PANEI,�INCLUDING SPRINKLER ZONES�IF APPLICABLE: �> '
MAXIMUM PI.AN SIZE=24"x 36"
I certify under penalty of pequry that the information furnished by me is true and correct to the best of my knowledge and further that I am
suthorized 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 attomeys'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
of the reliance of the city,including its o�cers and employees,upon the accuracy of the information supplied to the city as a part of this
application.
Owner/Agent: � ` Date: 1�—����
Office Use Only(Please do not write below Uus line)
Remarks:
City of Federal Way Electrical
Pertnit shall be posted at all Pennit Fee(Includes Fust Zone) $30.00
fue alartn installations. Additional Zones @$10.00 ea.
Processing fee $20.00
❑ Received Total Fees $
Route to: Fire Depar4nent
.�
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ApProved by: Date: �
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FLIEAlAN.APP
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Rtvism 8/26/97 . �j �