HomeMy WebLinkAboutPP - 12566 50TH PL S - CARY LANG CONSTRUCTION / CODIGO LOT 5 - PERMITS AND PLANS12566 50TH PL S
ASSOCIATED PERMITS
D18-0241
SITE LOCATION
CITY OF TUKWILA
FIRE MARSHAL'S OFFICE
206-575-4407
FIRE PROTECTION SYSTEMS PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
**PLEASE PRINT**
King Co. Assessor's Tax No.: 017900-2501
Site Address: 12566 50th PL S Suite Number:
Floor:
Tenant Name: (new construction) New Tenant? - Yes 0- No
Property Owner's Name: Cary Lang Construction
Mailing Address: 29815 24th Ave SW
CONTACT PERSON -if there are questions about the submittal.
Name: Jake Box
Federal Way WA 98023
City State Zip
Day Telephone: (307) 251-1701
Company Name: Glacier Fire Protection, LLC
Mailing Address: PO Box 7980 Bonney Lake WA 98391
jakeb@glacierfp.com City State Zip
E-mail Address: Fax Number: N/A
Erin Clayton 7544-0817-C Contractor's City of Tukwila 0998044
NICET III number: Business License number:
Total number of new/relocated devices or sprinkler heads: 24
Valuation of Project (contractor's bid price): $ 7,000.00
Scope of Work (please provide detailed information): Design & install fire sprinkler system in new
constructed 1 family dwelling per NFPA 13D.
PERMIT APPLICATION NOTES
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be
reviewed and is subject to possible revision by the Fire Marshal to comply with current fee schedules.
Expiration of Plan Review -Every permit issued shall become invalid unless the work on the site authorized by such permit
is commenced within 180 days after its issuance, or if the work authorized on the site by such permit is suspended or
abandoned for a period of 180 days after the time the work is commenced. The Fire Marshal is authorized to grant, in
writing, one or more extensions of time, for periods not more than 180 days each. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE
UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OR ! GTON, AND I AM AUTHORIZED TO APPLY
FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
MAY 13 2019
Signature: TUKWILA FIRE Date: 9/7/2018
Print Name: Jake Box Day Telephone: (307) 251-1701.
Plan Permit App.doc
8/22/14 TFD FP Form 8
Z
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
bjs-02- (/7
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project �` �
Ib'
Type of Inspections
*
Address:Contact
Suite #: / ZS(p(p 07'
l
Person:
Special Instructions:
Permits:
Phone No.:
pproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
r7-441-7
.(Y
Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector:
Date:
p
//
1
IHrs.:
/. a
$100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113
1
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project:
CZ) -D
)\ Lpc_. (1) Awl -7
Fire Alarm:
Type of Inspection: 5-06409c C.4Vre
Toorkt
1-4)7 -
Monitor:
-Let -et
Address:
Suite # l`6(0(0 /f S
?
•ontact Person:
Special In
'.
Phone No.:
r .
XtApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
` -ACj T 1As 3 Eyoe,4 1(4 lv►� d .
ce7\At ivpP,%\rt,
G 7t
Needs Shift Inspection: Jt
Sprinklers: "?,,t_
)\ Lpc_. (1) Awl -7
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector: r Sl_. di.1 641 FIN 53)
Date: I uott01ci
Hrs.:
-
$100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from
the City of Tukwila Finance Department. Call to schedule a reinspection.
Billing Address
Attn:
Company Name:
Address:
City:
State:
Zip:
Word/Inspection Record Form.Doc
3/14/14
T.F.D. Form F.P. 113