HomeMy WebLinkAboutPP - 5530 S 172ND LN - SUMMIT LOT 9 - PERMITS AND PLANS19-S-197
5530 S 172ND LN
ASSOCIATED PERMITS
D19-0139
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.:
tkelN9
F,E? 30 2019
TUKWILA FIRE
808860-0045
Site Address: 5530 S 149th Street Suite Number: Floor:
Tenant Name: (new construction) New Tenant? ❑ - Yes E- No
Property Owner's Name: Cary Lang Construction
Mailing Address: 29815 24th Ave SW Federal Way WA 98023
City State Zip
CONTACT PERSON -if there are questions about the submittal.
Name: Jake Box Day Telephone: (307) 251-1701
Company Name: Glacier Fire Protection, LLC
Mailing Address: PO Box 7980 Bonney Lake
E-mail Address: jakeb@glacierfp.com City
WA 98391
State Zip
Fax Number: N/A
NICET III number:
Erin Clayton 7544-0817-C Contractor's City of Tukwila
Business License number: 0998044
Total number of new/relocated devices or sprinkler heads: 32
Valuation of Project (contractor's bid price): $ 7'900.00
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 WASHINGTON, AND I AM AUTHORIZED TO APPLY
FOR THIS PERMIT.
BUILDING OWNER OR AUTHORIZED AGENT:
Signature:
Print Name: Jalfe Box
8-�
Plan Permit App.doc
Date: 9/26/2019
Day Telephone: (307) 251-1701
8/22/14 TFD FP Form 8
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
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Project: 1.c\- g 5)144v1tlir 4:06
Type of Inspection:
Address: kv
Suite #: S5—S 14q1 -4f -
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Contact Person:,�`�
Special Instructions:
Pre -Fire:
Phone No.:
nApproved per applicable codes.
Corrections required prior to approval.
COMMEN :
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Il
Occupancy Type:
Inspector:
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Date: 1
FIS)
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
2„.
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
Project: c�4e,
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Type of Inspection: e
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Address:Contact
Suite#: ^.30 S,
Person:
Special Instructions:
Phone No.:
Approved per applicable codes.
nCorrections required prior to approval.
COMMENTS:
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type:
Inspector:
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Date: /041 //7l Hrs.: lr U
n $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
INSPECTION NUMBER
INSPECTION RECORD
Retain a copy with permit
PERMIT NUMBERS
CITY OF TUKWILA FIRE DEPARTMENT
206-575-4407
V
Project: utsir q
Sprinklers:
Type of Inspection: n,Ju'„
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Address:`�
Suite #: 5.536
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Contact Person: _
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Special Instructions:
Occupancy Type: i
Phone No.:
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r7Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Sprinklers:
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Pre -Fire:
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Occupancy Type: i
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Needs Shift Inspection:
Sprinklers:
Fire Alarm:
Hood & Duct:
Monitor:
Pre -Fire:
Permits:
Occupancy Type: i
Inspector: Agin c-ul
Date: 10 Pf
i
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