01-103148 1 , r
" • •
City of Federal Way Fire Prevention System Permit #:01 - 103148 - 00 - FP
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: HA NA TERIYAKI
Project Address: 106 SW CAMPUS Parcel Number: 415920 0710
Project Description: FPS-Supression system for Class I hood.
Owner Applicant Contractor
KAREN KIM CHANG-DUK YOUNG CONSTRUCTION R&T HOOD SERVICES INC.
1819 MEEKER ST 35002 PACIFIC HWY S SUITE 6 87 S DAWSON
KENT WA 98032 FEDERAL WAY WA 98003 SEATTLE WA 98134
(206)726-0940
,
PERMIT EXPIRES July 8,2002,IF NO WORK IS STARTED.
Permit issued on January 9,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: 1..),4 C Date: 9/.._ ._- p ...:,„ .
. EEIVED
Crr.or
CONSTRUCTION PERMIT APPLICATION
.\> — AUG 10 2001 APPLICATION NUMBER: 0 1 — 1 D3 I _y2-r I
APPLICATION NUMBER: — —
.l;e FEDERAL WAY
BUILDING DEPT. APPLICATION NUMBER: — —
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
1 PROPERTY INFORMATION
SITE ADDRESS: (d6 .'03 em pr.( p 1. e ASSESSOR'S TAX/PARCEL #: q I 110- 07 L O
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
•• 0 -•. ■ PROTECT INFORMATION .. .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERINGC'�FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
-r A,„7 INI PRoy--M E4-ser YikKI .
PROJECT NAME: IN A TSF 'ALS.)
.IN PEOPLE INFORMATION
PROPERTY OWNER: NAME DAYTIME
M PHONE:
) ;;Lii) (... ..e 0
MAILING A Edi A R SS�STATE,ZIP) t' • _ `�,
- \\
�' _. 'V a r
CONTRACTOR: NAME: , DAYTIME PHONE:
�� r A,t.\. w, r
- EVENING PHONE:
MAI N A (RES R :'•�> •TE,ZIP):
Fol --', p(JS - s .16 . ww /
1� C OFF AY BUSI 5 CENSE N M:ER: - FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: /
(copy of card required) i
APPLICANT: NAME: DAYTIME PHONE:
ASN �Y, ��" Egyp{) 9
MAILING AD ES ('�A�DDj�RESS;C ST ZIP): (EVENING PHONE:
tie,} Hools#9146 , -Er*ptiet
RELATIONSHIP TO PR JECT: FAX NUMBER:
CI ARCHITECT CI TENANT 111 OTER(DESCRIBE): ,. t !. 1 I]f (9 ) $q
E-MAIL (DRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
- : --1 -DETAILED BUILDING INFORMATION' >- --
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ It U -D,a Ci
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: N LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: II LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
• 4 ,
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
PROTECT FLOOR AREAS'
FLOOR EXISTING SQ.FT. _ PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
- . ::` .111:FIXTURES --
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) / HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
=' 'DISCLAIMER/SIGNATURE BLOCK -
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
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 officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. /�j
NAME/TITLE: . I , � �H (q� DATE: (L ,
CI PROPERTY OWNER CI APPLICANT CICONTRACTOR_ CO
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES Cl NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES El NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129