02-101422City of Federal Way
Community Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Pk -40i ect Name:
Project Address
• 0
Fire Prevention System Permit #:02 - 101422 - 00 - FP
ROMIO'S PIZZA
1400 S 312TH Suitel
Project Description: FPS - Installing suppression system for new hood.
Inspection request line: 253.835.3050
Parcel Number: 082104 9090
Owner
Applicant
Contractor
MAX D. COOK
ROMIOS XIII MISFITS LLC
SIMPLEXGRINNELL LP
PO BOX 4805
1400 S 312TH ST SUITE 1
9520 10TH AVE S SUITE 100
FEDERAL WAY WA 98063
FEDERAL WAY WA 98003
SEATTLE WA 98108
(206) 291-1400
PERMIT EXPIRES October 19, 2002, IF NO WORK IS STARTED.
Permit issued on April 22, 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: Date: �' ' D ��
JOEctIvED
�.« CONSTRU ION PERMIT APPLICATION
l i ; APPLICATION
APR � NUMBER: - 4r , -
VV F3Y -
APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: --
BUILDING DEPT. -- .- - - -
-- --
*The following is required information - Please print (ih ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ROPERTY INFORNATIO
SITE ADDRESS: / ,% s, ASSESSOR'S TAX/PARCEL #: — — -
— —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.-PR03ECTIN
FORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION.
11 ELECTRICAL El ENGIN EERING�FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): / � /L � �f �/1 r "�%�C 11101L-?4�11 1-/C
PROJECT NAME•jwAj o' �ZEC / fil e
t' -PEOPLE INFORMATI•
PROPERTY OWNER: NAME: .-, DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): ' \
CONTRACTOR: I NAME:
MAILING ADDRESS
Vv CITY OF FEDERAL WAY
�nf�V ffNTRACTOR'S REGISI
U- (copy of card required)
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP,))
-RELATIONSHIP TO PROKC'f:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
DAYTIME PHONE:
EVENING PHONE:
) -�—)�
FAX NUMBER:
EXPIRATION DATE:
EVENING PHONE:
FAX NUMBER:
)
,� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER L�°APPLICANT ❑ CONTRACTOR L
DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN
PROPOSED VALUATION FOR IMPROVEMENTS: $ ! '�a)' Af
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
FLOOR
EXISTING S . FT-
PROPOSED SQ. FT.
TOTAL
BASEMENT
FAN(S)
FIREpLACEINSERT(S)
RANGE(S)
MISC. ( )
FIRST
FURNACE(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ELECTRIC ❑GAS
SECOND
PLUMBING
THIRD
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
FOURTH
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
OTHER FLOORS (DESCRIBE)
SHOWER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
MISC. ( )
DECK
SINKS)
GARAGE
HOW MANY FLOORS?
TOTAL:
SUMP(S)
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS)
EVAPORATIVE COOLER(S)
GAS LOG(S)
HOOD(S)
REFRIG. SYSTEM(S)
WOODSTOVE(S)
BBQ(S)
BOILERS)
FAN(S)
FIREpLACEINSERT(S)
RANGE(S)
MISC. ( )
COMPRESSOR(S)
DUCT(S) -
FURNACE(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
WATER CLOSET(S)
MISC. ( )
GAS PIPE OUTLET(S)
SINKS)
INTERCEPTOR(S)
SUMP(S)
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 tore city as a part of this application.
NAMEITITLE: I i✓/� �� �!/fr�� DATE:
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 • FEDERAL WAY, WA 98053-9718 • 253-661-4040 - FAX: 253-661-4129
www citvoffederalway.tom