01-104408Prevention System Permit #:01 -104408 - 00 - FP
Inspection request line: 253.835.3050
Project Name: INTERNATIONAL TERIYAKI HOUSE
Project Address: 1620 S 312TH SuiteA Parcel Number: 785360 0187
Project Description: FPS - install a wet chemical sytem for commercial kitchen hood.
Owner
0
City of Federal Way
Fire
Community Development Services
THOMPSON'S FIRE EQUIPMENT CO
33530 1st Way S
PO BOX 2638
Federal Way, WA 98003-6210
FEDERAL WAY WA 98003
Ph: 253.661.4000 Fax: 253.661.4129
RENTON WA 98056
Prevention System Permit #:01 -104408 - 00 - FP
Inspection request line: 253.835.3050
Project Name: INTERNATIONAL TERIYAKI HOUSE
Project Address: 1620 S 312TH SuiteA Parcel Number: 785360 0187
Project Description: FPS - install a wet chemical sytem for commercial kitchen hood.
Owner
Applicant
Contractor
HANK VANDERBECK
THOMPSON'S FIRE EQUIPMENT CO
THOMPSON'S FIRE EQUIPMENT CO
1620 S 312TH ST
PO BOX 2638
PO BOX 2638
FEDERAL WAY WA 98003
RENTON WA 98056
RENTON WA 98056
(425) 271-9061
PERMIT EXPIRES May 26, 2002, IF NO WORK IS STARTED.
Permit issued on November 27, 2001
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 Wa
Owner or agent: _ Date: 7� � C� �1
SITE ADDRESS: /L d (�> 50 D6 , Jr- ASSESSOR'S TAX/PARCEL #: -ztr'3&0 - 'wiI7
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): El BUILDING 0 PLUMBING 11 MECHANIC&L 0 DEMOLITION
E] ELECTRICAL 11 ENGINEERINPREVENTION SN
PROJECT DESCRIPTION (Provide detailed description): 4,L C14 6.4 1 CO L
S Ll fftt & S'S i b 1-t 9'l' j i -C-0 j ,V 1- 4,7- f•l.. ,,Q"
PROJECT NAME: i At JVA- rt I YAO 0/
PROPERTY OWNER:
CONTRACTOR:
NAME: 0
/1 1 DAYTIME PHONE:
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7W( km�4��
MAILING IbDW-ss ISTREET ADDRESS; crry, STATE, ZIP):
NAME:
DAYTIME PHONE:
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MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIF&.
EVENING PHONE: Y—
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CITY Of: FEDERAL WAY BUSINESS LICENSE NUMBER:
4)
FAX NUMBER:
RELATIONSHIP TO PROJECT:
11 ARCHITECT EITENANT OTHER (DESCRIBE): C,
FAX NUMBER:
0 d—) -3 C
I CONTRACW" TION NUMBER:
EXPIRATION DATE'
(copy of card -41ed�� r iz: 4cr
mqP
APPLICANT:
NAME:
(4' e- K e e�' 5-- 7146 �-i P, j c
DAYTIME PHONE: c,-- C "-
G?b 4 ) L If b
MAILING DRESS (STREET ADDRESS, CITY, STATE, ZIP):
EVENING PHONE:
RELATIONSHIP TO PROJECT:
11 ARCHITECT EITENANT OTHER (DESCRIBE): C,
FAX NUMBER:
0 d—) -3 C
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER El APPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? DYES El NO FIRE SUPPRESSION SYSTEM PROPOSE (REQUIRED � [39 YES El NO
D
WATER SERVICE PROVIDER: CILAKEHAVEN El HIGHLINE 11 TACOMA 11 PRIVATE (WELL
SEWER SERVICE PROVIDER: EILAKEHAVEN 11 HIGHLINE D PRIVATE (SEPTIC)
**NEW RRESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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)
BOILERS) FIREPLACE INSERTS) 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) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTORS) SUMP(S)
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.
NAMEITITLE: v DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129