02-104073 I I
City Federal Way
Community Development Services Fire Prevention System Permit #:02 - 104073 - 00 - FP
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: BARRIGA LLENA
Project Address: 30420 PACIFIC S Suite2 Parcel Number: 092104 9107
Project Description: FPS-Fire suppression system for Type I commercial kitchen hood.
Owner Applicant Contractor
Eugene Loher R&T HOOD&DUCT SERVICES INC R&T HOOD&DUCT SERVICES INC
30406 PACIFIC HWY S 6100 12TH AVE S 6100 12TH AVE S
FEDERAL WAY WA 98003 SEATTLE WA 98108-2702 SEATTLE WA 98108-2702
(206)726-0940
PERMIT EXPIRES March 26,2003,IF NO WORK IS STARTED.
Permit issued on September 27,2002
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: 44.2 /�� � Date: 9-o27-o
14
•
CITY CIF G CONSTRUCT* PERMIT APPLICATION
-- F�Yor — DECEIVED APPLICATION NUMBER: 492...- 1 r yam, - ,U11 Fp
APPLICATION NUMBER: - -
p 2 0 2OO2 APPLICATION NUMBER: - -
**The following is required information-Please print(in Ink)or type**
VAY
Please note: Electeq41)(i1 . •a stems and Engineering permits may require a separate application. `�(s0
• I\
• PROPERTY INFORMATION
SITE ADDRESS:30420 Ptic iC Nom/ 54a ASSESSOR'S TAX/PARCEL#: a 4 2 i Q - s L 0,1
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): $AQRIG4I tEAIA JAnq)w k - 5ioP
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING COLITION
❑ ELECTRICAL o ENGINEE G A FIRE PREVENTION SYSTST 1
PROJECT DESCRIPTION(Provide detailed description): IWh7PL._ UI --74:6 TIRL. jppg4.Y�ICs" 5y5resi
PROJECT NAME: RR1 C.A(„L U\ NC I C) 50OP
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
4.1- Root) PACT 5 My/c s C KC.. (i2d0 )7074. -64LIC
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
folC5b I2'4 AC, 5.. 6EA I WaH. i$lof ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
qg - 1 .0559. 1 - oo ( )
CONTRACTOR'S REGISTRATION NUMBER: }T� Q p& EXPIRATION DATE: 7�
(copy of card required) R L t), Q I) 1 524 p I< V_ /d l l b3
APPLICANT: NAME: DAYTIME PHONE:
g�T ►-100D Duct sazvicE5 It , (€olo)7a( -09L[C
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
blob Dv AY€ 5, 5 (ii. \/I:) 98(OO ( )
RELATIONSHIP TO PROJECT: / FAX NUMBER: \,
❑ARCHITECT a TENANT ❑OTHER(DESCRIBE): ( )7C.7 -.26.67
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT A CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ t 0 _—
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: a YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN a HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• 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) o ELECTRIC o 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 informatio supplied to the c as a part of this application. /� Q
NAME/TITLE: L DATE: "f! [""N
o PROPERTY OWNE7 ❑APPLICANT ,CONTRACTOR
FOR OFFICE USE ONLY:
o NEW a ADDITION ❑ALTERATION a REPAIR a TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? o YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES 0 NO
PLATTED LOT? a YES ❑ NO CHANGE OF USE? ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com