02-103322 (2) City of Federal Way Electrical Permit #:02 - 103322 - 00 - EL
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: YUMMY TERIYAKI
Project Address: 28849 MILITARY S Parcel Number: 042104 9037
Project Description: ELE-Electrical for sign
Owner Applicant Contractor
TRUSTEE RODNEY W SNYDER YUMMY TERIYAKI GOLD ELECTRICAL
28815 PACIFIC HWY S#10A 28849 MILITARY RD S 5121 GALLEON DR NE
FEDERAL WAY WA FEDERAL WAY WA 98003 TACOMA WA 98422
98003-3905 (253)224-4018
Electrical Fixtures
Description Quantity Description Quantity Description IQuantity
Sign I
PERMIT EXPIRES January 29,2003,IF NO WORK IS STARTED.
Permit issued on August 2,2002
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: /40.-01 Date: Zr70 Z
-
yy5a9y�i�
I CEIVED
CONSTR.,, ,ION PERMIT APPLICATION
EOEIZE=11_
A U G 0 2_2002 _ APRLICA-UPN_Nd 144RFR: 112-.- Q- 3 2 Z O—'1._
APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLIC -
ATION NUMBER:
BUILDING DEPT. — — — — —
—
**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.
• PROPERTY INFORMATION
SITE ADDRESS: tZnee S 17,4L 51 , ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
•
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
)ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): L TiP/ t _c / Qi
•
PROJECT NAME: (u WIN I Ien 141c /
• PEOPLE INFORMATION •
PROPERTY OWNER: NAME: DAYTIME PHONE:
LiwtUny •�Lr� ytL'I ( )
MAIUNG ADDRESS'STREET ADORPSS;CITY,STATE,ZIP):
Zs-s q i '.'t i G1-c, -, gd c .
CONTRACTOR: NAME: I
DAYTIME PHONE:
bra/ «— /C (4 3 )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
_�-s 7 2"i/A 9,�Z ( )
CTTY Of f RAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
( )
CANTRACTORSa n REGISTRATION NUMBER:
(�vr QZ2, EXPIRATION DATE:
� 1� Z/Z 3 / D�
APPLICANT: NAME: DAYTIME
MAILING�SfREEf ADORESsIs (oprr, \ PHONE:
STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTIOI LY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PRO3ECT FLOOR AREAS
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)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of •
Federal Way,but only where such daim arises out of the reliance of the dty,including its officers and employees,upon the accuracy
of the information supplied to the dty as a part of this applicatio
E{ NAME/TITLE: DATE: F —A2 Z i
❑ PROPERTY OWNER ❑ CANT CTOR
1 o F,IGE USE WIL ''
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
www.dtvoaederalway.aom
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