09-100037 .� - . , " Eleetrieal
City of Federal Way „,...,-,a,d �'” "' `' Permit #: 09-100037-00-E L
, Community Development Services
P.O.Box 9718 -a
Federal Way,WA 98063-9718 d o 5
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: TAO RESTAURANT
Project Address: 30333 PACIFIC HWY S Parcel Number: 042104 9040
Project Description: Alerting 800A service
41/444..vt coq
Owner J Applicant Contractor
MAI SHANNON HI AMP ELECTRIC HI AMP ELECTRIC
MAZATLAN PROPERTY LLC PO BOX 196 HIAMPAE942DM(3/14/10)
33507 9TH AVE S BLDG C ROY WA 98580 PO BOX 196
FEDERAL WAY WA 98003 ROY WA 98580
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Service greater than 1000 Amps? No
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Alt. Serv./Feed 601- 1000 amps(C 1
PERMIT EXPIRES Thursday, January 7, 2010
Permit Issued on Wednesday, January 7, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and use will bean accordance with the laws, rules and regulations of the State of Washington
1,( �'" and the ' ity of Federal Way.Owner or agent: G'I� � Date: 1 % - (�
9
7Fr":: > .Dl3 0'g
l
4%, THIS CARD IS TO EMAIN ON-SITE
CITY of ommunity Developrfflnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100037-00-EL
Owner: MAI SHANNON
Address: 30333 PACIFIC HWY S
FEDERAL WAY, WA 98003-4235
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
- ❑ Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
•
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date B4= t7 Date (p -77-6f7By Date
,
❑ Final-Electrical(4055)
Approved �p
ByXii Date (p ' - -4'52.19
1
I.
For inspector reference only
- 0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEiirzci".,A
1...-0 * ' _ / 0 _ I O 3
Federal Way JAN 0 7 PERMIT
SF MF CO ME ea PL DE EN FP
COMMUMTY DEVELOPMENT VICES 20c
33325 8*"AVENUE SOUTH o6#:r „,F FED p L I C AT I O N
FEDERAL WAY,WA 98063- 8 TD /
253-835-2607•FAX 253-835.2609
www.citwffederaltualf.com
CDS VV4 y
The following is required information—an incomplete application will not be accepted. Please print legibly(in ink)or type.
III PROPERTY INFORMATION •
SITE ADDRESS ,.J J j 4:t. \fid SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# (j' . —4 - T IL Y LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legd description)
IPROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name)
M PEOPLE INFORMATION
PROPERTY NAME . PRIMARY PHONE
OWNER 1 11 f' VuiI iV. V T' ( (/2 -) 2 .. _ -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
y;•?-(7,-P-7 ( ►' So 6 -(4I W . i,,,:.
CONTRACTOR COMPANY NAME APPLICANT N
fp
��iJ I �E n OFFICE PHONE
0, . -YI ,
M AD SS
CITY,STATE,ZIP CELL PHONE
a�aJJ✓ C7.. 1,..,
r ,
CITY OF FED RAL WAY USINESS LICENSE NUMBER EXPIRATION ATE FAX NUMBER /51
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS i
l 'ki- /J6 C u2'IJYVt J/ 111/ LL�I , ?Illlilt (r)ty4,1,�'pt�i�1�''(Iv
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ""t ` rh
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant o Agent 0 Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
(
Ill DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE •
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
ErasTLEO PROPOSED TOTAL TOTAL ES87IlNO Sr TOTAL PROPOSED Sr TOTAL Sr
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
MI FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commeceiaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS croueq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
S
IGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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 aSIGNATURE: / /applicatio
J / DATE
1 �
Prope Owner and/or Authorized Agent
)
of, i441744,./A
a NEW o ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES o.NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SUS o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application