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13-101692
4 City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: OLD COUNTRY BUFFET Project Address: 1816 S 320TH ST Project Description: Install AES radio for fire alarm system 0 , Electrical Permit #: 13 -101692 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 092104 9208 Owner AA,plicant Contractor SEATAC VILLAGE SHOPPING CENTER WASHINGTON ALARM INC WASHINGTON ALARM INC 1121 SW SALMON ST 2030 AIRPORT WAY S WASHIAI282C3 (12/5/13) PORTLAND OR 97205 SEATTLE WA 98134 2030 AIRPORT WAY S SEATTLE WA 98134 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No Service greater than 999 Amps? .............................No Low Voltage - Fire Alarm (Comm( 1 PERMIT EXPIRES Monday, October 14, 2013 Permit Issued on Thursday, April 18, 2013 I hereby certify that the above information is correct and th the occupancy and the use will be in accordance with the ander City of Owner or r the construction on the above described property a rules and regulations of the State of Washington de I Way. Date: 3 CITY OF 4& 1 Federal Way PERMIT #: THIS CARD IS TO MAIN ON-SITE Construction In ection Record INSPECTION REQ TS: (253) 835-3050 13 -101692 -00 -EL Address: 1816 S 320TH ST Project: SEATAC VILLAGE SHOPPING M FEDERAL WAY, WA 98003 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 Rough Electrical (4225) Approved By Date 0 Ceiling Cover (4 20) Approved By Date UFER Ground (4295) 0 Ditch cover (4030) Temporary Power (4275) Slab Concrete Floor (4255) Approved By Approved Approved to place concrete By Date By Date By Date 0 Rough Electrical (4225) Approved By Date 0 Ceiling Cover (4 20) Approved By Date Pool Bonding (4195) Approved Temporary Power (4275) Date Service (4235) By Approved Approved Approved Date By Approved By Date By Date By Date 0 Rough Electrical (4225) Approved By Date 0 Ceiling Cover (4 20) Approved By Date Feeders/Sub-panels (4045) Approved By Date Right of Way -� Approved By Final - Electrical (4055) Approved By Date 0 Rough Electrical (4225) Approved By Date 0 Ceiling Cover (4 20) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way -� Approved By Date By Date By Date CITY OF Federal Way ELECTRICAL PERMIT APPLICATION RECEIVED PERMIT NUMBER 13 _ l O ( & (3 V _ Ov APR 17 2013 SITE ADDRESS: I'8 IV �. CITY OF Fflj)MMWAIfACE # �0 t S PROJECT VALUAT N $O ASSESSOR'S TAX/PARCEL # _q_ 1 o CURRENT/PROPOSED USE q 5 g PROJECT NAME (Tenant or Homeowner Last Name) ^ \ G CiG V l ��w,( 1 ��" Q • VW X (�T PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME H&sck �b:wa(e-5 PRIMARY PHONE ( ) - MMLING ADDRESS ^/ E-MAIL CITY A STATE ZI FAX ELECTRICAL CONTRACTOR -e� NAME _ PRIMARY PHONE MAH.UiG ADDRESS � � QQ3 C2 a EMAIL CITY Ger-We, STATE2IP 1WP `O'W FAX (,a%) - WA STATE COIR � OR'S LICENSE # EXPIRATIONDATE_ FEDERAL W= Y BUSINESS LICENSE 11 _00ot G APPLICANT NAMEq- LL �T( PRIMARY PHONE MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) PROJECT CONTACT NAME A F' A G; (A b) PRIMARY 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 assaa part of this application. L.�I SIGNATURE: ` . ( `� DATE / ~ 17-A-13 PRINT NAME: me:f Klbe�— 14" V1 Bulletin #160 — January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application REC'EN A2 Federal Way PERMIT COMMUNnYDEVELOPMENT SER _ � �a7 SF MF CO ME EL PL DE EN P 33325Bn+AVENUY.WA9•PO9718 6 �"PPLICATION FEDERAL WAY. WA 98063�-971p8 253-835-2607• FAX 25_ � f<. ' 9O F FEDERAL wuTD _,c.cKtroPrJer,;[a n V �UILQING DEPS`, The following is required information an incomplete application will not be accepted. Please print legibly (in ink) or type. �j j� z PROPERTYINFORMATION SITE ADDRESS O ®� SOCA" ,�X `- Ave nue—�C'� eca WjSUITE/UNIT # ASSESSOR'S TAX/PARCEL # 9 L 4�- /�� - LOT SIZE (sfl LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (A p-.& Page for l vft legal d—rlptb V PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING jt,ill �_ -- -,1,,W" P?mOLITION PROJECT DESCRIPTION (Prouid etaiied description of work PROJECT NAME (Name of Business or Owner Last Namel PROPERTY OWNER CONTRACTOR COPY o[.4 .lm—.h. u a APPLI PROJECT CONTACT LENDER ❑ PLUMBING ❑ MECHANICAL ❑ ELECTRICAL ❑ ENGINEERING Y FIRE PREVENTION SYSTEM tcluded on tits Dermtt onlu) vV1 ( -�F,-ckef- nt >r ee- Ay\ — my-GroL u—c- PRIMARY PHON /\P �P _ c� �5 � 3 8 -'1 °I°l q 11 —3RD AVE SE OMPANY c, re VQu-I N OFFICE PRON (S)Go - 1 V MAILING ADDRESS — s /AV � CITY, STATE, ZIP T CC g zL CELLPHONE c NJA - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER A-29--600 5S-oo- Y- EXPIRATION DATE --01-T FAX NUMBER U53gab -)350 CONTRACTOR'S .{R,E�GISTP A71ON NUMBER t \ � Uo©-T. EXPIRATION DATE �I j J2i•C),Q, E-MAIL ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE NWLING ADDRESS G )F CITY. '�/l. � ) Z L (VAlk (ELL PHONE A J111 - IFAX RELATIONSHIP TO PROJECT %v NUMBER o Architect ❑ Tenant ❑ Agent Other i (22>) 9'7-L-/ -0350 NAMEPRIMARY PHONE L ADDRESS 1%E-+c.ha l CIIo dello , ,rrrn NAME Per RCW 19.27.095: Lender information is required (fproject value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE Re S-�n U card + PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ -3 1, 3381 --- SPRINKLERED BUILDING? )<YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? JKYES ❑ NO WATER SERVICE PROVIDER >CLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHI.INE 0 PRIVATE AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. S . FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS (DESCRIBE) DECK (❑ COVERED OR ❑ UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS P""6 soros® Tarn. Tareenasrnvoar mrv.FaoFasmaF TOM SF "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fvchire to be installed or relocated as part of this project. Do not include existing futures to remain. Value of Mechanical Work $ (A COPY OF BID OR ES77MATE 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 (commond i) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or tub/shower Combo) IAVS (sathmom sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rrotiet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS ZONING DESIGNATION I cert}fy under penalty of perjury that the irtfornration 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 clairN, 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 gfjicers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE Gf/(.Y (Signa RELATIONSHIP TO PROJECT Owner ❑ Agent o Contractor o Architect 11 r Bulletin #100 —January 1, 2007 Page 2 of 4 k\Handouts\Permit Application o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 —January 1, 2007 Page 2 of 4 k\Handouts\Permit Application