06-104482 t'
City of Federal Way Electrical Permit #: 06-104482-00-EL
Community Development Services
P 0.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
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'Project Name: TACO DEL MAR
Project Address: 2020 S 320TH ST Suite 0 Parcel Number: 092104 9297
Project Description: ALT- replace track behind shed roof,install new track at back of counter and install 2-2x4
fixtures in dining area.3 circuits.
Owner Applicant Contractor
MARK CICOUREL GUY ERICKSON CLOVER CREEK ELECTRIC
TACO DEL MAR CLOVER CREEK ELECTRIC CLOVECE293LA (4/30/08)
1408 24TH ST SUITE C 1413 CENTER ST 1413 CENTER ST
REDMOND WA 98052 TACOMA WA 98409 TACOMA WA 98409
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 3
PERMIT EXPIRES Sunday, March 4, 2007
Permit Issued on Tuesday, September 5,2006
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: /=f Date: A
7 .
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104482-00-EL .
Owner: MARK CICOUREL
Address: 2020 S 320TH ST Suite 0
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) 13
Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
N \1
By Date By Date By Avo Date it S h
❑ Under-slab groundwork(4295)
Approved
By Date
,. ii _ RECEIVED
SEP 0 5 2006
1
Patera'
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Federal W 'rY OF
DEPT. AY PERMIT SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT
stRV110ES
"'26Int
AMURSOUTH
''°BOX 9711
APPLI CATI O N
fBDERAL WAY,WA 9d06J-971d TD
Z53135 2607•PAX 253435-2609 �-
pnuw.divo/fedemlwau.com ��l
The ollowing is •aired i ormatlon-an Inco •lete a, •lication will not be accepted. Please •rint legibly in in or type.
■ PROPERTY� yy..�� INFORMATION
SITE ADDRESS 2�2c. S. -�ZLjvW SUITE/UNIT# a
ASSESSOR'S TAX/PARCEL I b ct 2 I 0 L-f- - G 2 `? 1 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) •
• (mach separate page for lengthy legal deecr(ptlani
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ermit onl
)w t )
-tI4.Q .v ie.. ca*- eac., •
a n 44 4..7 2- 2?‹4 ` e . . ;AA_, -AkeVi.c,..
PROJECT NAME(Name of Business or Owner Last Name) . ,
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME - OFFICE PHONE
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C4 .. - .�9�X C_7v(_.k��Gt_SOV (z )G2-7 -(
MAILIN
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A k... .y CITY,
' Lx� °X `.� ' tzs )N4QJL', =300
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
k q -Qcq.- ko 1, a-B L . / / (ss3) (,27 -lam
CONTRACTORS REGISTRATION NUMBER(copy of card required with sack application) PRA D/TE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
A1i•liE' • ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent jgOther(Describe) ( ) -
CONTACT NAME •-A PRIMARY PHONE S�C) E-MAIL ADDRESS
LENDER ���w`+\ (2.Z) -'r?
NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
•
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO .
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
•
SECOND
THIRD .
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE) .
•
DECK(COVERED?) •
GARAGE ❑ CARPORT❑
tpaTa6 MOMS= TOTAL
NUMBER OF FLOORS
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to-remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS Iaumm.a+o) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING •
BATHTUBS(or Tub/Sho•erCombo) SHOWERS WATER CLOSETS miss) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
• LAYS(Bsthra.a slob VACUUM BREAKERS ELECTRIC WATER HEATERS
•
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 information supplied to the city as a part of
this application.
NAME/TITLE 4ft \ -� -;G c DATE C /4 / < >
atu tle)
RELATIONSHIP TO P• • 1.a,t • Owner • Agent a Contractor a Architect 0 Other •