02-101138 City of Federal Way
Comn?nity rkvet,�upment Services Electrical Permit #:02 - 101138 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax•253 661 4129 Inspection request line: 253.835.3050
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Project Name: ROMIO'S PIZZA&PASTA
Project Address: 1400 S 312TH Suitel Parcel Number: 082104 9090
Project Description: ELE-Electrical for one wall sign •
Owner Applicant Contractor .
Max D&Linda E Cook BERRY NEON CO INC BERRY NEON CO INC
PO BOX 4805 PO BOX 5269 PO BOX 5269
FEDERAL WAY WA 98063-4805 LYNNWOOD WA 98046 LYNNWOOD WA 98046
(425)776-8835
Electrical Fixtures
Description Quandt 5ePaisuiltDescriptiori -:-" ' , Quante . Description_ ;, '.'; Quantity
Sign 1
•
PERMIT EXPIRES September 30,2002,IF NO WORK IS STARTED.
Permit issued on April 3,2002
I hereby certify that the above information is correct and that the construction on the above described property and
III
the occupancy and the use will be in ordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: .dot Of Date: 1 3-o z
4- \C, - o z r, l k ) v.•-
0
o
CONSTRUCTION PERMIT APPLICATION
��\, rRECEIVED APPLICATION NUMBER: 0.9- - 1 O 1 13e - )=MAR 1 5 ?00? APPLICATION NUMBER: -_ _ -
APPLICATION NUMBER: . 4 ;''0''' ., .
**The folloWi ifIrilA E ibrAY -Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
-- ' : r - r. - r ■ PROPERTY INFORMATION
SITE ADDRESS: NCO S_ 3 i Z 4-1/4- ASSESSOR'S TAX/PARCEL#: L E I z. 0 7 - S 7 6 7 7
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): See_ 54 //4,.
.. -:: _ '.: ■• PROJECT INFORMATION .. - •
TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
X ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ;A-34 CC_ (i Se-I Err i>4 I/ 44 so.,c
Le-i-k-s f lnod,,LL
Y. PROJECT NAME: /5 O sem+ 'v S R%Z Z4 ¢ Ate/ 5/4
. . • . : , ■ "PEOPLE INFORMATION • . -. . . - _ . • _ , . ' ,
PROPERTY OWNER: NAME: DAYTIME PHONE:
L 00k -IN Ve.5/-/»CAA 43 - tii 4/K COIL ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
Beds ,t-J( ..A T4s zs3- 9sz- tie,63
CONTRACTOR: NAME: DAYTIME PHONE:
)( Sei0"i /Coq/ CO (yt.f) 776 -si3gss-
MAILING ADORFcc(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
.°v. g < 5-2 69 Ly,,.,�c.,o� 4-,4 51- Y6 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: J FAX NUMBER:
o 6 ss-3 - - (q261 657 -3650
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) L3 r r x N C- b Sr s L3 04 I -z3 /0 Z
APPLICANT: NAME: 77 DAYTIME PHONE:
MAILIN(�ORESS(STREET AD�ESS�C�S�TE,ZIP): (�1EVENINS)G �7 6 -�S�_
PC. /3 CAC S-2 C9' Lr,I,.vc_.o4-D J CAA c' a Y6 ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT THER(DESCRIBE): Com,-4 c-fc.2 (yam )65 7 - 365'0
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
■ .DETAILED BUILDING INFORMATION - •- ,
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NC?
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
t
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 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 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.( )
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 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 claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the ci - a pa this ap. •
Y\ NAME/TITLE: /- DATE:
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:;
?❑ NEWS<�;>_?-'❑ ADDITION [I ALTERATION - ;REPAIR ''❑.TENANTIMPROVEMENT- -
CENSUS CODE: - - ', -: - -LOT-SIZE:<.:- -_ <
RZONING;DESIGNATION ;y-_ BUILDING SHELL_ONLY':.❑YES ❑ NO
COMP PLAN"DESIGNATION _ BASIC,PLAN? ':,=•❑;YES" 0 NO'
"SECTION- ;,�: TOWNSHIP• , RANGE - NEW ADDRESS REQUIRED? ❑ YES - 0 N
PLATTED'LOT? 0;YES ❑ NO CHANGEbF USE?; - 0 YES ❑ NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129