03-103005 City of Federal Way
Community Development Services Electrical Permit #:03 - 103005 - 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
Project Name: QUIZNO'S SUB
Project Address: 31653 PACIFIC S SuiteA Parcel Number: 082104 9196
Project Description: Low voltage fire alarm
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC FIRE PROTECTION,INC FIRE PROTECTION,INC
HARSCH INVESTMENT PROPERTIES LLC FIRE PROTECTION,INC FIRE PROTECTION,INC
1121 SW SALMON ST PO BOX 12642 PO BOX 12642
PORTLAND OR 97205 MILL CREEK WA 98082 (253)440-5763
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia 1500
PERMIT EXPIRES January 20,2004.
Permit issued on July 24,2003
I hereby certify that the above • •: .tion is correct and that the construction on the above described property and
the occupancy and the use • • in • cordance with the laws,rules and regulations of the State of shington . d
the City of Federal W. .
Owner or ag Date: c) L (J 5
410
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g.l2i27/2001 01. FAX 2536614129 CITIFEDERALliAI' ! a001
6(--(-5
`� ' "' � CONSTRUCTION PERMIT APPLICATION
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**The f bring is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
( MI PROPERTY( INFORMATION
SITE ADDRESS: 1653 Pa I�, N 911 , �R►1'�' t' ASSESSOR'S TAX/PARCEL*: -
J
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
( ltJQS 3362
• PROJECT INFORMATION
TYPE OF PROJECT(This application): a BUILDING ❑PLUMBING ❑tfMLxEECHANNICALL ❑D OLTTION
'ELECTRICAL ❑ENGINEERING �
PROJECT DESCRIPTION(Provide detailed description):
tow Vo LT irk. 0(414 Ts. PFL PMAIS
'S
PROJECT NAME: Q'IZ JO 4.39(2, ,l..L ytki aGff 11 Piriet4 TT. Rt to
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: e{T-3 I/r.. DAYTIME PHONE
) -
MAIL NG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
5'413 1k -( -Lou ()vv. JNE �acatvia Wt1 9 gy22
CONTRACTOR: NAME:
'PRE
� R11
01J!��Jc• DA ME PHONE:
Y �_ ( ) WO - 5763
MAILING ADDRESSPHONE:
Lf�STREET3A I Nit Ni E I I[� Vin 9E415-
Cj 1 L$ (""V G ) 1 1t) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
00 - 1 ILI 3q - _QOff. (2Qo ) 1,I7 - 8051
CONTRACTORS REGISTRATION NUMBER: •. U /1 �l.{ S /EXPIRATION E::
F 9/
(copy of card required) E e 2 'I r
APPLICANT: NAME: DAYTIME PHONE:
P O f�' ,11,E . — f�1/4/ L
� c "(206 ) vY0 - Cfe
EVENING PHONE:MAILJNG+AMIEiTV u1X_ 9OI2
( D() 9T - 6
RELATIONSHIP TO PROJECT: f-r FAX NUMBER:
❑ARCHITECT 0 TENANT KOTHER(DESCRIBE): C^i I (U 0g- (2D6 ) i (1 -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑PROPERTY OWNER 0 APPLICANT peCONTRACTOR
II DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE:
PROPOSED VALUATION FOR IMPROVEMENTS: $ D �
r �
SPRIMaERED BUILDING? (' YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: it YES ❑ NO
WATER SERVICE PROVIDER: a LAKEHAVEN o HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
12/271/2001 c .01 FAX 2536614129 Ci TY Fl1J RA1AV Z1 002
**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)
(S) HOOD(S) WOODSTOVE(S)
BBQ(S) FAN
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: D ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) , URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC D GAS
• DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINKS) WATER CLOSETS) 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 claim(inducing 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 daim arises out of the reliance of the city,including officers and employees,upon the acarracy -
of the information supplied to t city as a part of this application.
NAME/TITLE: t-----. , . DATE 717-.1"ra,
o PROPERTY OWNER APPLICANT CONTRACTOR
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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