03-102859 City of Federal way
Community Development Services Electrical Permit #:03 - 102859 - 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: WINCO FOODS
Project Address: 106 SW CAMPUS -Dr 415920 0710
Project Description: Adding 1 new&altering 2 existing circuits to installing 7 ne •oiler &2 pole , ' southern
parking lot area,near IHOP Restaurant
Owner Applicant Contractor
IHOP REALTY CORP S M E INC OF SEATTLE S M E IN SEATT
525 N BRAND BLVD#3RD 828 POPLAR PL 828 POPLAR '
GLENDALE CA SEATTLE W 44 SEA ' A 98144
91203-1903 06)329-2040
OILI Fixtures CI P11,
Descri•tion Quantity hh, De ' on Qu. ,'tity Des '•ti. MR Quantity
Circuits- Commercial 111 3
P \?r' y 7,2004.
P ' df2003
I hereby Tfy that the ab• - information is - an at on the above described property and
the occupa .nd the I ' ill be '. accor• c: • I. e ws,rule and regulations of the State of Washington and
the City of Fe•- -
Owner or agent: id • _ bib b_ _i Date: 7—// - O�
'7' ( (`'03 're b, Si - P ? 7— 0No7 ai ci7-6) r/iL iTc (7f f/&
y
RECEIVED 'CONSTRUCTION PERMIT APPLICATION
CITY OF �.�/ LIGATION NUMBER: 03 - s OZ
Federal Way JUL 11 2o'1, Lagos
APPLICATION NUMBER:
CITY OFA FEDERAL WAY
**The
NUMBER: - -
**The follO W S - frr8dinformation-Please print(in ink)or type"
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
`PROPERTY INFORMATION .:.
SITE ADDRESS: (063 S�) Ceidar ,,.% 2, ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION
•adELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 114S j AU - 7 Ito'Rio _P t S r p
o LE
PROJECT NAME: ,J 1JC.o --00 OS
PEOPLE INFORMATION- ' -
PROPERTY OWNER: NAME: ; DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ( )
� I
CONTRACTOR: NAME: DAYTIME PHONE:
SCJ t4£127-rou.iLDCes s' J ,.�.:29v
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): R Cl_ZEV(A C EVENING PHONE:
f 20o (3? Av6 SE SU l � m
Es-o &IAoos— ( ) -
CITY OF FEDERAL WA BUSIN LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: I E a�3
I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: I NAME: I DAYTIME PHONE:
SALE l+Je- of sEpa-t- c.). 9
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
gAgRELATIONSHIP AR .A> � EeS, s�ar� C k 9$1 YY I ( ) gtokAiL
j FAX NUMBER:
0 ARCHITECT o TENANT ❑ OTHER ( DESCRIBE):Er_r_o_7- coAr-Q_ )72.6c&1 �
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER APPLICANT LI CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 000
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES if-:tLO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•
r -
**NEW RESIDENTIAL CONSTRUCTION ONLY** \
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
— ■ PRO]ECT 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) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ 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(induding costs,expenses,and attorneys'fees Incurred In the
investigation and defense of such daim),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,induding its officers and employees,upon the accuracy
of the informatio supplie o the city as a part of this application.
NAME/TITLE: ` � }� �Plu {�Rs�l.'ELT / AIPcC�u(Z DATE: 7—/I—03
o PROPERTY OWNER P CANT o CONTRACTOR
FOR OFFICE USE,ONLY:-
13NEW a 0'ADDITION :,, 0 ALTERATIONS_ 0 REPAIR ,0 TENANTIMPROVEMENT „.1 2.,,
`CENSUS'CODE:..-sem;. ;.-.ter. a' .. '"'. %. _ *''= :LOT SIZE V . -s,.. ,..,.¢ .. _ .;_-;.t.:',.:
:ZONINGrDESIGNATION; r .4 14 ;:_ �, . `._ . .BUILDING SHELL''"ONLY?'v 0 YES- Ici NO
=COMP PLAN DESIGNATION ;- ,.,=::.:-,:,.::--,,-,.;--.',-..2.,,, ,c...BASIC PLAN? :l.'❑-YES . °❑'NO -
SECTION •,,s.. ;• ;.TOWNSHIP.,`."-'RANGE NEW ADDRESS REQUIRED? -:_ '❑YES ., -0 NO
.PLATTEDLOT?.;'', ❑YES .;Y o NO '--,5,-0-;:e', , '..:; •CHANGE OF USE?..,- - 0 YES1 -a NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cftyoffederalway.com