03-105271 .
City of Federal Way
Community Development Services Electrical Permit #:03 - 105271 - 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: MAGGIE MOO'S
Project Address: 31653 PACIFIC S SuiteC Parcel Number: 082104 9196
Project Description: Install 200-amp,3-phase subpanel from existing 800-amp service to run HVAC.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTIES LLC D.RIDDING ELECTRIC D.RIDDING ELECTRIC
HARSCH INVESTMENT PROPERTIES LLC D.RIDDING ELECTRIC D.RIDDING ELECTRIC
1121 SW SALMON ST 19630 N DANVERS RD 19630 N DANVERS RD
PORTLAND OR 97205 LYNWOOD WA 98036 (425)778-1064
Electrical Fixtures
.affl10446110
Alt.Serv./Feeder up to 200 amps-Coin 1
PERMIT EXPIRES May 29,2004.
Permit issued on December 1,2003
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: / Date: /eV"Of d‘.3
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RECEIVED CONSTRUC I ION PERMIT APPLICATION
CITY OF ®�..�•
R APPLICATION NUMBER: C3- L C25 2 L
Federal Way DEC 0 1 2003 APPLICATION NUMBER: - -
Q FFF �q ��/pp�y( (APPLICATION NUMBER: -
**The foil ,FrAcffi yYtii lion—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
= U'PROPERTY INFORMATION •
SITE ADDRESS: 3/6 53 //9C /4,/ J ✓ T� 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 ❑ DEMOLITION
h'ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �0 R 3PJ lJ/J/A- t/e- Fed
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PROJECT NAME: 474 CEJ /e //Ivy S
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: ; DAYTIME PHONE
NAR sCy 37./vgS rM iN r P,'DPEe r/ef ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
� 1
CONTRACTOR: NAME: DAYTIME PHONE:
0 Rebv/NG EI- CTiUG ( fly) 77 - /o6Y.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): I EVENING PHONE:
11&30 N DAviWtI /Zo4-o 4YA//Vw00D (".q ffo74 ( 9J 1 778 - /vG y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: I FAX NUMBER:
( ' ) 71i �L.r.Y-
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card fid) R / DDE _ 1 )3 2 i O/ /21f / O tf
APPLICANT: NAME: DAYTIME PHONE:
� ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: I FAX NUMBER:
0 ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( )
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? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** '
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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 Value of Mechanical Work: $
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: 0 ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC o 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,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information su 'ed ti
city as a part of this application.
NAME/TITLE: ei at.nit DATE: 42-01- O 3
o PROPERTY OWNER o APPLICANT XCONTRACTOR
.FOR.OFFICE.USEONLY.x
:Vii— g mac ADDITION' -i-O ALTERATION 0 REPAIR l3 TENANT IMPROVEMENT ,, ,
CENSUS,CODE: •. .. En ?LOTSIZE:W ., .*,4- *.. `:
tthNINGDESIGNATION, ,a.a BUILDING SHELL ONLY?❑l(E5 ❑'NO
COMP PLAN DESIGNATION - 4; k BASIC PLAN? '= p❑nYES"-.❑.NO,, r�
SECTION _• TOWNSHIP X IRANGE - f., AFIEW1AUDRESS REQUIRED? .. " :`a YES 6'NO
`PLATTED LOT?,: 13YES VilyNO . 1- CHANGE',OF USE? ,'-- El YES ,'-n NO . _
• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtvoffederalwav,com