01-102643 City of Federal Way Electrical Permit #:01 - 102643 - 00 - EL
Community Development Services
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: BASKIN ROBBINS
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Project Address: 1946 S L SuiteB42 Parcel Number: 762240 0010
Project Description: ELE-Alteration work for up to(22)circuits for tenant improvement.
Owner Applicant Contractor
H M A ENTERPRISES-SEA-TAC BASKIN ROBBINS TODD ELECTRIC
249 E OCEAN BLVD#3RD 1935 S SEATAC MALL PO BOX 1452
LONG BEACH CA FEDERAL WAY WA 98003 STANWOOD WA 98292
90802-4849 (206)782-0445
•
Electrical Fixtures
Description "'Quantity ';Description Quantity] Description Quantity
Circuits- Commercial 22
PERMIT EXPIRES December 30,2001,IF NO WORK IS STARTED.
Permit issued on July 3,2001
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: � -C'10'
/
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•
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RECEIVED
crrr or CONSTRUCTION PERMIT APPLICATION
�-
APPLICATION NUMBER: d9( - l O Z4
0 -Ci-EZ
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
t ■ PROPERTY INFORMATION
SITE ADDRESS: /7/(es' S� St.L1 f 1 ASSESSOR'S TAX/PARCEL #: 7„L-22.241()
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LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I
x. ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
(L2)PROJECT DESCRIPTION (Provide detailed description): /t, 4_22 t 41 L / —y
'Fi:PROJECT NAME: --t-HC(;& / n
A PEOPLE INFORMATION .
PROPERTY OWNER: NAME_ DAYTIME PHONE:
friA. Eitel�dr 0SGss ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP): EVENING PHONE:
L15l S c7) W91Tj d'/' ' al2 ) ',-LcE3o
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER-
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 7 0 i) b 2-"?S 1G - - / /
APPLICANT: NAME: -.7.-+ ���,� ' DAYTIME PHONE:
ca& 6�, , �:'�CAIv . ( )
MAILING�ADDRESS 77E3(STREET ADDRESS; izcs) ZIP): , Se' /I fill (EVENING PHONE:
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - . _
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER KAPPLICANT tikONTRACTOR
- • ■ 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:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ •PROJECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED Sq. F . 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 D GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
IP 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 s •: -. . he city as a part of this application. CC)NAME/TITL`�f `�• d } C'U Q `DATE: G—�� _� /
❑ PROPERTY OWNER C PPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLAITED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129