01-102847 City of Federal Way Electrical Permit #:01 - 102847 - 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: LINH SON RESTAURANT
Project Address: 31830 PACIFIC S SuiteK Parcel Number: 092104 9221
Project Description: ELE-Electrical work for illuminated sign.
Owner Applicant Contractor
SEA-TAC CENTER ASSOCIATES*SEA-TAC FEDERAL WAY SIGN CO E&F ELECTRIC
2101 4TH AVE#250 FEDERAL WAY SIGN CO 25806 136TH AVE SE
SEATTLE WA 30665 MILITARY RD S KENT WA 98042
98121-2317 AUBURN WA 98001 (253)630-3843
Electrical Fixtures
Description 1Quantity " Description Quantity estion (Quantity
sign I
PERMIT EXPIRES January 16,2002,IF NO WORK IS STARTED.
Permit issued on July 20,2001
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 ' the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
4
OfTOf ( CONSTRUCTION PERMIT APPLICATION
� — JUL 2 0 ?nni • APPLICATION NUMBER: 0 ( - I O Z$/1- Q L
CITY OF FEDERAL WAY FEY
BUILDING
NUMBER: -
BUILDING DEPT. APPLICATION NUMBER: - -
**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.
' • PROPERTYINFORMATION - _
SITE ADDRESS: '$30 `a.c• a . w \ ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _
:' • PROJECT INFORMATION • . .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
I ELECTRICAL ❑ ENGINEERING E:1 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): o L (4
, ...,..._ _...,
1.-;,_
.
it,' .-, , -.
PROJECT NAME: . •
-
,.
• PEOPLE T, FORM. TION
PROPERTY OWNER: NAME ` DAYTIME PHONE:(L
ti if a ;s iz.t41J t� 53) 52-41 - 42.0 c(
MAI <ADDRESS(STREtr AD%,SS,C 'ATE,ZIP):
3)83 , - . ( mac- . W• -
1.
CONTRACTOR: / �� :
v
: onME PHONE:
(2-.- 1 ) 630 L34.3
MAILING •"--.?r ' STREET ADDRESS;CITY,STATE, - _ EVENING PHONE:
- 8 o6 \ - ' . .E ` A l ( ) -
CITY OF FEDE' WAY BUSINESS LICEN R. FAX NUMBER:
CONTRACTOR'S R ••TION NUMBE Ae EXPIRATION DATE:
- E
(copy of card requir. t. ' o ( � L. - . / ( / 0 Z-
APPLICANT: NAME: DAYTIME PHONE:
-10(4...;.,. A.. (tR5-1) C i- - zo
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3o6 6S 1ti,..,;,C... U elk S . �i,UA- ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ 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? Cl YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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:
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 ❑ 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)
■ 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 ou of the reliance of the city, including its officers and employees,upon the accuracy
of the information supplied to e city as a part is application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER Ke•PLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR El 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
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
CCMMI INITY nrvrl nPMFNT SERVICES•33530 FIRST WAY SOIITH•P.O.BOX 9718•FEDERAL WAY.WA 98063-9718•253-661-4000•FAX• 7S3-F,F1-4179