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01-103347 City of Federal Way Community Development Services Electrical Permit #:01 - 103347 - 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: GENGHIS KHAN MONGOLIAN GRILL Project Address: 1948 S CA V f On S Parcel Number: 762240 0025 Project Description: ELE-Relocate(8)existing circuits. Owner Applicant Contractor H M A ENTERPRISES-SEA-TAC GENGHIS KAHN MONGOLIAN GRILL L&D ELECTRIC 249 E OCEAN BLVD#3RD 31448 PACIFIC HWY S 14811 16TH AVE CT S LONG BEACH CA FEDERAL WAY WA 98003 SPANAWAY WA 98387 90802-4849 (253)208-6582 Electrical Fixtures `Description 'Quantity Description 'Quantity' Description 'Quantity , Circuits- Commercial 8 • e. PERMIT EXPIRES February 20,2002,IF NO WORK IS STARTED. • Permit issued on August 24,2001 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. 1 Owner or agent: /.7-- "`— — Date: .069/ e-/-/s a / /I 2 - / e--/-rr, --7 //- 5--- o/ /4 -2 =.• - - CONSTRUCT I ION PERMIT APPLICATION -� _ !VED APPLICATION NUMBER: 0 ( - ( 0 3 3 L o—E �� APPLICATION NUMBER: _ _ _ _ - C 2 A ?R91 APPLICATION NUMBER: _ - **fiieg04104t6iiiiiikie information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION -I :S ((iv) ©I, CIfr) SITE ADDRESS: /9 4t8 5 , -.beiecy fit/!'-1/ ASSESSOR'S TAX/PARCEL#: ,7_4 Z2 ,-DU LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): . ■ PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ ME(1ANICAL ❑ DEMOLMON ELECTRICAL ❑ ENGINEERING❑ FIRt*PREVENTION SYSTEM • PROJECT DESCRIPTION(Provide detailed description): M, t())// �;e ocic C 8) 6r c ` PROJECT NAME':=_ '0--"G = 1‹.4014-k-1" A4elkl-di"' kLL-L k PEO, 'c IN' JRMATION PROPERTY OWNER: NAME: �I , DAYTIME PHONE: MAILING ADDRESS(STREET n DRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: 6geDaer'-'1T' ' , (� '3) c3I - 01°0 MAILING ADDRESS(STREET ADDRESS;CITY, TE,ZIP):• EVENING PHO ie / 11 l i ,�L�- , e6- ( ) - QTY OF DERAL WAY BUSINESS LICErabt NUMBER: - —g14449� FAX NUMBER:��� - �� _ 7 `J CO ORS REGISTRATION NUMB ?Cf2-°72- �+/ (/ �ON DATE: (copy card required) L E/- _-7t11 63-� 4 _ CA4/1) 2 l 3 / .0_3 APPLICANT: NAME: DAYTIME PHONE: L64'v.v 6 k./s4 ( ) - t MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: jy ( ) t 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? LI YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:LI YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 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: ■ 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 0 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 daim(inducting costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any persn,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out o of the reliance of the dty,including its officers and employees,upon the accuracy of the information supplied to the city as a part of thincluding s application. NAME/TITLE: ` DATE: 2 / ❑ PROPERTY OWN 0 APPLICANT CONTRACTOR FOR OFFICE USE ONLY:; © NEW. ❑ADDITION 0'ALTERATION ❑;REPAIR 0 TENANT= IMPROVEMENT CENSUS CODE:,: LOT SIZE ZONING DESIGNATION BUILDING SHELL,ONLY? ..❑ YES ❑ NO COMP -CAN-DESIGNATION ? _ BASIC PLAN_ ❑YES "- ❑ NO SECTION TOWNSHIP RANGE NEW,ADDRESS REQUIRED? 0 YES ❑,NO PLATTEDLOT? ❑_YES ❑ NO CHANGE OF USE?. ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129