01-103493 City Federal Way
Community Development Services Electrical Permit #:01 - 103493 - 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: HANABI RESTAURANT
Project Address: 31260 PACIFIC S Suite8 Parcel Number: 092104 9265
Project Description: ELE-Restaurant kitchen wiring and lighting install for TI
Owner Applicant Contractor
Plaza Lie Dana GOLD ELECTRICAL GOLD ELECTRICAL
31260 PACIFIC HWY S 5121 GALLEON DR NE 5121 GALLEON DR NE
FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422
98003-5448 (253)224-4018
Electrical Fixtures
Description 'Quantity !µ „ Description (Quantity -,,Description : .'Quantity
Alt.Serv./Feeder up to 200 amps-Col 1
PERMIT EXPIRES March 5,2002,IF NO WORK IS STARTED.
Permit issued on September 6,2001
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: /`��„ C, 2, Date: 7/‘4
a/
�c., G CONSTRUCTION PERMIT APPLICATION
--. ....c) F�ET<FTL_ APPLICATION NUMBER: O� - i a�j!g- 4.3- EL
RYA APPLICATION NUMBER: -
L1 i Y LLr �r-Li� I ML vokvAPPLUCATION 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.
■ PROPERTY INFORMATION
the ADDRESS: "t 3l2� 4C214 ' *w 5: ASSESSOR'S TAX/PARCEL#: O I &,/ 0 I-L - 5
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
.. • , I . PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• CAL,' ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
,4,e.51404.4,r04?-s , A-7e"he7-3 liJi)-z77-{
OV
PROJECT NAME: 4Ob► WaikitetAil ,
■ PEOPLE INFORMATION
PRRTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: /DAYTIME PHONE:
6 // EZ- .772/C____.�-� (2 ) 22-41- 6"
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
3.72/ tea//eV, 02 tel/' 7A)Co4"4 WA- la9412Z ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) _
CONTRACTOR'S REGISTRATION NUMBER: //��/� EXPIRATION DATE:
(copy of card required) (�j /�(, d3t 26 r/2 — r / 2_-? / 0 2_
APPLICANT: NAME: / DAYTIME PHONE:
) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: El LAKEHAVEN ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: Cl 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
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 out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of . ' - ••lication.
NAME/TITLE: �r/�/`/tom ��� DATE: � �J
❑ PROPERTY OWNER ❑ AP•tf' 7 NT ,CONY •CCTOR
FOR OFFICE USEsONLY:.
El NEW ,,_`-_;[1 ADDITION ❑ ALTERATION ❑;'REPAIR °=p TENANT IMPROVEMENT.
CENSUS:_`CODE: LOT SIZE
ZONINGDESIGNATIONBUILDING SHELL,ONLY ❑
? ,YES ❑ NO
COMP PLLANADESIGNATION . BASIC PLAN? ❑ fES _ ❑ NO' _
SECTION TOWNSHIP RANGE - NEW ADDRESS REQUIRED? ❑ YES ❑.NO
PLATTED LOT? ❑ 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