01-103764 r �
City of Federal Way
Community Development Services Electrical Permit #:01 - 103764 - 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: AM SA HEI MUL TANG RESTAURANT
Project Address: 31218 PACIFIC S SuiteH Parcel Number: 092104 9112
Project Description: ELE-alteration of up to(13) circuits for restaurant.
Owner Applicant Contractor
AM SA HEI MUL TANG RESTAURANT L&D ELECTRIC L&D ELECTRIC
31218 PACIFIC HWY S 14811 16TH AVE CT S 14811 16TH AVE CT S
FEDERAL WAY WA SPANAWAY WA 98387 SPANAWAY WA 98387
(253)208-6582
Electrical Fixtures
Description Quantity h Description ;.. 'Quantity :. Description !Quantity
Circuits- Commercial 13
PERMIT EXPIRES March 25,2002,IF NO WORK IS STARTED.
Permit issued on September 26,2001
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 accorda ce with the laws,rules and regulations of the State of Washington and
the City of Federal Way. ,
Owner or agent: Date: 0' '•
//- /j" - moi
//-/ ,
.� CONSTRUCTION PERMIT APPLICATION
;1-ir-Ki=n_
VV f1 RECEIVE!) APPLICATION NUMBER: d / - 10 3 i - cb-
APPLICATION NUMBER: - - _
SFr' 2 ts ?P,7,1 APPLICATION NUMBER: - _ • _-_-- - - - -
**The following isre.quirg formation-Please print(in ink)or type**
CIfYQ- Lkj MLWAY
Please note: Electrical,Fire Pr41% nTis and Engineering permits may require a separate application.
I
^, ■ PROPERTY INFORMATION �J
SITE ADDRESS: 2 �`6 pec ;G 14 to) J ,ASS•-SO/'S T /PARCEL#: <d� ' -
I
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
> .. ■ PRO3ECT INFORMAI'ON
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 1 MECRANICAL Cl DEMOLITION
ELECTRICAL ❑ ENGINEERING° FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): (i"..62_, 4.)?/j v `J"""" J2Y r'e e 1
/,tom 1071/ cc,C6( v.,k. aCt.. er2_Ce,r0- G1pu&? .
PROJECT NAME: ( '' Sk 614/ L'(44-C -
- ■ PE-VPLE i FORMATION
PROPERTY OWNER: NAME: r 06 tM ' DAYTIME PHONE
1/ i etc:i=C,. . 03 ) S3/ - 0- 4'D .
- MAILING ADDRESS(SI is I ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: iEr� ,// //eh � S Lj J� guiret &
DAYTIME PHONE: -
MIAILIN0 ADDRESS(STREET ADDRESS;CITY,STATE,TM; 'jJ\ `EEVENING PJ`HONE:
CITY OF EDERAL WAY BU ESS LICENS NUMBER: / FAXNUMBER:
- - ( ) _
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) I /
APPLICANT: NAME: /C.J/ti DAYTIME PHONE:
i MAILING ADDRESS(STREET ADDRES ,CITY,STATE, IP):: ( EVENING PH)ONE:
ONE:
,/y�-� � ( )
SH ��
�. TIONSHIP TO PR JECi: 4 v FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
I 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 0 PRIVATE(SEPTIC)
' r
**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 ❑ 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)
I. 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 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 city,including its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: � DATE: _'
❑ PROPERTY OWNER ❑ APPLICANT )6 CONTRACTOR Y�cI •
FOR OFFICE USE ONLY:
NEW-CI ADDITION ❑ ALTERATION ❑;REPAIR- El TENANT IMPROVEMENT
CENSUS CODE: - LOT SIZE:
ZONING DESIGNATION BUILDING SHELL ONLY? .❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? `I ❑ YES ❑'NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑-'YES D. NO
PLATTED LOT? ❑ YES I. 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