01-102368 City of Federal Way
Community Development Services Electrical Permit #:01 - 102368 - 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: PAUL'S BURGER JOINT
Project Address: 1414 S 324TH l s-f- Un;f B ( Parcel Number: 150050 0080
Project Description: ELE-Install 100-amp panel to 200-amp service;wiring to equipment in existing restaurant.
Owner Applicant Contractor
JDI TACOMA LIMITED PARTNE*JDI TACO L&D ELECTRIC L&D ELECTRIC
29 N WACKER DR 14811 16TH AVE CT S 14811 16TH AVE CT S
CHICAGO IL SPANAWAY WA 98387 SPANAWAY WA 98387
60606-3203 (253)208-6582
Electrical Fixtures
Description JQuntity 7 Description !Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co' 1
PERMIT EXPIRES December 10,2001,IF NO WORK IS STARTED.
Permit issued on June 13,2001
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: — —0 /
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al.•F CONSTRUCTION PERMIT APPLICATION
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APPLICATION NUMBER:6/ - /Q 2- 3 Gam- OQ
APPLICATION NUMBER: - -
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**The following is rsquired information—Please print(in ink)or type**
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Please note: Eleciitr ly, e: 4iTtion Systems and Engineering permits may require a separate application.
•
S ■ PROPERTY)/ INFORMATION
` 14/q ' Sz' /(( ASSESSOR'S TAX/PARCEL #: / 5J 00 5- C.
- O O C
f! LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1
■ PROJECT INFORMATION
E OF PROJECT(This application): DING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ENGINEERING❑ FIRE IYIEVENTION SYSTEM ��1
IJECT DESCRIPTION(Provide detailed description): . en A- - , A L 1 V
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OJECT NAME:
U PEOPLE INFORMATION
OPERTY•POWNER NAME:ZIP) ' DAYTIME PHONE:
( )
MAILING ADDRESyS(STREET ADDRESS; •
CITY,STATE, : �� DR.- �e�a ` X-1..- ' ���
TRACTOR: NAME: DAYTIME PHONE:
ji• � 1,2 �`�-L (25X)45. / -07-490MAILING ADDRESS(STREET ADDRESS;,STATE ZIP): EVENING PHONE:
`l&‘'.--7 S, //4. 4. 7.4-co ou 4 tiA- 814•15'(z53 )5- / - ozeo
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
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icos
CONTRACTOR'S REGISTRATION NUMBER: Orc - EXPIRATI 3
(copy of card required) / O
1 .LICANT:
NAME: /� '� DAYTIME PHONE: -
S
`J MAILING
MAILING ADDR S(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
CIARCHITECT ❑ TENANT T-QTHER(DESCRIBE): 4:9/L/n0-- (= ) -
E-MAIL ADDRESS:
TACT PERSON FOR THIS PROJECT: CIPROPERTY OWNER CIAPPLICANT 1:1CONTRACTOR
■ 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: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
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**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 El GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) 1
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
her,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
her agree to hold harmless the City of Federal Way as to any claim (including costs,expenses,and attorneys'fees incurred in the
estigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
eral Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
he information supplied to th• . . .art of this application. ��yy
E/TITLE: `� DATE: [0 r(//c 'Q l
I
ROPERTY OWNER ❑ APPLICANT El CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR El TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES El 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
CflMMI!wry nFVFI OPMFNT SFRVICFS•33S10 FIRST WAY cni ITH•P!1 BOX 9718•FFDFRAL WAY.WA 98063-9718•253-661-4000•FAX• ?c-1 Ar,1-4179