01-102432 City of Federal Way I '''Electrical Permit #:01 - 102432 - 00 - EL
Connnunity 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 Parcel Number: 092104 9221
Project Description: ELE-Add(12)20-amp branch circuits to existing service.
Owner Applicant Contractor
LINH SON RESTAURANT PRO ELECTRICAL INC PRO ELECTRICAL INC
31830 PACIFIC HWY S 1707 S 341ST PL SUITE B 1707 S 341ST PL SUITE B
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)835-3231
Electrical Fixtures
-Dei!efi ition PLA"=` IQu ,Rt%t, Desctiption 1Quar tity ,x 4,pescription IQuantityl
Circuits- Commercial 12
PERMIT EXPIRES December 15,2001,IF NO WORK IS STARTED.
Permit issued on June 18,2001
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: ./C
1
. 702
3 6'�
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EnEiL `. * ,' FDDCONSTRUCTION PERMIT APPLICATION
\)\> APPLICATION NUMBER: 0 L I0 Z_I 2 - E_L.
FrY
ifi1 iy! 8 9rnr1NUMBER: - -
APPLICATION
u�I Y L.;,-: -1•Fn: �ipp-vti'AY APPLICATION NUMBER: - —
**The following PUrleq i ed`infoTmation—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
` . ■r PROPERTY INFORMATION
SITE ADDRESS: l '�_ 6� �' ASSESSOR'S TAX/PARCEL #: -J n ./2.0-'
IIIJJJ D f�
LEGAL DESCRIP 9N OF OBJECT PR TY ATTACH SE ATE DESCRIPTION IF LENGTHY):
1 -1 T PR
�:
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):
adder 12, - .3-0 A /3 i( tAnvIN. , �5 4 0A1‘147,„-,7 i/c.,,
,,,,,
PROJECT NAME: Lam/Alt./ J b/" t I/ -`
/■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: L it _ / ��ONE: fD
ik
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): E%!/�-V! v' (N ��0
- 7( 413o (A-01'1'44. 141w / S,
CONTRACTOR: NAME n f ,Je // DAYTIME PHONE: c-
Pro Z,( (l��w ( ) 83 323(
AILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/761/i S .. -31H41 pf * L3 (?X3) '/ - o 011
TY
CI /FERE LL WAY BU ESS LICENSE NIMBER: FAX NUMBER:
C'ONTRACTOR'S REGISTRATION NUMBER: �i � /`/ �i EXPIRATION DATE:
(copy of card required) P/��Q D = /K9 9 1 cr r [.z l 30 / d/
APPLICANT: NAME: ' DAYTIME PHONE:
3'MO1 / ASI)Vf ( ) 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) 1
RELATIONSHIP TO PROJECT: ,/ FAX NUMBER: I
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( 2P7/Z./-C /U ) -
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? El YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
f
E. ,
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 1
■ .PROJECT FLOOR AREAS ,
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL 1
BASEMENT
FIRST
SECOND
1
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) 1
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) El 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 pars of this a( plication.
/-F/0 I
NAME/TITLE: DATE:7`--- 7 LI, '33
q
CILPROPERTY OWNER ❑ APPLICANT YONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ 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? El YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX: 253-661-4129