01-103006 City of Federal Way
Community Development Services lectrical Permit #:01 - 103006 - 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
QUIZNO'S NaProjectme: UIZNO'S CLASSIC SUBS
Project Address: 106 SW CAMPUS Dr Parcel Number: 415920 0710
Project Description: ELE-Altering multiple circuits for TI work,30 circuits
Owner Applicant Contractor
WINCO FOODS GREAT BREAK ELECTRIC,A GREAT BREAK ELECTRIC,A
400 S WOODLAND AVE 852 118TH STS 852 118TH ST S
PO BOX 400 TACOMA WA 98444 TACOMA WA 98444
WOODBURN OR 97071-0400 (253)536-9081
Electrical Fixtures
HWY/ Description ,o._,„ Quantity ,v ,. Description: 0 Quanti Description _` , Quantityl
Alt.Serv./Feeder:0 to 200 amps-Res. 1
PERMIT EXPIRES January 27,2002,IF NO WORK IS STARTED. ,
Permit issued on July 31,2001
I hereby certify that the above inf. .tion is correct and that the construction on the above described property and
the occupancy and the use will . 'in accordanc; 'th the laws,rules and regulations of the State of Washington and
the City of Federal Way. �¢/ /
Owner or agent: -'(�' -C-�-— Date: —713/ /0
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Rough-in inspection:
11-2 . — S �/ /' `,, 7�— Date
e ce mspec on:
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FINAL inspection:
Date
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_ CONSTRUCTION PERMIT APPLICATION
ErKFIL_ APPLICATION NUMBER: ,9 LWaVV FEY �® APPLICATION NUMBER: - I 00
Vkeeel ��� APPLICATION NUMBER: - -
**The foil* required mation-Please print(in ink)or type**
�V� P1.
Please note: Electrical, Fire Prev catiO* and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: /t 7 :61,44-fakg ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 4111Pili 74,40 S
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
,ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): a r 7�,/,t0 5 )�� GC./ �Q,f V/'C_€_
t71 /4i c c&s/(.1--o-e-ss
PROJECT NAME: Quf2Gl014‘14 z rat,t4,-
■ PEOPLE INFORMATION
PROPERTY OWNER: NA&:
DAYTIME PHONE:
( )
MAILING ADDRESS`(STREET ADDRESS;CITY,STATE,ZIP):
i
CONTRACTOR: NAME: DAYTIME PHONE:
Itt//����
MAILING ADDRESS(STREET ADDRESS;CITY STATE,ZIP): EVENING PHONE:
EI
l l b C4- St. ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
)
CONTRACTOR'S REGISTRATION NUMBER: /� /'� /� C� moi, [� [� EXPIRATION DATE:
(copy of card required) ( K G 7/J E V T f ( C
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: �'Ocep y S4y.se EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 1.104.12E >4.4-1/1
PROPOSED USE: -5/4/g// ad%�Cf.�p PROPOSED VALUATION FOR IMPROVEMENTS: $ GCGi//, 'U$ W til
SPRINKLERED BUILDING? )YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 'YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) ��
f r
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• • : ■ PROSECT 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 wr-re such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information sup s' ed to the as - part of thi pplication.
NAME/TITLE: to" '� A/0e // t✓L DATE: 1/9/4/
❑ PROPERTY OWNER ❑ APPLI �T U CONTRACTOR
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? Cl YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
r(IMMI INTTY nFVFi OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129