01-101459 City of Federal Way
Community Development Services Electrical Permit #:01 - 101459 - 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: TACO BELL
Project Address: 2031 SW CAMPUS 1)r Parcel Number: 242103 9102
Project Description: ELE-Disconnect&reconnect equipment;wire pot scrubber&hood fan
Owner Applicant Contractor
NORTHWESTERN RESTAURANTS,INC. NONE SOUTHGATE ELECTRIC INC
31919 1ST AVE S#206 18940 DES MOINES WAY S#5
FEDERAL WAY,WA 18940 DES MOINES WAY S#5
98003 NONE (206)244-1570
Electrical Fixtures
Description ° Qu ntity Description [Quantity a,�,49„ Description Quantity
Circuits- Commercial 3
PERMIT EXPIRES October 9,2001,IF NO WORK IS STARTED.
Permit issued on April 12,2001
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 Federa Way.
Owner or agent: \\,, ,, r_� . .'111i 111.722,f7 Date: it.--/e) ry I
�`-cz' ca/ a /1,1' (
I
o ( RECEIVED CONSTRUCTION PERMIT APPLICATION
L
uV . APPLICATION NUMBER: O - D l 46/ -i
APR 1 2 ?fln0 APPLICATION NUMBER: - -
APPLICATION NUMBER: - -
GI IV OF FEDERAL WAY
**The followingBBJFIeEMgrmation-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION -
SITE ADDRESS: „, � //JJO3 / — —. • l,✓w4t; Off,. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ M L ❑ DEMOLITION
11 ELECTRICAL ❑ ENGINEERI E PREVE N SYSTEM
PROJECT DESCRIPTION(Provide detailed description): •s ` „etNi
ttitt.. p-0,4--/e-e-A-u/6-0-4, *--- - - - • •4 -
1/47
14\IL
PROJECT NAME: /I,
■ PE 'LE 1 cORMATION
AIM lik -"No
PROPERTY OW NA . _ DAYTIME PHONE:
MAI .ADDRESS • 'ESS;C ATE,ZIP):
CONTRACTOR: ME: DAYTIME PHONE:
( ) -
M- G ADDRESS(STREET ADDRESS; ATE, • EVENING PHONE:
( )
CITY 0 IERAL WAY BUSIN E NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATIO EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
(z06) 244- /676
MAILING ADDRESS( ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
i0
nl� tleva. a
o�t�►�.tA wl. 142/1. r ( ) -
RETIONSHIP TO PROJECT: _` 4 FAX NUMBER:
El 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: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
J1- 10°5-1( 4Z)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PRO3ECT 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 apart of this application.
NAME/TITLE: '.te DATE:
❑ PROPERTY OWNER ❑ APPLICANT COCONTRACTOR
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? ❑ 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