01-101462 Cty
of
Com un Federal Way Electrical Permit #:01 - 101462 - 00 '-
33530
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: PHILLY CHEESE STEAK AND TERIYAKI
Project Address: 32925 1STla,,�S UNIT5 Parcel Number:
Project Description: EL-Repair electrical in response to Fire Dept.notice.
Owner Applicant Contractor
PHILLY CHEESE STEAK&DELI&TERIYAI GOLD ELECTRICAL GOLD ELECTRICAL
PHILLY CHEESE STEAK&DELI& 5121 GALLEON DR NE 5121 GALLEON DR NE
TERIYAKI TACOMA WA 98422 TACOMA WA 98422
32925 1ST AVE S
FEDERAL WAY WA (253)227-7712
Electrical Fixtures
Description QUahtity Description (Quantity Description 'Quantity
Alt.Serv./Feeder up to 200 amps-Coi, 1
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 Federal Way.
,----7 /----'
Owner or agent: t%�'z% ,r,{. Z-Z-j,.7 , , Date: Z j
OC_., Ll - /7. v/
�� � � , ,.,SUBMITTED
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER: Q L - L 0 l (�_ (Q) - ,(c
vv
APR 1 2 200 APPLICATION NUMBER: -
APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
/ rd PROPERTY INFORMATION • '
SITE ADDRESS: 3z /Z� /4 V S . ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
N PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILD NG ❑ PLUMBING ❑ MECH ICAL - • ION
^ELECTRICAL ❑ ENGINEERING FIRE P VE •
PROJECT DESCRIPTION(Provide detailed description • rA ' A !/'Ar. SLI - /Ce
4bier.EDO c.�r. „,..2,,,yr
PROJECT N• /a I l
A
V4 'OPL► 'NFORl TION
PROPERTY 0 ER: NAM ' /y/ 5' ��-/
or PH, e
��. c ) . c 7/z,i
: ING ADDRESS(STREET AD, S;CITY,ST ZIP): i
32 yes- =k .
CONTRACTOR: NAME: DA ME PHONE:
/O� L� (. '-9 Zz 77/Z
•IUNG ADDRESS(STREET ADDRESS; ATE, EV NG PHONE:
3`/z/ //e0 77 7/) - . CP A ) -
• OF FEDERAL WAY BUSINESS LICENSE BER: FAX NUMBER:
CO OR'S REGISTRATION NUMBER: ^^ / EXPIRATION DATE: .?
(Copy of card required) ` Q _ _ _� '_ l L�j / Q
APPLICANT: NAME: / DAYTIME PHONE:
: ( )
MAIUNG 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: 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 El HIGHLINE 0 PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PRWECT 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)
Y/ DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th•t t e 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 part of this applic`1.n.
NAME/TITLE: DATE:
009./&/
❑ PROPERTY OWNER El AP ANT ►.1 TRACTOR
FOR OFFICE USE ONLY:
❑ NEW 0 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