01-103803 City of Federal Way Electrical Permit #:01 - 103803 - 00 - EL
Community 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: HANABI RESTAURANT
Project Address: 31260 PACIFIC S Suite8 Parcel Number: 092104 9265
Project Description: ELE-New wiring for sign
Owner Applicant Contractor
Plaza Llc Dana YOUNG'S NEON SIGN CO YOUNG'S NEON SIGN CO
31260 PACIFIC HWY S 30318 13TH AVE NW 30318 13TH AVE NW
FEDERAL WAY WA FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
98003-5448 (253)946-1286
•
Electrical Fixtures
Description (Quantity Description (Quantity Description (Quantity
sign
PERMIT EXPIRES March 26,2002,IF NO WORK IS STARTED.
Permit issued on September 27,2001
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. -{— - -
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Owner or agent: Date: /
/a — re- �% C e
•
�uv F{Yoe G CONSTRUCTION PERMIT APPLICATION
� ED APPLICATION NUMBER: = 1 - PO,.
APPLICATION NUMBER _
7 ? '�2' APPLICATION NUMBER: -
**The tatlyvoiiiiig is required information-Please print(in ink)or type**
Please note Bl aIT,Fre Prevention Systems and Engineering permits may require a separate application.
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C ■ 'PROPERTY INFORMATION {
SITE ADDRESS: -1° Na ci4i e- t tk.. WOW # i� ASSESSOR'S TAX/PARCEL#: UCt_ Z ( C)4- - 9_1. 6 7-O3
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
M ELECTRICAL'' �❑1ENGINEERING CI FIRE PREVENTION SYSTEM l
PROJECT DESCRIPTION(Provide detailed description): W i( t x1/l. . C o U T S t i 6—/
PROJECT NAME: k A N A 8 1 craft se_
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
c4 t3 Z( `'Gc rte-5e_ s-{b.ti u (• )
MAILING ADDRESS(STREEF ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME:t I DAYTIME PHONE:
Y tit v\-4A s a— -D
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): " �EVENING )PHONE:
30- e At S. c.)-0 61 - qct � .
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE
(may of card required) 0 Gf L),61‘) _ 0 Z 7 K O,-/ o.t1 v 3
APPLICANT: NAME: (DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT 0 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: 0 LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**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 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC 0 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 daim(induding costs,expenses,and attorneys'fees incurred in the
de
investigation and defense of such daim),which may be maby any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the 'ty as a part of this application.
NAME/TITLE: , • • DATE:
❑ PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR
.;FOR OFFICE USEONLY
-113V.614,-7,74.1110 ADDITION ❑%ALTERATION . ❑;ItEPAIR'M ' ,,0 TENANT(IMPROVEMENT. ._'
CENSU5mCODE ;> _ 'LOT SIZE .
3ZOiVING DESIGNATION _"._ BUILDING SHELL ONLY? " ❑YES" ❑ NO
r
MP�LAIVESIGNATION BASIC°PLAN? YES ❑`NO
ECTION .TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑;:;YES -" ❑NO
,PLATTED LOT? 0 YES.. 0 NO CHANGE OF USE? ❑YES ONO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-6614129