01-103876 City of Federal Way
Development
Community Developnxnt Services Electrical Permit #:01 - 103876 - 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: CHINA HOUSE MONGOLIAN GRILL
Project Address: 31448 PACIFIC S Parcel Number: 092104 9113
Project Description: ELE-Low voltage wiring for three thermostats
Owner Applicant Contractor
CATTINS RESTARUANTS INC ALL COMMERCIAL APPLIANCE&REFRIGI ALL COMMERCIAL APPLIANCE&REFRIGI
31448 PACIFIC HWY S 34402 38TH AVE S 34402 38TH AVE S
FEDERAL WAY WA AUBURN WA 98001 AUBURN WA 98001
98003-5404 (206)679-3101
Electrical Fixtures
1 :,Description (Quantity ;; Description IQuantity . Description IQuantity
Thermostat 3
PERMIT EXPIRES April 1,2002,IF NO WORK IS STARTED.
Permit issued on October 3,2001
I hereby certify that the above •.formation is correct and that the construction on the above described property and
the occupancy and the use • 1 be in acc dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way,
Owner or agent: //// Date:// 3 ----2--t-1)//
z�, dcI�� DCONSTRUCTION PERMIT APPLICATION
uV APPLICATION NUMBER: UJ - f 05$3--& _ ft
nni APPLICATION NUMBER: _ _ _ - _
APPLICATION NUMBER: _ _
**The following i riei atil[aL1FonY Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
;�i6: ---1)4441e
'- ') ?.tcI-FPc1 L./ ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH EPARATE DESCRIPTION IF LENGTHY):
. ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
.rte "fir/ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJE DESCRIPTION(Provide detailed description): 1�I IA/((/kr.ti43
.�vrnr�-6l �/
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PROJECT NAME: 41/14/Af-/-6S-?4/5'e A i9
■ PEOPLE INFORMATION
•'ERTY OWNER: NAME: DAYTIME PHONE:
C4,M.a J e_ Ado-nlo1I . 4 - ( )
-,,.:1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
l'--„,.' V'cirP. /1-12;21WC HT ‘S ' e41kci-i-nt.y) CAP.14-1 — '
A NAME: �/- DAYTIME PHONE:
TRACTOR: N�ADDRESS(STREET ADDRESS; STATE,ZIP): A e 4 - Q- 6) 1 ,/.,_
EVENING P
P. 34 ,9-i/E S -3) / - t.)-�"7
CITY OF FEDERAL WAY BUST ESS LICENSE NUMB R: FAX NUMBER:
Aeby - .#4- - - ( ) / -. / V
t, CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card urea) A et l'- c D Ag- .012 Z.. L 6 /�-3 /e411D 3--
iiiil-ICANT: NAME: DAYTIME PHONE:
0 ( r c 6) 6,, -3l
MAILING A DRESS(STREET ADDRESS;CITY,ST TE,ZIP): EVENING PHONE:
$4(/-0. — h ?qv S ,4b w , -zi/4 - /d1 -1;941 -9
RELATIONSHIP TO PROJECT: FAX NUMBER: 1
❑ ARCHITECT ❑ TENANTXOTHER(DESCRIBE): C_f�` (� - zZ7 -- [
E-MAIL DRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER El APPLICANT ,ONTRACTOR
■ 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 Cl PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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 ❑ 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
• er,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
• er agree to hold harmless the City of Federal Way as to any claim(induding costs,expenses,and attorneys'fees incurred in the
estigation and defense o, uch claim),which may be made by any person,induding the undersigned,and filed against the City of
eral Way,but only wh a such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
;$rthe information supp„•. to the city as • •art of this ap lication.
NAME/TITLE: DATE: /D s D-4— yam/
POPROPER r OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY: :!
"D NEWw ❑ADDITION ❑ ALTERATION ❑ REPAIR fREPAik = CI TENANT IMPROVEMENT;
CENSUS CODE: LOTSIZE:
ZONING DESIGNATION _ BUILDING SHELL ONLY? ;.❑YES CI NO
COMP PLAN DESIGNATION BASIC°PLAN? ❑YES ❑ NO'
,SECTION -TOWNSHIP-TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑.NO
PLATTED LOT? ❑YES El NO CHANGE.OF USE?." ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129