01-104115 City of Federal Way
Community Development Services Electrical Permit #:01 - 104115 - 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: INTERNATIONAL TERIYAKI HOUSE
Project Address: 1620 S 312TH.SuteA Parcel Number: 785360 0187
Project Description: ELE-Circuit alteration work for tenant improvemnt
Owner Applicant Contractor
SONG KUNZ PRO ELECTRICAL INC PRO ELECTRICAL INC
30808 PACIFIC HWY S 1707 S 341ST PL SUITE B 1707 S 341ST PL SUITE B
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
(253)835-3231
Electrical Fixtures
'YriVtNAPOOtlOrakttWAOUantit)4 r Description „ Quantity Description .jQuant;4
Circuits- Commercial 8
PERMIT EXPIRES April 22,2002,IF NO WORK IS STARTED.
Permit issued on October 24,2001
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
Owner or ag:_ t: / A"or e....,Z yi Date: Q � '� C)/
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caro. G CONSTRUCTION PERMIT APPLICATION
--------- APPLICATION NUMBER- off2/1 -�d /"s- '^_
APPLICATION NUMBER: _ - -
CirY CSF F u�r frti_yvAy APPLICATION NUMBER: _ -
BUILDING DEPT, — — — — — — — — —
**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.
/
• PROPERTY INFFORMATION
SITE ADDRESS: /6.0.10f I 3t2,,1e/ c Uh`rASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
• ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): X. &,7,-1:_--iN 4J009____ C- 47 .'
el/11 - A' - - 1., / I ' e 1 1, 'A " /r.04./ / 2-r 1..m A r /
PROJECT NAME: I lOI L� ��j 0•f{ 1-tv4 L9/' 2 /-2,r,,
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: _ DAYTIME )s13
MAILING DRESS(STREET ADDRESS. ,STA ZIP): `J O
(6 9 3 rte' S-r .
CONTRAeTOR: NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET i �.l ATE,ZIP): EVENIN PHONE:
C'1Q 1.4J �/ /�3�
= QTY FEOOERAL 3.WAYBUSINESS NUMBER: /21
- S () - E / U }_
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' _ - - _ 3-3) 04.3P-
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3?-/3
CO ' OR REGISTRATION MBER: g_eeeI _ _ - 3.-7- EXPIRAON DT : /(ropy ofcard required) �7--- _ �•�
APPLICANT: NAME: DAYTIME PH•.L E:
t '� � 3 :'� l- rte
MAIL!-G •RESS ET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
0046 „Cu) 3� r 44_
4.' c.-3) 3d/--S td60 >
i RELA •NSH P 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: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEIN 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
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) RANGES) 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)
s• I 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induct-• • its officers and employees,upon the accuracy
of the information s.•lied to the city as a part of this • : • :on.
NAME/TITLE. 4111Mat' _ ,_ DATE:
❑ PROPER OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE.USE ONLY:-;
NEW ' _. .'0 ADDITION ❑ ALTERATION ❑,>REPAIR ❑.TENANT IMPROVEMENT
CENSUS'CODE:.' • LOTSIZE •
ZONING,DESIGNATION .,.., • BUILDINGSHELL ONLY? . ❑YES 0 NO
OMP PLAN DESIGNATION • = BASIC PLAN? . ❑ YES ❑!NO
SECTION
TOWNSHIP RANGE - i NEW ADDRESS REQUIRED? ❑'YES ❑:NO
PLATTED LOT?.'' ❑YES ❑ 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