06-104775 r ,
City of Federal Way #: 4
Community Development Services Electrical Permit 06-104775"=00-E L
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: TERIYAKI HOUSE &WOK
Project Address: 35002 PACIFIO HWY S Suite A104 — Parcel Number 185295 0050
Project Description: ADD- 15 circuits for new TI
Owner Applicant Contractor
OPUS NORTHWEST LLC CP ELECTRIC CP ELECTRIC
OPUS NORTHWEST LLC 34320 31ST AVE SW CPELEPE943KC 05/03/08
915 118TH AVE SE SUITE 300 FEDERAL WAY WA 98023 34320 31ST AVE SW
BELLEVUE WA 98005 FEDERAL WAY WA 98023
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1.,
CONDITIONS:
This parcel is located within a Wellhead Prote .ion Are (Capture Zone 5)and must*imply With FWCC
XI ,
Chapter 22,Article V "Critical Areas"and fill out a azardoa r Il ventoity Statement,
ent,if_
applicable.
PERMIT EXPIRES Monday, March 19, 2007
Permit Issued on Wednesday, September 20, 2006
I hereby certify that the above infor '-tion is correct,-, d that the construction on the above described property and
the occupancy and the use , •- in accordant-"I.' the laws, rules and regulations of the State of Washington
and ity of Federal Way.
Owner or agent: Date: 5/l VG'S-
tla-Z
Wil\ �
FI HALED
THIS CARD IS TO REMAIN ON-SITE . -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104775-00-EL
Owner: DPII.S NORTHWEST LLC
Address: 35002 PACIFIC HWY S Suite A104 _-
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By I C o(i 5 Date q.zi- ` +"./ Date/0'1a 1 By Date/0'70-0C
❑ Under-slab groundwork(4295)
Approved
By Date
cinof A J �® _0 (e - / Q 4 7 7
Federal Way PE AlR2 0 200 '• "`CCC
COMMUNITY DEVELOPMENT SERVICES F SF MF CO ME 6 PL DE EN FP
333258TMRALAVENUE,WASOUTH 9•POBOX9718 APPLI CMT@ ' L AY• FEDERAL WAY,WA 98063-260 im
/ /
253-835.2607•FAX?53-835-2609 T
www.cituofedera wau,com
The ollowin• is re• ired in ormation-an ince. •lete a••lication will not be a • • Please •• t le•ib in in or • .
/� n U PROPERTY INFORMATION /�
SITE ADDRESS 3S-OO 2 /�Acf i c �(iv`/ S - SUITE/UNIT# A
ASSESSOR'S TAX/PARCEL# - _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal deaaiptlan,
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION)1\ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/v6w Tut I Y L i2t-f5AW2 A//
haDp "I oak Gi p/ v41-L //v i—/2 72Z- -(41e 4}p,, /,
(/,ecce-ts
PROJECT NAME(Name of Business or Owner Last Name) Q. 1r( t✓y V{ 1-/O14S-e- Uja k
• PEOPLE INFORMATION
PROPERTY NAME ,•titer Y. ov )V+ s ( )PRIMARY PHONE
T
OWNER 1 -t f /�IU1S- 4— is �— -
MAILING ADDRESS CITY,STATE,ZIP
3s0oJ- PA-cfI fr i/wy J T-C-DCI L 144/ 9Y--o s1•.
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
6/9 &-E-CPC Mir G/iAN fr'4/c (2o6) ?i".2_- 2 a/9
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3"/5)-0 3/ST AGC—Sw -6-petA-c.. C206 ) 2-- 201 cl
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI TI N'DATE FAX NUMBER
- - - / / ( ) -
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
G e m L6 L'C 1 _ k- l 3 /as
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Ot/lAJ /NC ( ) -
MAILING ADDRESS ITY,STATE,ZIP CELL PHONE
3'-/310 3151 Al t/C—S k✓ 0-9 L. trsiVe A4. ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
a Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
(-kA'/kJ PAIC (2OK.) g-�L - 2019 .
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
•
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
•
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
susrmo PROPOSTO corm ,
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercid) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tab/Shower Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 authorised 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 pers including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the ci ,inclu• g its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
•
NAME/TITLE V/ DATE q//0/6'd •
(Signature( (TItle)
RELATIONSHIP TO PROJECT 0 Owner 0 Agentretractor D Architect 0 Other
tis .a �, � :�� l
,-d i{? r,r;' °+� °'i r�,�
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Perrnit Application