00-106116City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: MASTER SHON TAE KWON DO
Project Address: 2136 SW 336TH
Project Description: EL - Electrical for wall sign.
Electrical Permit #:00 -106116 - 00 - EL
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 132103 9097
Owner
Applicant
Contractor
TWIN LAKES LLC
MASTER SHON TAE KWON DO
SIGN GUYS CORP
TWIN LAKES LLC
MASTER SHON TAE KWON DO
1216 N. TUSTIN ST
2136 SW 336TH ST
SIGN GUYS CORP
ORANGE CA 92867
FEDERAL WAY WA 98003
1714 S 341ST PL SUITE W5
Electrical Fixtures
Description Q iii
s;g„ 0
PERMIT EXPIRES June 19, 2001, IF NO WORK IS STARTED.
Permit issued on
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 accordant th the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent:
Date: 2 �— .2��
7
j Z -1i — wee
RECEIVED
C"O"G_ CONSTRUCTION PERMIT APPLICATION
®� 2 APPLICATION NUMBER: 04�1) - - _
AY -
CITY OF FEUEHAL WAY APPLICATION NUMBER:
BUILDING DEPT. APPLICARON 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,,
PROPERTY INFORMATION
SITE ADDRESS: I�6 �W - 5 --44th ASSESSOR'S TAX/PARCEL #: — — — — — — -
wA i�Qom — — ——
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• ❑ ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):
/-N 1--% -
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
■ PEOPLE INFORMATION
NAME: �AYTIME PHONE: -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): `J
Aj -tug„ Q— _ 6 kA &±, .e , CA . q�66-1
NAME:
v i i W{ '-P
AYTIME PHONE:
Dpi" , J q42- - V
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
j
17(k- S, 21q -19T FL '�j 1'`rws
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): /EVENING PHONE:
l
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:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHERS)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
Indicate number of each type of fixture
dL01aF1►L(offI
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACEINSERT(S) RANGE(S) MISC.( )
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S) URINAL(S) WATER HEATER(S)
RAIN WATER SYS. VACUUM BREAKER(S) ElELECTRIC ❑ GAS
SHOWER(S) WASH MACHINE OUTLET
SINKS) WATER CLOSET(S) MISC. ( )
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 claim (including costs, expenses, and attomeys' 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 relianc"the atinduding its officers and employees, upon the accuracy
of the information supplied to the city as a part of this appli
NAME/TITLE:
❑ PROPERTY OWNER ❑ APPLICANT ❑
FOR'OFFICE USE ONLY:
DATE: (Z
T
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129