00-105890City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
Electrical Permit #:00 -105890 - 00 - EL
Project Name: AESTHETICS DENTISTRY/CHAN BAE, DDS
Project Address: 34400 PACIFIC S
Project Description: EL - Electrical service for monument sign.
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Parcel Number: 889700 0020
Owner
Applicant
Contractor
Chan K Bae
CHAN BAE
TALL'S ELECTRIC INC
1021 E MACLYN ST
13217 NE 54TH PL
KENT WA
BELLEVUE, WA
PO BOX 1069
98031-6038
98005
ENUMCLAW WA 980:
Electrical Fixtures
Description Quantity
Sign
PERMIT EXPIRES June 3, 2001, IF NO WORK IS STARTED.
Permit issued on December 5, 2000
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 agent: �� Date: lz2 — 7
C,4T0f�
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CONSTRUCTION PERMIT APPLICATIC
PLICATION NUMBER:
APPLICATION NUMBER•=-
.. —
LICATTON 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: / T7`� �C�C` tf-1 �I T ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
N PR03ECT INFORMATION
TYPE OF PROJECT (This app(ication): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide eta*led description):
�f, 0
4 ,
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR'
APPLICANT:
=`■ PEOPLE INFORMATION
DAMME PRONE:
NAME:
MAIUNG ADDRESS (STREET ADORESS; QTY. STATE, IIP): EVENING PHONE:
❑ ARCHITECT ❑ TENANT
❑ OTHER ( DESCRIBE): ' ( J -
CONTACT PERSON FOR THIS PROJECT. ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED.WiLDING•• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
DAMME PHONE:
NAME:
MAILING ADDRESS (STREET ADDRESS; QTY. STATE, Z[P):
AI
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
- - - - - - - - -
CONTRACTOR'S REGISTRATION NUMBER: -
EXPIRATION DATE:
DAMME PRONE:
NAME:
MAIUNG ADDRESS (STREET ADORESS; QTY. STATE, IIP): EVENING PHONE:
❑ ARCHITECT ❑ TENANT
❑ OTHER ( DESCRIBE): ' ( J -
CONTACT PERSON FOR THIS PROJECT. ROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
DETAILED.WiLDING•• •
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
ssIIE RRESIDENTIALCONSTRUCTIONONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
AIR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:-
OTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCTS)
BATHTUBS)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(SI
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
ITSCLaTMFRISTr,NATHRF 13LC
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. (
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, an
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 attorneys' fees incurred in t h
Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City o
Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accurac
of the information supplied to the city as a part of this application.
n) � f
NAME jTITLE: In w' " DATE: , �/ U o
❑ PROPERTY OWNER ❑ APPLICANT ❑ NTRACTOR
COMMUNITY 0EVg gpM6VT SBWCES • 33530 FIRST WAY SOM -P.O. BOX 9718 • FeDaUL WAY, WA 98063-9718.253-661-4000 • FAX: 2534;61-4129