02-100923 City of Federal Way
City ity evelopment Services Electrical Permit #:02 - 100923 - 00 - EL
33530 1st Way S Fll 744 ,p+?7,1
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253 661 Inspection request line: 253.835.3050
Project Name: HONG
Project Address: 1637 S 330TH lumber: 79 ' 83
Project Description: ELE-New 200 amp service and kitchen wiring for existing how
Owner Applicant ontractor
PONG HONG GOLD ELECTRICAL G LD ELEC L
1637 S 330TH ST 5121 GALLEON DR NE 1 GALLEON E
FEDERAL WAY WA 98003 TACOMA WA 98422 ACOMA WA 984
(253)224
Electrical Fixtures
Description Quan ► D ascription ua 't Description QQuantity
Alt.Serv./Feeder:0 to 200 amps-Res. 1
11
•
PERMI EXPIRES Aug 8,2002,IF NO WORK IS STARTED.
P. • ' d March 1,2002
III
I her- certify that the above i • .. ion i n t e construction on the above described property and
the oc ncy and the use will b acco n - :ws,rules and regulations of the State of Washington and
the City . ederal Way. ir
Owner or age . r�iii L Date:
— s— oz 1C.l_ pct
— 6
3- I S — o z. 'Q: .� �,,,, .., - �G Ir&7 0 �1 .
- o ov• 5
A — k t — OZ F, Q\,prOv.eD ��
RECEIVED
' MAR 0
ar•« G 1 2002 CONSTRUCTION PERMIT APPLICATION
vv EIDESZFL CITY OF FEDERAL WAY APPLICATION NUMBER: 02. - _to O gZ - E L_
BUILDING DEPT. APPLICATION NUMBER: - -
• APPLICATION NUMBER: - . -
**The following is required information—Please print(ih ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
"- . -'"-:':.-"--• :PROPERTY INFORMATION _
SITE ADDRESS: /X37 S .9.5v 714 S/2 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-# - : : .; ■. PROJECT INFORMATION - .
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION�J (Provide detailed description):
/!//,,., 2 9A 'P, '-�� -/ ,/,---,-7/..,-,c,,,_ z,,,'
.. _,
PROJECT NAME: A C7 Y1
■ PEOPLE INFORMATION -
PROPERTY OWNER: NAME: p/V 4, , / e::)47 /It/ DAYTIME PHONE:
`J
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
x/37 s 4?¢" S7,el /e/A7 w,I. 7&9
CONTRACTOR: NAME: DAYTIME PHONE:
G'4/ / / 243)200-41074
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/Z' ��/,eo7-, 4/t6e.r9.4 wit-*52> ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - ( ) -
CONTRACTOR'S REGISTRATION NUMBER: ���� ���� � EXPIRATION DATE:
{ (copy of card required) 2.' / se;/‘'
APPLICANT: NAME: DAYTIME PHONE:
( ) _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER: -
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR .
• `<_■ DETAILED BUILDING INFORMATION
1 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: LI LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROSECT 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
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 the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to e city as a part of this application./
NAME/TITLE: ,.��/��� ' - z9, DATE: z)
- ❑ PROPERTY OWNER ❑ CANT CO RaICTOR
:FOROFFICE USE ONLY:
='Q NEW. .. _z ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
'CENSUS CODE: LOT SIZE:
BONING DESIGNATION: BUILDING SHELL ONLY? CI YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN' = ClJYES El NO
SECTION TOWNSHIP RANGE 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
wwwatvoffedera lway.com