04-102239 of
ay
City unity Development Services eveWCommunityConElectrical Permit #:04 - 102239 - 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: FEDERAL WAY MISSION CHURCH
Project Address: 405 S 312TH Si- Parcel Number: 082104 9221
Project Description: Retrofit ballast and lamp.
Owner Applicant Contractor
KOREAN MISSION CHURCH UNITED ENERGY TECHNOLOGY INC*CHI UNITED ENERGY TECHNOLOGY INC*CHE
405 S 312TH ST UNITED ENERGY TECHNOLOGY INC UNITED ENERGY TECHNOLOGY INC
FEDERAL WAY WA 33310 PACIFIC HWY S SUITE 404 33310 PACIFIC HWY S SUITE 404
98003-4032 FEDERAL WAY WA 98003 (253)835-1900
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Co' 1
PERMIT EXPIRES December 4,2004.
Permit issued on June 7,2004
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: / G
` THIS CARD IS TO REMAIN ON-SITE . •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102239-00-EL
Owner: CHEOL H KIM
Address: 405 S 312TH ST
FEDERAL WAY, WA 98003-4032
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover (4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
Federal Way I (7-- / ' PERMIT
COMMUNTYDEVELOPMENT SERVICES
SF MF CO M EL "L DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
2DRWAFW2536 ,129 APPLICATION
/ /
mum cituolkderalwaa.oom
The ollowi • is re.uired in ormation-an inco •lete a..lication will not be acce•ted. Please .rint le.ibl (in ink)or
PROPERTY INFORMATION
SITE ADDRESS Ck(-)S ‘ I r ' 6i
- ate-A4 !r CUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal damptionf
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
12-el-lid li- 64.66,1i-- c,i,ti- t-io
PROJECT NAME(Name of Business or Owner Last Name) rde- J bAi /4( (v/) (L;24/.-c L
PEOPLE INFORMATION
PROPERTY N� _E /�f A l/� L (PRIMARY PHONE
OWNER /f/�J A NG A.((I ay OW/ottaj/ l`
41
'c , / j 2/"9 4� �RS
%% �/,f.Q (,J'W_�JA/ 66/,4--- g8o o/
CONTRACTOR COMPA NAME APPLICANT NAME 1 OFFICE PHONE
190 0
MAILING ADDRESS,0 Cperey - CITY,ST TE,Z Pved CELL PHONE ��
C /0 5-:!.5-L W Y BUS /I J �NUMBER Al- EXPIRATION -( F'/7 )NUMBERAX !/r// - - I
Ml'e. '� - BL / / 3 ) 65'(S$ 4-
CONTRACTOR'S REGISTRATION NUMBER(ccoPy of card required with each application) EXPIRATION DATE
614 / 'T-6 g—r ' '(? gC. , 2 l /oI7.e0�
APPLICANT COMMPANY NAME /_�A` e�e��/�// APPLICANT NAME OFFICE PHONE
ltteDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REOUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED _
•`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(commercm1) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS Roar*) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Smks) 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 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,including 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 the city as a part of
this application.
NAME/TITLE „d '�- M DATE ‘(
S'nature P r (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? a YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100 March 30,2004 Page 2 of 4 k\I-landouts—Revised\Permit Application