02-101359 City`e Federal Way Electrical Permit #:02 - 101359 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
III
Project Name: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH Suite2 Parcel Number: 114040 0010
Project Description: ELE-3 thermostats for new mechanical
Owner Applicant Contractor
MONA C/LAURENCE A LUX ENVIROMECH ENVIROMECH
909 S 336TH ST ENVIROMECH ENVIROMECH
KIRKLAND WA 98083 4735 EAST MARGINAL WAY S 4735 EAST MARGINAL WAY S
BLDG 1202,SPACE B-2 (206)762-1960
Electrical Fixtures
_=.z.=::Description- ;: . Qu t Description:,' ;. ==1Quantity .4,1,&,:,", -:Description .-1Quantity
Thermostat I 3
PERMIT EXPIRES September 29,2002,IF NO WORK IS STARTED.
Permit issued on April 2,2002
III 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: �%�/�,/'jj���� Date: 4 - g - Q
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RECEIVED_ CONSTRUCTI ION PERMIT APPLICATION
APPLICATION NUMBER: Q �- I D L 5±?- ea et
APR 0 2 ZUOZ APPLICATION NUMBER: - -
rr--r�v/QF FEDERAL WAY
APPLICATION NUMBER: - -
**The7idf��informatiori—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
. - _-. __- .- ..__ . 1!rPROPERTYINFORMATION '" - - -
SITE ADDRESS: Fie 5. 348 T�SCc/re . . ASSESSOR'S TAX/PARCEL #: / / 4 O 4- O - O O / D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
I •-•!-:1:-.'';:_ .it-'':!'-'•••••;:"-'," .;3.1=- _ 11, PRO3ECT IN FORMATION i : :-•. - . -,= . -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION
(ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide''/ detailed description): _C,t1ST.S9-hh ` E.401,V d -7i9 1 ,0A./G, fpit
�A ,P &/9-.5' 'u v!TS 1?/>rN Coo z-/A)6 C i( %
PROJECT NAME: &./'tJ SitAild- / (a s Ile 57A-v
.".;.1 -- - . - - . - .. ---a-PEOPLE INFORMATION - --. .. . . . .•- . : - -. . - - -
PROPERTY OWNER: NAME DAYTIME PHONE:
i A40/ss 4 C/2.¢u/t kick- .4 Lax
x ( ) - 1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP).
709 S, _7_56 cif s'r .e -- .4,vo, h'•9. 78 '623
CONTRACTOR: NAME DAYTIME PHONE:
EA/vbea..; (zoG ) '74 2 - 194e
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE:
4 735 E: MARGi u a4 *illy (,tab ) 762 - 19‘a
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (,gas ) '42- - /1934
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 4 Al y / e * * . 8 ,9 Q (g /213/ /2Z•
APPLICANT: NAME DAYTIME PHONE:
,E(IuikeVt" s71 (/a ) 76.t - /940
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP) 9a3i34 EVENING PHONE:
4 735 E. /1/109,e6/,v,1,4. 10c y S. _SE.42-r7ZE yvx. (gob) 742 - /7 O
I RELATIONSHIP TO PROJECT- �� / FAX NUMBER-
❑ ARCHITECT CI TENANT LTJ OTHER( DESCRIBE): MEGA/. Cpq/772.. (2 ) 14.2 - /9.341
E-MAIL ADDRESS
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER CIAPPLICANT CICONTRACTOR
. .. :: -' --= - .. '• ■ -DETAILED BUILDING INFORMATION -'-''"•'' - ' - -' - -
1 EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
rf SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIr
MATEB-SELLING PRICE: $
• - - -- - ■ PROTECT 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 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHERS) 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)
' ■ rDiSCLAIMER/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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application.
NAME/TITLE: A/E22.. I? AUER/ DATE:
❑ PROPERTY OWNER ❑ APPLICANT NTRACTOR
-FOR OFFICE USE ONLY:
❑.NEW=':-==z-fl-ADDITION ❑ ALTERATION - ❑REPAIR - ❑TENANT IMPROVEMENT -
'CENSUSCODE: = LOT.SIZE: _ - - -
,ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES 0 NO
-COMPPLAN DESIGNATION _ BASIC PLAN? ❑ YES ❑ NO
SECTION: _ TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
-PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? ❑ YES El NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718-253-661-4000•FAX:253-661-4129
www-cityoffederaiway-com