04-101011 Cityu eveWay
Community
Development Services Electrical Permit #:04 - 101011 - 00 - EL
ty
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: THE GREEN CLEANER
Project Address: 29314 PACIFIC S Suite101-B Parcel Number: 304020 0070
Project Description: Retrofit lamp and ballast
Owner Applicant Contractor
Jae Y&Nichole H Kim United Energy Technology INC*Cheol H Kim' United Energy Technology INC*Cheol H Kim
3417 SAINT ANDREWS CT NE UNITED ENERGY TECHNOLOGY INC UNITED ENERGY TECHNOLOGY INC
TACOMA WA 33310 PACIFIC HWY S SUITE 404 33310 PACIFIC HWY S SUITE 404
98422-2232 FEDERAL WAY WA 98003 (253)835-1900
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES September 18,2004.
Permit issued on March 22,2004
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: See Application Date: 7!Z3 I c9
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FINALED
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414 N .
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..a,.,,,...,A, RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF `""""""� APPLICATION NUMBER:(itt - I (2/.614 -O(2
Federal vvay MAR 2 3 Z004 APPLICATION NUMBER:
APPLICATION NUMBER: - -
CITY OF FEDERAL WAY
**The faidl4OtN€rgcgd information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
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• PROPERTY INFORMATION
SITE ADDRESS: ->"P314" po,C7!f G HI J X S 4( I ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEMS
PROJECT DESCRIPTION(Provide detailed description): �e- 'e o-S (-> b< L ...' 1>
PROJECT NAME: e (. C• - alV -et^' a 4"
■ PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTI E PHONE:
rime dr,1/4-i/(4:2__ (-1-- --0) •.?r- c(cery'
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
J r31p r a kw7 S -w (4=4 p f--- .,e4 tea, nd2.0aj
CONTRACTOR: NAME: (A&'( DAYTIME PHONE:
mAI IEI-KAVIORMST#tTEZIP)F)4- EENING
PHONE:
FEDERAL WAY, WA 98u63 (cp-i 1-er-- - 7 ca'-6
CITY OF FEDErE Y 215
3i1
5
POOL: FAX NUMBER:
- ( )
-
CONTRACTOIQasTg§ tia5:188T
�/' ,/�� 'T '-r' 6 (� EXPIRATION DATE: L/'
(copy of card required) ti /V j f T I 9 cc C S .�_ / (o / C)A
APPLICANT: NAME: DAYTIME PHONE:
9a _. Q.. &&o(-•-•-<..-- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: L� FAX NUMBER:
0 ARCHITECT o TENANT THER(DESCRIBE): CAJLA--- /`a�cnc ( ) -
� E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT EreI NTRACTOR
• PROJECT INFORMATION
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: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
• 14
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT 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: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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,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 t• e ci, as a part of this application.
NAME/TITLE: DATE:
o PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
a NEW a ADDITION ca ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? a YES a NO CHANGE OF USE? o YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-40-00•FAX:253-661-4129
www.citvoffederalway.com