04-101001 r
City Federalof Way
Community
Development Services Electrical Permit #:04 - 101001 - 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: KOREA TOURIST BUREAU
Project Address: 31260 PACIFIC S UNITS Parcel Number: 092104 9265
Project Description: etrofit lamp and ballast.
Owner Applicant Contractor
Dana Plaza Llc*Plaza Lle Dana* NONE United Energy Technology INC*Cheol H Kim'
31260 PACIFIC HWY S UNITED ENERGY TECHNOLOGY INC
FEDERAL WAY WA 98003-5448 33310 PACIFIC HWY S SUITE 404
NONE (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: \
6 - - oz\
0\06-7 I
RECEIVED CONSTRUCTION PERMIT APPLICATION
CITY Q1 �I�✓' APPLICATION NUMBER:Of - i 0 L001 - (
Federal Way G ,, APPLICATION NUMBER: -
MAR
APPLICATION NUMBER: - -
**The followingl5rr''id information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
n
• PROPERTY INFORMATION
SITE ADDRESS: `')f•4 (�^ c Gwy S.• ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o,UILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING
,,�,,❑��O�FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): '\NEiI ---7_ c IX" (? "ti-e -`}-
s
PROJECT NAME: i'+P . 1":�teC s.f- 13 CAV ec--4-,
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
oA.avA. ES ('ATE,ZIP) ^ ("'\P)
Ftrt - cPGP�6
MAILING ADS(S
31-1-6o pas_c-Ft a Hwy S• Fe- ("s7
CONTRACTOR: NAME: Li C.--C.---7- ( / DAYTIME PHONE:
MAILING ADDRESS(STREET AB� YPS A IC HWY. S #404 EVENING )G PHONE:
FEDERAL WAY, WA 98003 (ten 9-r?- 966
CITY OF FEDERAL WAY BUSINESS LICEN1E It BEF253-835-1900 FAX NUMBER:
FAX: 2_3.835-1-884- - - ( )
CONTRACTOR'S REGISTRATION NUMBER. ,�/ " EXPIRATION DATE:
(copy of card required) Zi 'v ( /^T-r E I� ? e 4 CS' ..1.-- / /. / 15-6
APPLICANT: NAME: DAYTIME PHONE:
9o, —e as oL[aov-e- ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: � FAX NUMBER:
0 ARCHITECT ❑TENANT L�OTHER(DESCRIBE): G ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT CONTRACTOR
• 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 o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
s iy . ..
**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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 to th: ; • a •art of this application.
NAME/TITLE: DATE:
o PROPERTY OWNER a APPLICANT o CONTRACTOR
FOR OFFICE USE ONLY:
a NEW a ADDITION a ALTERATION ❑REPAIR a TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL,ONLY? a YES ❑NO
COMP PLAN DESIGNATION BASIC PLAN? a YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES a NO
PLATTED LOT? a YES a NO CHANGE OF USE? a YES a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-44.29
www.citvoffederalway.com