04-101072 • 1
City of Federal Way Electrical Permit #:04 - 101072 - 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
Project Name: GLEN'S BARBER SHOP
Project Address: 31216 PACIFIC S Parcel Number: 092104 9110
Project Description: Retrofitting lamps&ballasts
Owner Applicant Contractor
Robert&Myung Soo Shin UNITED ENERGY TECHNOLOGY INC*CHE UNITED ENERGY TECHNOLOGY INC*CHE
PO BOX 169 UNITED ENERGY TECHNOLOGY INC UNITED ENERGY TECHNOLOGY INC
33310 PACIFIC HWY S SUITE 404 33310 PACIFIC HWY S SUITE 404
PO BOX 169 !SNOQUALMIE PASS,WA FEDERAL WAY WA 98003 (253)835-1900
98068-0169
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES September 20,2004.
Permit issued on March 24,2004
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: 32/04
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93530 F1R5r WAY SOWN b r0 BOX 97 to
CITY a+�� ���A FEDERAL WAY,WA 9E00-9718
r� PERMIT APPLICATION ?53-661421S,FAX:?53661-4129
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The ollowin• is re.aired In ormat'lon-an Income tete a••lication wilt not be acce.ted. Please •rint Ie•ibl (In ink)or -.
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- r PROPERTY INFORMATION • .
SITE ADDRESS: 3_ �2 / {� '!7 C//;ff • (_ y S • SUITE/APT #
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT(This application): ca DUMDUM 0 PLUMBING ❑ MECHANICAL o DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit ortltd:
arpip
PROJECT 1IATYLF(Name of Business/Owner Lost Name): (/ 4't r'j / /L4 A-64 cj_ a
• ■ •PEOPLE INFORMATION
PROPERTY nnmc:
r1:1MAHY PHONE:
OWNER _i ( )
MAILING ADDRESS(STREET ADDRESS;): CITY.STATE,ZIP
CONTRACTOR NAME COMPANY OFFICE PHONE:
MAILING ADDRESSJ/k/f$C.
El;lR• }; 'CrI,Yr,�rr-TA1 ilf/ � .4� 3E� hFEpD[EnERL USINESS LICENSfr/$.
: !/I/ EXPIRATIOONNfDJAT : . FAX NUMBER:
- _ _ / / ( 3) 835 - /04e1/-
-
CONTRACTOR'S REGISTRATION NUMBER: /) / ,J/ '/�/� 52_ / /0EXPIRATION
ArDATE:�]
(copy of card required with each application)(J.A • g g i' .S 6 C 2- / / O / V b
LENDER NAME: —� (DAYTIME PHONE:
III P,oy.ra4J V 1 >$. .00 I _.J )
MAILING AL - ,E°i Ib I REBI 4Or2E551: CITY,3TATU,511'
u.F'L,I;ANTI NAMC. /J COMPANY "� nl:rlfI-:FHANE:
rS f ns C �Y��, T jf`/--— ( )
CITY,Sl'AfE,21Y you rEvENING PHONE:
MAILING ADDRESS(STREET ADDRESSI;
(. 1 .
RELAT[ONSI4[PTO PROJECT: //� ,, PAX•NUMEER:
0 Architect o Tenant 0 Other(Describe); C-d//CJ 1/e-elac/` ( ) -
CONTACT PERSON FOR THIS PROJECT:0 Property Owner ontractor 0 Applicant E•MAILADDRESS:
• DETAILED BUII.DING INFORMATION _
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ ., VALUE OF PROPOSED WORK: $
SPRINKLEREI)13U'ILDING? 0 YES u NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ❑ YES n NO
WATER SERVICE PROVIDER. a LAREIIAVIJN ❑ HIORLISIE u 'TACOMA u PP1VATE(W'RL.L)
SEWER SERVICE PROVIDER: n LAKEKAVEN ❑ IIIGI-ILINE n PRIVATE (SEPTIC)
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■ PZ&OJ£CT FLOOR AREA$ '
AREA DESCRIPTION EX!STINCi S . FT. -I PROPOSED S FT, I TOTAL
FIRST ...------
-..
SECOND .-.,.. ._,......._.._.---
Tl-IlfZt7 �` •-.. ~. - -
hUUKlk-I
- _— —.
i
.— ._..._.. --.
ADDITIONALFLOORS(DESCRII3?:), .-._._._...__ -..._.
DECD (COVERED?)
C_.ARAr.1F./C.4T:PC')RT
HOW MANY COORS? ^^ TOTAL Exibirtsci TOTAL.PRO'OiLO TOTAL ESL•`rist ANL,P OpQ$aD
EW HOMES ONLY" NUMBER OF BEDROOMS: - ESTIMATED SELLING PRICE; Si = --
A ''FiXTi3RF,S
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Z4: C73AMG1.L
Value of Mechanical Work $_
___. AIR HANDLING UNITS -- EVAPORATIVE COOLERS _ GAS LOOS REFI.IC.SVSTF.Mti
BI3QS FANS „_ HOODS iCommerag WOODSTOVES
OI1 EN FIREPLACE INSERTS RANGES MISC(t)e crribg)
,COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS OAS PIPE OUTLETS
PLUMBING
BATHTUBS I=rT,,b/f:!�nw.,co,:uo) _�,' SHOWERS _-_- ,-- WATER CLOSETS rrou<ru MISC (I)ncnb )
DISHWASHERS SINKS DRI N:INO FOUNTAINS
_-_ ( AS PIPE OUTLETS — SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIDES
_, L4VS pdad-,momsin!.• VACUUM aREAI:ERS ELECTRIC WATER HEATERS
' ■ DISCLA1MER/SIGNATURE BLOCK
'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 wit a such claim arises oat of the reliance of the city,
including its officers and employees, upon the accuracy of the info tion suppli ha city c a part of this application-
r
NAME/TITLE: ,/_ _� /
i,gn:p'1rt! IT ii1,1
RELATIONSHIP TO PROJECT: ❑ Property Chvncr to Applicant r Contractor 0 Architect U -. -
FOR OFFIr-`.R,tTSF.O NT.Y: •
❑ NEW n ADDITION I: ALTERATION..._...__.....—_1 ._______............._-_-- .___._... ---- .......__.._._..._........__..__.......
rT REPAIR Yr.'rENANT IMPROVEMENT -- ••----•••
_...____...____...... -_-.... . - _
BUILD
-
BUILDING SHELL ONLY? i.i YES I-i NO BASIC PLAN? :.YES ;i NO
ZONING DESIGNATION: CHANGE OF USE? r:l YES n NO
NEW ADDR.FSS REQUIRED? r!Y11-,'S i-i NOUP/SEPA SU- cu YES iI NO
1-LA1-I'L1)LOT? I YY:J :! DI ` DUblO rDP.P.I'I"I'ti'Qu1RL:D? a YES r-,NO
•
• ...
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