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04-101058 City of FityedeDevelraloWapmeynt Services Electrical Permit #:04 - 101058 - 00 - EL Commun 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: SYLVAN LEARNING CENTER Project Address: 32717 1ST S.4te2' isfve S G7Tei 7-- Parcel Number: 697900 0050 Project Description: Retrofitting lamps&ballasts Owner Applicant Contractor Floor Covering Pf*Floor Covering Pf Resilient' UNITED ENERGY TECHNOLOGY INC*CHI UNITED ENERGY TECHNOLOGY INC*CHE 12886 INTERURBAN AVE S UNITED ENERGY TECHNOLOGY INC UNITED ENERGY TECHNOLOGY INC SEATTLE WA 33310 PACIFIC HWY S SUITE 404 33310 PACIFIC HWY S SUITE 404 98168-3318 FEDERAL WAY WA 98003 (253)835-1900 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 pt1Cat1Un Date: 31 (O"1 ( 12- Oct '1777:-v_‘.4,0Q t4k‘ccoe.c% O 0 1 , k t 4 41116. _ CONSTRUCTION P RMITAPPLICATION WY OF Federal Way � �� APPLICATION NUMBER: 0 ,„ - Lal_ ' sS- L.„,1 t APPLICATION NUMBER: _ _ - _ -. _ ..... - _, - .... - MAR 2 4 2004 APPLICATION NUMBER: _ _ - - _ _ - _ - - **Thetliptir 'SiseEquilBdeCmation-Please print(in ink)or type** Please note: Electrical,Fire 5 kiiiiiikfQ 9y firms and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: 3--)7(? F k J-,p-•• LC' # ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING o MECHANICAL a DEMOLITION ELECTRICAL ❑❑ ENGINEERING a FIRE PREVENTc__0-...,1,; ON SYSTEM PROJECT DESCRIPTION(Provide detailed description): t2�`'-f-`-"' r r . (?4,4(./.% - t./.% PROJECT NAME: cY f V L€ -'�`r pl" C e ci"-t� / / ■ PROJECT INFORMATION PROPERTY OWNER: NAME: 0 DAYTI E PHONE: MAILING ADDRESS(STRE ADDRESS;CITY,STATE,ZIP): 3--L9-/ r it 4 fi 0-ve , S ' ("))7c nes )) t CONTRACTOR: NAME: 1i�E S\rRFE (/(( DA ME PHONE: laa1 G1A$bIQDWSS,'CITY,§A 4lg4 EVENING PHONE: FEDERAL WAY, WA 98003 (cP-117f? - i' b6 CITY OF F9teLWA M 9UOER: FAX NUMBER: CONTRALTO tR'S'REtiIS i41§4.884 EXPIRATION DATE: (copy of card required) U (V ( Tr ..- 5T- 6' CS a- /o / DAYTIME PHONE: NAME: ( _ APPLICANT: �� `) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( RELATIONSHIP TO PROJECT: � ��. FAX NUMBER: a ARCHITECT ❑TENANT LW ,VIiHER(DESCRIBE): �it3L tL .. ( E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER 0 APPLICANT `i 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 ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC) II **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) RANGES) 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 0 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 supplie. - h= ity as a part of this application. NAME/TITLE: _ DATE: o PROPERTY OWNER 0 APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ©ADDTCION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? R YES 0 NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES 0 NO SECTION TOWNSHIP RANGE NEW ADDRESS;REQUIRED? 0 YES ❑'NO PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? ❑YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX 253-661-4129 www.citvoffederalway.com