04-101054 z �
City of Federal Way Electrical Permit #:04 - 101054 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.835.3050
Ph:253 661.4000 Fax 253.661.4129
Project Name: MARKET SMOKE+
Project Address: 28841 MILITARY S Parcel Number: 042104 9037
Project Description: Retrofitting lamps&ballasts
Owner Applicant Contractor
Rodney W Snyder UNITED ENERGY TECHNOLOGY INC*CHE UNITED ENERGY TECHNOLOGY INC*CHE
28815 PACIFIC HWY S#10A UNITED ENERGY TECHNOLOGY INC UNITED ENERGY TECHNOLOGY INC
FEDERAL WAY WA 33310 PACIFIC HWY S SUITE 404 33310 PACIFIC HWY S SUITE 404
98003-3905 FEDERAL WAY WA 98003 (253)835-1900
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 1
PERMIT EXPIRES September 19,2004.
Permit issued on March 23,2004
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: *-'31/ C711
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NIL CONSTRUCTION PE MIT APPLICATION 0
CITY OF .k,°' 4 APPLICATION NUMBER: ' . L 1.-�
Federal At ' REC.,!:,.. ' APPLICATION NUMBER: -
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APPLICATION NUMBER; _ .w.. - _ _ _ _ _ _ " _ _
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**The f fdWing s required information—Please print(in ink)or type**
Please note: Electricalstt F' e,Rreuint q>:jfJst4i16 and Engineering permits may require a separate application.
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• PROPERTY INFORMATION
SITE ADDRESS: C Qn e41 1-4Z(zfvvr "°`d 9 ' ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BI}IILDING o PLUMBING o MECHANICAL o DEMOLITION
LECTRICAL 0 ENGINEERING�_ ° 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): k-e_'{-1i0 CTrt+` c—((G'-t II' b' f'.'G.,,de
PROJECT NAME: M CkA-7 ..e,' C ,9(c..."--- r( - S
■ PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
NAME: ......,
(A Le-. (....)._," ) _(-.)--f- 702
MAILING ADDRESS(STREERESS;CITY,STATE,ZIP):
1i d' / f-4 21t-vt•,vy P.0.a s' . Fe_d-e-e_4. w pot
NAME: (4 a—r i, DAYTIME PHONE:
04/13N1QDBRA�Eakil S Q4 EVENINGPHONE
FEDERAL WAY, WA 98003 (4- -ST ST P -
CITY OF IftEtL.V I8Sf5C OO1BER: FAX NUMBER:
CONTRA(,G.L. Sg§A v 3101,8v _ _ ( )
t / 7- C -7-- ? ‘' Cr? C� \
EXPIRATION DATE:
AT
(copy of card required) V / O 4
APPLICANT: NAME: ,... DAYTIME PHONE:
(--).0-1A".0.- ''‘
-L- ( ) -
MAILING ADDRESS(STREET ADDRES ,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
o ARCHITECT o TENANT THER(DESCRIBE): `�v'O%-t- ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT ONTRACTOR
• PROJECT INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES o NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
J t 4
**AEW 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: 0 ELECTRIC o 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 sup I ed to t e as a part of this application.
NAME/TITLE: DATE:
o PROPERTY OWNER o APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? O YES ❑;NO CHANGE OF USE? o YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederalway.com •