04-101049 •
CommCltyu FederalDevelopmenway t Services Electrical Permit #:04 - 101049 - 00 - EL
nity
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: TIPTOP NAILS
Project Address: 33507 PACIFIC S Parcel Number: 926503 0010
Project Description: Retrofitting lamps&ballasts
Owner Applicant Contractor
Du S Jung &Ann Y Jung UNITED ENERGY TECHNOLOGY INC*CHIUNITED ENERGY TECHNOLOGY INC*CHI
33501 PACIFIC HWY S UNITED ENERGY TECHNOLOGY INC UNITED ENERGY TECHNOLOGY INC
FEDERAL WAY WA 33310 PACIFIC HWY S SUITE 404 33310 PACIFIC HWY S SUITE 404
98003-6809 FEDERAL WAY WA 98003 (253)835-1900
Electrical Fixtures
i 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: 317 3(D11
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APPLICATION NUMBER: � S 0 f 0 -CI�1' CC�
Fe era W >. a?, ; '° APPLICATION NUMBER: -
APPLICATION NUMBER: - -
fOflnd is required 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
Vr
SITE ADDRESS: W?? r Pc- ``'G frity ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTYATTACH SEPARATE DESCRIPTION IF
( LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL o DEMOLITION
ECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM (3
PROJECT DESCRIPTION(Provide detailed description): faetfrO` f-I a/ c,...-t1---- 6
PROJECT NAME: .--TC; 4-2? 0 (v CLZA
• PROJECT INFORMATION
PROPERTY OWNER: NAME: /�, DAYTIME PHONE:
C1 CAA-£ ��� (..`i)) CP.?d>- ,3•1-
MAILING ADDRESS(STR E ADDRESS;CITY,STATE,ZIP): EVENING Pj / p
33.. �. S. PG-e-z-PZG Ftc T— .,P''-of 0 7,— l�(3
'1
CONTRACTOR: NAME: r ;.�"ri' / DAYTIME PHONE:
�NG'ODDRAP WAJDRl YCIi4$Sitg,Q4. E )
HONE:
FEDERAL WAY, WA 98003 (L )- ?-(?)-- trCf
CITY OFQ�ff1.41,V253SI8B£6CFN6FiNld►1BER: FAX NUMBER:
7^ [ EXPIRATION DATE:
(copy of card required) 4(((/ (/' T �"C'T ZT f ( q' C u� ....v._/ l 0 / b' 6
APPLICANT: NAME: DAYTIME PHONE:
So we cx_er Ol l�0'..-�-,. ( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
El �OT
ARCHITECT ❑ TENANT ` HER(DESCRIBE): �
`Fi/`02`1 -1%----/ ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT TT'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: o YES o NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
•
**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: 0 ELECTRIC 0 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 -laim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information suppli-- o - ci. as a part of this application.
NAME/TITLE: DATE:
❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
a NEW 0 ADDITION 0 ALTERATION ❑REPAIR a TENANT IP4PROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELLONLY' 0 YES; 0 NO
COMP PLAN DESIGNATION BASIC PLANT a YES a NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? a YES a NO
PLATTED LOT? 0 YES a NO CHANGE OF USE? 0 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