04-101044 City of Federal Way Electrical Permit #:04 - 101044 - 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: PRO 2 CLEANERS
Project Address: 2142 SW 336TH 5% Parcel Number: 132103 9097
Project Description: Retrofitting lamps&ballasts
Owner Applicant Contractor
IDC&TWIN LAKES LLC*IDC&TWIN LAK UNITED ENERGY TEC INC*CI
i ED ENERGY TECHNOL IN E
742 1ST ST S UNITED ENERGY TEC C 'ITED ENERGY TEC 0
KIRKLAND WA 33310 P WY S SUIT 4 33310 PACIFIC HWY S SUI 4
98033-6529 FEDE L WAY WA 98003 (253)835-191
Electrical Fi es
L Description Qua fi Description Quantityihillit* Quantity
Circuits- Commercial 1
PERNHT EXPI •pt 004.
Permit issued on 104
I here ertify •that the abov\1%/
is •
correct and •
that the construction on the above described property and
the occu cy and the will be in accordance with the laws,rutes and regulations of the State of Washington and
the City o
Owner or agent: See Application Date: 31 V+ I
I RECEIVED
CONSTRUCTION PERMIT APPLI ION
CITY Of mAg 2 3 ?004 APPLICATION NUMBER: 04-- JL O i LL"
Federal APPLICATION NUMBER: _ _ - _ _
CITY OF FEDERAL WAY -� - - - -
BUILDING DEPT. APPLICATION NUMBER: '_ _ _ _ _ _ - _
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: -21 4-1 SL.) a.?6 4-6' St- ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ 9UILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
fl/ELECTRICAL o
�E"NGIINEERING o FIRE PREVENTION SYSTEM
C
PROJECT DESCRIPTION(Provide detailed description): A7t^3'f C4-`711- (-�n�'(''‹. t3 o-((e'`
PROJECT NAME: Y -")- C `.eo`kes-42-`"
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
.�(o �� (. ) X67- (P2,
MAILING ADDRESS(STREADDRESS;CITY,STATE,ZIP):
-14 4: - c0 33 644 c+. c4 ca 7P.0a-o 33
CONTRACTOR: ^ NAMiE:(� pU1�(��{'�T'(' H�Y /](�4 DAYTIME PHONE: -
3 Lla AP c l\ST�EET ADDRESS,C , ATE'? P):
EVENING PHONE:
FEDERAL WAY, WA 98003 (cp-rir-?-- P((a
CITY°TELRALnatDJJ'-T 9/30)MBER: FAX NUMBER:
CONTRACTORS'RgalION 1QUMB§P4
�/ -]`� P// �/' EXPIRATION DATE:
(copy of card required) a f V f �V L / " V4 C ss _l__ I (6 / o-e
APPLICANT: NAME: DAYTIME PHONE:
``J'G;.r-..Q_ C.C. al.-�— ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(
RELATIONSHIP TO PROJECT: � L FAX NUMBER:
�
❑ARCHITECT ❑TENANT �YOTHER(DESCRIBE): C mac.,.. ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ❑APPLICANT 1?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: 0 LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
Is y
a ft
**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 tthe
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 the city as a it of this application.
NAME TITLE: DATE:
❑ PROPERTY OWNER o APPLICANT 0 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ADDITION 0 ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHED ONLY? 0 YES 0 NO
COMP PLAN UESIGIUCTION BASIC PLAN? 0 YES ❑NO
SECTION 1OWI IP RANGE NEW ADDRESS REQUIRED? CI YES 0 NO
PLATTED LOT? o YES ❑ NO CHANGE OP USE? ❑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.atvoffederalway.com