02-104675 01
T
City of Federal Way
Community Development Services Electrical Permit #:02 - 104675 - 00 - EL
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: GENGHIS KHAN
Project Address: 31448 PACIFIC S Parcel Number: 092104 9113
Project Description: ELE-Altering(3)circuits for exterior lighting
Owner Applicant Contractor
Tien Tsai&Chuen H Liu L&D ELECTRIC L&D ELECTRIC
31448 PACIFIC HWY S 14811 16TH AVENUE CTS 14811 16TH AVENUE CT S
FEDERAL WAY WA 98003-5404 SPANAWAY WA 98387 SPANAWAY WA 98387
- (253)208-6582
•
Electrical Fixtures
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Circuits- Commercial 3
PERMIT EXPIRES April 20,2003,IF NO WORK IS STARTED.
Permit issued on October 22,2002
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.
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Owner or agent: - Date: 71/-)---)—/A,1
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__ RECEIVED CONSTRUCT I ION PERMIT APPLICATION
y\> Ay APPLICATION NUMBER: - y�-
OCT 2 2 200? APPUCATION NUMBER: -
�,�-�/ F FES
ERA�WAY APPLICATION NUMBER: - • -
CAVifig 'e uired information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
- • P•1 PROPERTY INFORMATION
3 8 -'r^,&``1;4 •
-
SITE ADDRESS: l�G lv H S0• •SSESSOR'S TAX/• •CEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
._.-,.. :.....:_ _. :',.:-.:•-,".. _.,- • ‘ ' - . : .M PROJECT INFORMATION-. = .•- . , . . .
TYPE OF PROJECT(This application): UILDING ❑ PLUMBING MECHANICAL 0 DEMOLITION
❑ECI
❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
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PROJECT DESCRIPTION(Provide detailed description):
iption): Af ,,f L J ' iiit „/-
PROJECT NAME: Ge4,1A• % Kul
, , , a7 PEOPLE INFORMATION V
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS EET AD ;CTI )I , •
CONTRACTOR: NAME: DAYTIME PHONE:
1. '0 e4e- C , (` ) til - a74 O
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVEN G PHONE:
j 1 / /tI1& CT S ( ) -
CITY
�C//Oj'•F�((.,F//E//�'DE��IW/AY�BUSINESS LICENSENUMBER:— d), _ _ — — — - — — NUMBER:
�
CONTkAL'F'✓ R'S EGISTRATI0 NUMi B RY ' —y.,��J/�J EXPIRATION DATE:
(copy of card required) l4?& - 4'�—� e — — — — / /
APPLICANT: NAME:
DAYTIME PHONE:
CHI ( ) -
MAILING ADDRESS(STREET ADDRESS;47.1 ATE,ZIP): EVENING PHONE:
(.4 ) g 0?
RELATIONSHIP TO PROJECT: FAX N MBER:
0 ARCHITECT ❑TENANT Cl OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT Cl CONTRACTOR
■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING BUILDING ASSESSED _ . - • I • •
PROPOSED USE: - - I ••SED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? / YES 0 NO FIRE SUPP• 7 EM PROPOSED/REQUIRED:❑ YES 0 NO.
WATER SE• A ••OVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE '•
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) ilk
**NEW RESIDENTIAL CONSTRUCTION ONLY** +- ' I
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PROJECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. I PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST •
•
SECOND •
THIRD . •
•
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: _
..�. '—+�•cy+.�3•c+W•«sr .v--T.�.v.r-��.e �. •sr�Cc:.CJM1Y1!Y.tJ[T{AJ:`RMiV•!iT•Y�tFI �,�GS'}�•' <.+N�'R`>`�t•r.n�M•.•A++� n�J:If�YHiwirt.'iL`rti.�111i«�'T.NVi.:+`w�.tT`tv...Ff.-.
Indicate number of each typ• •f fixture
MECHANICAL
AIR HANDLING UNIT( EVAPORATIVE COOLER(S) G• •• (S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD( WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR - FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: SI ELECTRIC ❑ GAS
PLUMBING
: •THTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
- •M -DISCLAIMER%SIGNATURE BLOCK -
I certify under penalty of perjury th.t the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner o • e 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 daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city as a part of this application. f
0 L�
NAME/TITLE: � DATE: /0 '12 /((
❑ PROPERTY OWNER ❑ APPLI •CONTRACTOR
4FOR'OFFICE USE ONLY:_-�
=NEW - F 14,❑JADDTTION ;: , ;❑=ALTERATION:moi; :REPAIR=_ x=❑:TENANT:IMPROVEMENT=:: =:-
yCENSUS
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COMP fA V.I)ESIG = s_ 3k
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SECTION £ '=TOWNSHIP;: RANGE _ ` '�" .. - _ = -REQ s,, y= ':. ❑'Kd L
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>PLATTED ❑ YES:7E1116 T _CHANGE OFUSE7='' _ -.'.AYEST
• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffederalway_com