01-102923 Com ntyDev l Way Electrical Permit #:O1 - 102923 - 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: PARK
Project Address: 29613 20TH s Av-e 5 Parcel Number: 367440 0236
Project Description: ELE-Adding 2 circuits for new addition
Owner Applicant Contractor
Jin Woo&Duck Hye Park Jin Woo&Duck Hye Park Jin Woo&Duck Hye Park
29613 20TH AVE S 29613 20TH AVE S 29613 20TH AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
980034241 98003-4241
Electrical Fixtures
Description Quantity Description Quantity Description iQuantity
Circuits-Residential 2
PERMIT EXPIRES January 22,2002,IF NO WORK IS STARTED.
Permit issued on July 26,2001
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: 7ci. Date:
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Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection:
Date
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CzTyof . ' CONSTRUCTION PERMIT APPLICATION
N).\> FIY .AUL 2 6 7n APPLICATION NUMBER: 6 - 1 Q v2 GI �3 -LQ
APPLICATION NUMBER: - -
M CITY OF FCise=iAL 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:'1. 6//3 2Z k"p' y
ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
;'' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL El DEMOLITION
XELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): .2- GIP I rai I
PROJECT NAME: (/}
I
._ P OPLE IN'ORMATION
PROPERTY OWN 'NAME: //� • DAYTIME PHONE:
T w (')-f3 )94" -.l9/
MAILIN .•DDR (STREET •' SS, ZIP): I I
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CONTRA(' N,;; : DAYTIME PHONE:
No ' ou)neAr' (mss') ?-a- t/y/
AILING ADDRESS(SIRE'•,'DRESS;CITY,STATE, EVENING PHONE:
( )
, / CITY OF FEDERAL WAY BUSINESS UCENS UMBE •, FAX NUMBER: -
• ONTRACTOR'S REGISTRATION NU ER: EXPIRATION DATE:
` .y of card required) / /
APPLICANT: NA E: ,, DAYTIME PHONE:
( ) -
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EEVENING PHONE:
)
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) .
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION •
EXISTING USE: EXISTING B DING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOS , ALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO F .E UPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HI LINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 t1IGHLINE Y 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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC Cl 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 supplied to the city as a part of this application. f
NAME/TITLE: T a L DATE: A 0
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMI iNITv nFVFi OPMFNT SERVICES-33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX. 253-661-4129