01-101147 City of Federal Way Electrical Permit #:01 - 101147 - 00 - EL
Conm�unity 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: STOP IN GROCERY
Project Address: 33320 PACIFIC S Parcel Number: 797820 0025
Project Description: EL-Alter service for tenant improvement.
Owner Applicant Contractor
Ick.lin&Suk Hui Kim GOLD ELECTRICAL GOLD ELECTRICAL
28317 15TH AVE S 5121 GALLEON DR NE 5121 GALLEON DR NE
FEDERAL WAY WA TACOMA WA 98422 TACOMA WA 98422
98003-6100 (253)227-7712
•
Electrical Fixtures
L Description Quantity Description gQuantity Description rauantity
Alt.Serv./Feeder up to 200 amps-Co' 1
PERMIT EXPIRES September 22,2001,IF NO WORK IS STARTED.
Permit issued on March 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: ��ri��� � Date: A*/.e/
7-2 - ‘7/ ,4;/
n l•
RECEIVED
crtr or CONSTRUCTION PERMIT APPLICATION
�-
EIDAPPLICATION NUMBER: 01 - 1 D J J _q 7- L
APPLICATION NUMBER:
Ll i y OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT
**The following is required information-Please print(in ink)or type**
I
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
� T
SITE ADDRESS: 33 320 "at././//C' ' Y r r ASSESSOR'S TAX/PARCEL if: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' ■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING M ANICAL 1 DEMOLITION
,ELECTRICAL ❑ ENGINEERING IR 'REVENT 'N SYSTEM
PROJECT DESCRIPTION(Provide detailed descrip on): / i dir ce/''l//C.Q
, --)ei •!YY CPGeeli D - ., v
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PROJECT NAME: S' '' / k el CE
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■ .',nPl INFORMATION
PROPERTY OWNER: ME: D' ME PH' .
lI )
M' G Al SS(STREET ADD S;CITY, ATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
MAILING AD' S(STREET ADDR' S;C ,ZIP): - EVENING PHONE:
s`77—/ -a/el 7 �' - : Ai' a 14 � ( )
I
CITY OF FEDERAL Y BUSINESS UCEN' � FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: l EXPIRATION DATE:
(copy of card required) r i� 4ki�/_ "T_ _ -2._, 23 / 2
APPLICANT: NAME: « DAYTIME PHONE:
( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING 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 BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? El YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:El YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 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: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(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)
■ 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 apple.n.
NAME/TITLE: A//i �r //r//I/ DATE: /...24/1/
❑ PROPERTY OWNER •• •PLICANT 01j ONTRACTOR
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
(YIMMI INTTV r1FVFl OPMFNT SFRVICFS•33S30 FIRST WAY SOI ITH•P(1 PDX 9718•FFDFRAF WAY.WA 98063-9718•253-661-4000•FAX'7S-1-661-4129