01-101699 •
City of Federal Way Electrical Permit #:01 - 101699 - 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: NICOLE'S HAIR SALON
Project Address: 31849 PACIFIC S Parcel Number: 082104 9206
Project Description: EL-Electrical for sign installation.
Owner Applicant Contractor
John J&Lisa Y Sohn HYEEUN KANG YOUNG'S NEON SIGN CO
16603 SE 57TH PL 31444 47TH PL SW 30318 13TH AVE NW
BELLEVUE WA FEDERAL WAY WA 98023 FEDERAL WAY WA 98003
98006-5539 (253)946-1286
Electrical Fixtures
{ e^E;T7�? Q,,11�1ii4a o.o"i a '' itit}/ i. 'PJ tik t !_ Description nerd*
Sign ;"{{` : �-'" �V' ix',a`'':;•.ti::'r':':: ::5;:;:«:>}cvw•,5:
>'< ?> _ PER I'1 "I :18,2001,IF NO WORK IS STARTED.
11111 AERROlit#110MEMYANgth
I hereby certify that tli - ile.>":i tib i; cow--; Y e cons { {..,:•:r•.octal-a :be {.:. :;:;-:...:?;.
the occupancy an ::. `-: ac rdplctr�file >ttles aatlons of
4 ` •vvK�:?}::...;8iiv?;vw:yiiivv..:.{:C ::•i':':'~�}i:iri'i'i: riCSt •'4:'?ti:;:.:•.::•i v..'n,::
the Co edeaWA ..,.: :. ... ..
Owner or agent: ;`_> ... , >:=: Date:
?: ii 6-7
RECEIVED CONSTRUCTION PERMIT APPLICATION
uv Fn.'. - MAY 0 1 200 APPLICATION NUMBER: 0 - L011 v_0_0- sc_
'APPLICATION NUMBER: O J - I 0 1 6 ci' -f_t_.
V,r r
Lir root, L INN APPLICATION NUMBER: - -
BUILDING DEPT.
**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.
n,/ ^ r• PROPERTY •INFORMATION /
ADDRESS: I R q f4-c(PC K�/ � - . ASSESSOR'S TAX/PARCEL #: Q Z L -? SITE LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): _
I
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
I�-ELECTRICAL ❑ ENGINEERING❑ FI EVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): wAt\)
k
10'
I PROJECT NAME: N I [(!n K ` 0K\
• PEOP _=IN 'ORMATION
PROPERTY OWNER: ME: DAYTIME PHONE:
I MAILING AD S(STREET A k SS;C ,'TE,ZIP):
CONTRACTOR: E: DAYTIME PHONE:
5 IN
vUN(�IS N- S�C�N o (>53 ) gid ilk`
M' G ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
d - • r
CITY' - DERAL WAY BUSINESS LICENSE NUMBER:
(AX NUMBER:
t
CONTRA • •EGISTRATION NUMBER: EXPIRATION DATE: 1i
(copy of card required) _ _ E I / �" 03
DAYTIME PHONE:
APPLICANT: NAME:
CGI q►1 ' ( ) -
MAILING ADDRESS(STREET ADIf ;CITY,STA I PIP): EVENING PHONE:
{{{t 770 1 g' 13 ` `-f AV -.. S fec�•eVot ( (W a ( ) 6)14 - (4(
RELATIONS IP TO PROJE : FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
L E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER APPLICANT L�'J CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
1 WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
.
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
• PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. Ti .1
BASEMENT
FIRST
SECOND
THIRD
FOURTH i
,
OTHER FLOORS(DESCRIBE)
DECK]
GAB�CGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES I
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.( ) 1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BAT UB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DI WASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
KINKING 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 suppi' to the city as a o this appli ion.
1
NAME/TITLE: ,C DATE: a <CQ
I ❑ 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 1
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 INITY DFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129