01-100730 •
City of Federal Way Electrical Permit #:01 - 100730 - 00 - EL
Conununity Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253 661 4000 Fax 253.661.4129
(3:30pm cut-off for next d. , • 'ons)
Project Name: DREAM BILLIARDS
Project Address: 33310 PACIFIC S Suite407 Parcel ber: 79 . ' 0025
Project Description: ELE-Alter a circuit for a new sign
Owner Applicant Contr
Ick Jin&Suk Hui Kim DREAM BILLIARDS YO ' NEO N CO
28317 15TH AVE S DREAM BILLIARDS 30318 NW
FEDERAL WAY WA 33310 PACIFIC HWY S SUITE FEDERAL WA 9800
98003-6100 FEDERAL WAY WA 98003 286
Elec ' al Fixtures
Descri•tion Qua ,, -" Descri`• • w ty ' Description uanti
IGIMIP - .11
PERMIT E . August 20,2001,IF NO O TED.
Permit issued on February 21,2
I hereby cert sat the above information' correct and that the cons 'o o bo described property and
the occupancy . •e use will be in acco :nce with the laws,rules an r u o s the tate of Washington and
the City of Federal v, .
i
Owner or agent: `aifillP, A ` Date: y Vo
w
3 ,30 .01 CA, ZS'S 0e
(__S—cc /0c/mac T of• vc. COJ C
GRYOf _ CONSTRUCTION PERMIT APPLICATION
—
APPLICATION NUMBER: 0 - I ..,-• _,.a
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APPLICATION NUMBER:
APPLICATION NUMBER: - -
�*��e�Dlfpvri�ihgkis required information-Please print(in ink)or type**
Please note: Electrical, Fire Preventi. y tems and Engineering permits may require a separate application.--
_ - .- -ijEF;AL
V, PROPERTY INFORMATION
SITE ADDRESS: DI"'P0Wt„ Y�111Q((eC u ASSESSOR'S TAX/PARCEL #: flq I) p.]•O — - G01S
01
LEGAL DESCRIPTIO OF' UBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
W4L-- GI el N c f(X Sri > .
1'1 PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILD G ❑ PLU G ■ CHAN . ❑ DEMOLITION
IHrELECTRICAL ❑ ENGI IN . FIRE PREVE ON SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1 1 , Aw)
Ilk
PROJECT NAME: /
4 CEO► '.E INFORMATIOI
PROPERTY OWNER: ME: . . ME PHONE:
( ) -
MAI ADDR. •DDRESS;C STAT' '):
CONT OR: NAME: DAYTIME PHONE:
6 Nto,✓ i (�i3) 66I - 9 5
AILING ADORES EET AD. S;CITY,STATE,ZIP - EVENING PHONE:
303(.41 3 ' AVe s (iy3 ) gck6 - 1).-dP-‘. ,
CITY OF FEDERAL WAY INESS LICENSE NUMBER: , FAX NUMBER:i if
YO o ( D 10�1OoL ( ) _
CONTRACTOR'S REGISTRATION NUMBER: n l} T EXPIRATION DATE:
(copy of card required) y 0 T �s 0 '/ / ICC_ 5- / r / O
APPLICANT: DAYTIME PHONE:
C KA/U& (..- ( ) 3 ) 66/ - qP1
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
. 0. V' ( ► Ave S ( ) -
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 El NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT 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)
I DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury tha 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
,4'
of the information supplied to the
the city as a part, Iof this application. thiNAME/TITLE: C M tv er pVk L DATE: ---)4 70 /
❑ PROPERTY OWNER ❑ APPLICANT LICONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 0 NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129