01-103879 City of Federal Way
Community Development Services Electrical Permit #:01 - 103879 - 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: LASTING IMPRESSION SALON
Project Address: 1648 S 310THtSuite4A Parcel Number: 785360 0150
Project Description: ELE-Relocates 4)general purpose outlets,replace(2)existing exhaust fans for existing retail space.
Owner Applicant Contractor
Ph&Tf Townsend CTS CONSTRUCTION LTD CTS CONSTRUCTION LTD
1648 S 310TH ST SUITE 6 25410 42ND PL NE 25410 42ND PL NE
FEDERAL WAY WA 98003-4954 KENT WA 98032 KENT WA 98032
(253)941-5119
Electrical Fixtures
Description Quantity Description (Quantity .. Description Quantity
Circuits- Commercial 5
PERMIT EXPIRES April 2,2002,IF NO WORK IS STARTED.
Permit issued on October 4,2001
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: k.)3 Date: b tc4
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CATr« _ CONSTRUCTION PERMIT APPLICATION
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RECE FE1D APPLICATION NUMBER: Q L oC)
APPLICATION NUMBER: _ _ - 1327 - _ _
OCT 0 4 2001 APPLICATION NUMBER: - -
**The follow u information-Please print(in ink)or type**
CITY OF.- pF pp trG f
Please note: Electrical, Fir$ti6ri-Systems and Engineering permits may require a separate application.
` ■ PROPERTY INFORMATION
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SITE ADDRESS: 1 L� ��, `3 0 NF1 ) ASSESSOR'S TAX/PARCEL #: � � (j - �'. / /�
1 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Y; - • PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
WELECTRICAL ❑ ENGINEERINGE1 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �,\ n 0 „, re 9 CX`,-e4,,,,e.,c,, ,
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PROJECT NAME: L r l IQ ( M F ' J ./ , 0 " 54-(
_ : ■ PEOPLE INr: AMAT.3N
PROPERTY OWNER: NAME: DAYTIME PHONE:
cc.)- ev— maw A.. S r`n ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
CONTRACTOR: NAME: DAYTIME PHONE:
`T CI a i•- Cs.e,--r..A'1 b— _-t r (`.fob) 3 c L t;ti 16
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
S y l W a T..‘- ,e l C v 1.‹.-....k—A.14-0. `1$'03 z (1113 )ety I - S I t
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) C- 1 S C p. L * 0 L. 4. tl S `3 / a 5 /3.C1S .
APPLICANT: NAME: DAYTIME PHONE:
e- ' . W , 1p.s>-t (9_,: ) 3otb -C,--/
I MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
a. -s v-o. o 1`l`a„ i s`,`��.- - LK._9F a 9.,2- ( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT IA OTHER(DESCRIBE): t I c.,ek-,,.LCA- ( ) -
E-MAIL ADDRESS:
ICONTACT 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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN El HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 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:
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 application.
NAME/TITLE: DATE: I 0
❑ PROPERTY OWNER Cl APPLICANT WCONTRACTOR
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 0 NO CHANGE OF USE? ❑ YES ❑ NO