01-104197 • r
City of Federal Way Electrical Permit #:01 - 104197 - 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: SALON LEREW
Project Address: 32921 1ST S-SwiteC Ave S Ccnl 1 Ci Parcel Number: 697900 0030
Project Description: ELE-Adding 100 amp service,including lights and outlets
Owner Applicant Contractor
Floor Covering Pf Resilient A C ELECTRIC SERVICE INC A C ELECTRIC SERVICE INC
12886 INTERURBAN AVE S 274 SW 43RD 274 SW 43RD
SEATTLE WA RENTON WA 98055 RENTON WA 98055
98168-3318 (425)251-8008
Electrical Fixtures
Description Quantity Description JQuantity Description Quantity
Alt.Serv./Feeder up to 200 amps-Col I
PERMIT EXPIRES April 30,2002,IF NO WORK IS STARTED.
Permit issued on November 1,2001
I hereby certify that the above info 4. .tion is correct al d that the construction on the above described property and
the occupancy and the use --ill . in accord. •ce wi, 4 e laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or ag k �' ` _ Date: 1 t' (0 -0
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I-0 ' - CONSTRUCTION PERMIT AP LICATION
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APPLICATION NUMBER: -G
APPLICATION NUMBER. _ _ _
Win\ff APPLICATION NUMBER: _ _ _
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**Thefe ovitgFl eapiFed information—Please print(in ink)or type**
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Please note: Electrical,Fire'�reventio Systems and Engineering permits may require a separate application.
1 Il PROPERTY INFORMATION
SITE ADDRESS: 3 'Z\ +Z+ ` Sr�V > 601/411AS(SESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
h\ PROJECT INFORMATION
TYPE OF PROJECT(This application): �❑,t, BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
• d ELECTRICAL ❑ ENGINE.ERING❑ FIRE PREVENTION SYSTEM
e d
PROJECT DESCRIPTION(Providetailed description): TLSA-rJ` ( aChI/ r,jk �L�Q1C.14 L
A d ci t DCS R s Cvit,Q t c..c4' 4-t r O LAT L S
PROJECT NAME: GA L6 N ^CiZ 6
M PEOPLE INFORMATION
PROPERTY OWNER: NAME: , DAYTIME PHONE:
aCV-
A (206X575-$17
MAILING ADDRESS(STREET ADD STATE, ):
3ZC Zk Ts g, y5ct,`+ C-
CONTRACTOR: NAME: DAYTIME PHONE:
c - ELE-4-112,A c sea.rtc.6 rrve_ (422)251- g-bc
MAILING ADDRESS(STREET ADDRESS;CITY,STATE ZIP): EVENING PHONE:
�.� SW <1.2) via'
51 ( )
CI OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
lO - 'O \ ( c72 3, -OOsL( )
CONTRACTOR'S REGISTRATION NUMBER: //\\ y� EXPIRATION DATE:
(copy of card required) f` L El_ C5 = V Z R/ F
APPLICANT: NAME: DAYTIME PHONE:
5oa.V‘o.6 EtvZS)Zs 1 - gong
MAILING ADDRESS(STREET ADDRESS;CITY,STATE, P): EVENING PHONE:
11 4 s w -q3' - 5-t ( )
1 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? ❑ YES ❑ 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: $
■ PRO3ECT 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) HEAT SOURCE: ❑ ELECTRIC CI GAS
DUCT(S) GAS PIPE OUTLET(S)
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 ity of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of su • ■aim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only wh= e •ch daim arises o of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supp'•• o the d asap- of this application.
NAME/TITL . /01 DATE: 1 • j l)
❑ PROPERTY OWNER 0 APP CANT L� CONTRACTOR
•„FOR OFFICE USE,ONLY
'- - ;_. .❑ADDITION ❑ ALTERATION
%`❑"NEW ❑;;REPAIR - .;❑:TENANT IMPROVEMENT.::'•2'
CENSUS CODE: • -LOTSIZE
•
:ZONING DESIGNATION, 'BUILDING SHELL ONLY? .4❑ YES ❑ NO
COMP.PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP. RANGE NEW ADDRESS,REQUIRED? YES CI No
;PLATTED LOT?`. ❑;YES CINO CHANGE; OF USE?. ❑Y .YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129