01-104548 City of Federal Way Electrical Permit #:01 - 104548 - 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: SOH CHI ASIAN GALLERY
Project Address: 33320 PACIFIC S Suite106 Parcel Number: 797820 0025
Project Description: ELE-Change lighting fixture(8'strip)to trunk.
Owner Applicant Contractor
Ick Jin&Suk Hui Kim GOLD ELECTRICAL GOLD ELECTRICAL
28317 15TH AVE S 5121 GALLEON DR NE 5121 GALLEON DR NE
FEDERAL WAY WA 98003-6100 TACOMA WA 98422 TACOMA WA 98422
- (253)224-4018
Electrical Fixtures
Description Quantity begdiotforowilidgiAmity Description Quantity
Circuits- Commercial 3
PERMIT EXPIRES May 27,2002,IF NO WORK IS STARTED.
Permit issued on November 28,2001
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: _ Date: 17/2erL9 /`
C (v.'0'62) V c4 j (9._(a/a' ER Cj
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RECEIVED CONSTRUCT t ION PERMIT APPLICATION
VV �FAL
APPLICATION NUMBER: 0 L (1d '��. ,r- au- &_7_
piny 2 8 2001 APPLICATION NUMBER: — _ _ _
011Y OF FEDERAL WAY 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.
/
_ r' -7., - - _ '■ 'PROPERTY INFORMATION
SITE ADDRESS: -5332-a k /447 C `06 ASSESSOR'S TAX/PARCEL#: -717 7Z a - DCJ Z..r-
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
% -.:-.7:::7::/,::-,,,-.'t,.,'_, -;Ill-PROJECT INFORMATION • r
1
TYPE OF PROJECT(This application): ❑ UILDING ❑ PLUMBING ❑ MECHANICAL CI DEMOLITION
` • ELECTRICAL ❑ ENGINEERING❑ F ENTION SYSTEM
PROJECT DESCRIPTION(Pro ide detailed description): l
s--;'-. S/ /' r O ,e-- .
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PROJECT NAME: SDP GCr / ,'`Y C „`A
a
. _ , ' PEO, a INFk. `MATION _ _ - • _
PROPERTY OWNER: NAME:
`'NE:
MAILING ADO .(SIRE 'O•a ZIP):
CONTRA N aO �� (25)ON
EVENING PHONE:
AILING ADORFCS( •' DRESS;CITY,STATE,ZIP):
I.
at FEDERAL WAY BUSINESS LICEN E NUMBER: /AX NUMBER:
— — — _ — (
CONTRACTOR'S REGISTRATION NUMBER: %/'•�� /�/' EXPIRATION DATE: _
a card required) 1 C ' k 6�/ — / Z5 / d
APPLICANT: NAME: /—// DAYTIME PHONE:
mss ! Ei� DORES i ( ) -
MAILING ADO ET ADORES CITY,STA ,ZIP): EVENING PHONE:
( ) -
1 RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
.a .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
f WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ 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 1
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 7
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 daim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the " ,induding its officers and employees,upon the accuracy
of the information supplied t. the city as a part of this a.• i : •on.
NAME/TITLE: L11" �� > DATE: ///.--2-O
3/3"
❑ PROPERTY OWNER ❑ • •• CANT eC e T• -CTOR
FOR OFFICE USE ONLY:
D SW6bitio& I' ❑?ALTERATION ❑;REPAIR .TENANT IMPROVEMENT :•
• !CENSUS CODE:: •- LOT SIZE
ZONING DESIGNATION, ,: - ;- BUILDING SHELL;ONLY? ❑ YES ❑ NO
COMPPPLAN DESIGNATION BASIC PLAN? ❑ YES" ❑'NO' •i
SECTION `TOWNSHIP RANGE NEW ADDRESS REQUIRED? YES ❑.NO
;PLATTED LOT? ❑:YES ❑ NO CHANGE OF,.USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129