01-104609 City of Federal Way
Community Development Services ' Electrical Permit #:01 - 104609 - 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: YOUNG'S FASHION
Project Address: 2120 S 320THyuiteC-2 Parcel Number: 242320 0050
Project Description: ELE-Replacement of(17)2x4 lights fixtures.
Owner Applicant Contractor
CASETA CORPORATION*CASETA CORPO. L&D ELECTRIC L&D ELECTRIC
1148 BROADWAY SUITE 100 14811 16TH AVENUE CT S 14811 16TH AVENUE CT S
TACOMA WA 98402-3518 SPANAWAY WA 98387 SPANAWAY WA 98387
(253)208-6582
Electrical Fixtures
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d� S Description Qu ntity Descriptro�li„i,r hem li w i C t I tit . 1 "_" Descriptiotl ; x WWWWW Quantity
Circuits- Commercial 17
PERMIT EXPIRES June 1,2002,IF NO WORK IS STARTED.
Permit issued on December 3,2001
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: ��/p 474/
/4_-4—c/ -��C f_,,, il,�<>4, l 16 V c\,, e/4 2T
�_ RECEIVE() CONSTRUCTION PERMIT APPLICATION
.. APPLICATION NUMBER: D
JEFJF1l
OEC t13 9°1 APPLICATION NUMBER: _��� � �_�_-��
OF;=FOETAL WAY APPLICATION NUMBER. _ _ _ _ _ -
G►1 UILD►NG Cs
**The fmtowing is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION y
SITE ADDRESS: ,3742O S. Sac 3t;>1c C• .2 ASSESSOR'S TAX/PARCEL#:1-- Y1 3 -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
1•PRO]ECT INFORMATION _
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Pe f1 JAl c, 17 ;t FS.
PROJECT NAME: bcJ9�/� c
a PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
e)9se44 ( rp _ ( ) -
MAILING ADDRESS(STREET 'DRESS;QTY,STATE,ZIP):
/V8 S rod& 47�/ 54:11E" /56 / nco.rr.s�. c., i4. 9E44).2CONTRACTOR: NAME: I DAYTIME PHONE:
E/PcTg;c . (75-3 ).53/ o0
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
/S/8/1 /kV- �•.S`. S�Ao�+A/�,—/��lc, 98e78 ( ) ,nom
f4 `QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: b e TLE *Of S.,077 e- FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATI)DATE:
(copy ofcard required) L E_ ` Q 5 5, C oa /03 / 03
APPLICANT: NAME: DAYTIME PHONE:
► 6 19.14+�4P (aofv ) x/99 - *Pi?
MAILING(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
WI? a.A.k .Y- 74C-45 0'4 L-t' 4- 9®f/oq ( ) -
1 RELATIONSHIP TO PROJECT: FAX NUMBER
❑ ARCHITECT ❑ TENANT p(OTHER(DESCRIBE): E/ecftic;Aviv ( ) -
/ E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
ill 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: 0 LAKEHAVEN 0 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
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 0 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 s dai arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information supp'ed to d as a part of this application.
NAME/TITLE: DATE: 1o7�d,3/CV
❑ PROPERTY OWNS ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE'USE ONLY:
0 NEWh` {._El ADDITION ❑ALTERATION ❑;REPAIR I TENANT IMPROVEMENT.
CENSUS CODE :- :` LOT SIZE ,. . :
ZONING DESIGNATION
BUILDING$HELL ONLY? �❑,1(ES _❑ NO
COMPPL1N DESIGNATION BASIC PLAN? YES ❑`NO'
;SECTION ._s _. TOWNSHIP RANGE - ! NEW,ADDRESS REQUIRED?- ❑''YES - ❑NO
FLATTED LOT? ❑YES ONO CHANGE OF.USE? ❑YES ONO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129