02-104630 City of Federal Way
Community Development Services Electrical Permit #:02 - 104630 - 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: FEDERAL WAY WINDERMERE
Project Address: 33405 6TH S Parcel Number: 926500 0330
Project Description: ELE-Installing alarm system and running wire to 3 doors& 1 motion detector
Owner Applicant Contractor
Barbara L Billings PROTECTIVE SYSTEMS INC PROTECTIVE SYSTEMS INC
1919 196TH SW 1919 196TH SW
LYNNWOOD WA 98036 LYNNWOOD WA 98036
(206)322-3186
Electrical Fixtures
s s rI a
. ac � Ay
Low Voltage Burglar Alarm -Comma 11137
PERMIT EXPIRES April 16,2003,IF NO WORK IS STARTED.
Permit issued on October 18,2002
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 War
Owner or agent: kA ;4N- N1 Date: /0"1 e-ooC
of
PA" z /617
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection: /
/J/ Date
RECEIV D CONSTRUCTION PERMIT APPLICATION
.of C
VV F-iY L OCT 1 $ Z002 APPLICATION NUMBER: D2- - l2 q6. APPLICATION NUMBER: • 5Q - A -
5( 4?43-. 6'(e4 t -LI I DiCITY 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.
■ PROPERTY INFORMATION
SITE ADDRESS: 334105 (p {-h )6)- U e s j ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
,a.-..- _:-.n;_..... _:::-.7.-. :.-_-_,.:'.-?-::::-.;-•:.: ' : .■ PROJECT INFORMATION... . - _ - . ....... . : -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
pj ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
• PROJECT DESCRIPTION(Provide detailed description):-TV\S--CN,--CN, t\.\ v\` a\1 LA J WW L.'y .,eit,y,.,
�V✓`,v\\ i\� 16ki2, C c-{ 3 OQ 1 r ' ukfOV ,
PROJECT NAME:
- • ■ PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
()1`- VA Wnk_vk (a53) 377-55/5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
33 L/05 62 ►nk.►e. ‘-, -+-eQ6 v6k\ We' f ) iAic ?dj6O 3
CONTRACTOR: NAME:
��C J DAYTIME PHONE:
r6 Q_ &AS�<.n� Jv\c_ ),3 te = .3/ 81p
MAILING ADDRESS(STREET ADDR CITY,STATE,ZIP): EVENT PHONE:
CITY I IF FE1ERAL WAY l 4 LIC4a4
NU ER 44,1� q80.360
FAX )
FAX NUMBER:
►,/ f (a ,s(1 ' - ( ) -
CO • OR'S I NUMBER: EXPIRATION DATE:
(copy of card required) Otbfa - / /
APPLICANT: NAME:
n ' DAYTIME PHONE: -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PH)ONE:
ONE:
it
( )
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 Cl HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTATED 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:
.... ._.....-..,..n.c,.+....� r.,.>..:�•rt-w«:... - xHc�:.o•vrnlr srn-wsv+twsa'sv�s FUREs'Jtri4r ww•+t•:�e::..r�+...M•:.+ria:iu»n+.ic
.i•.7a+sy::'+nb'!s.'tr.y.;.j�ytN`l4/w.q!4.4E
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 daim(induding 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 city,including its officers and employees,upon the accuracy
of the information plied t th city as a part of this application.
NAME/TITLE: ALC9) DATE: ID - ikina-
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
:;.FOR°OFFICE USEONLY: j
t IEW„t= ❑pADDITION5= ;[]=ALTERATION _=_ ;REPAIR=z .,❑ TENANT:IMPRROVEMENT.:4,,:
OOtttek ` ESIGNAT ON ,� � _,y,` _ = . -f. �t. :_ __ =z
- _ ��, _�� � _ __,��„�. <BUILUING_SHELL�ONLYT,�71fES;;x:L�.NU.,�_-_-�;�;�:�•-
COMP AN.DESIGIVATION �► -T c "t&- '' �-
�.... _ `� -=�s;�:,€'>�'�':�6/1SXC P1..AN?;-=�r1J)fES'_w ,1'/ � i_ ��-:.-
TSECiION �,__'-TOWNSHIP`= -,RANGE, _ •, - =NEW ADDRESS REQUIRED? rt: ;❑,'YES1 E] NO;2:-
Pl TTED'LOT?_—❑.YES NU - _ _ 3 -.__ -
•CHANGE OF USE?�-' _ .❑YES f�❑-NO;_
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyof redera Tway.corn