01-104792 City of Federal Way Electrical Permit #:01 - 10479200 - 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: JACINTO
Project Address: 2739 SW 343RD PI Parcel Number: 294450 0650
Project Description: ELE-Install low coltage security system
Owner Applicant Contractor
Leonor E Jacinto PROTECTION ONE ALARM PROTECTION ONE ALARM
2739 SW 343RD PL 6844 S 220 ST 6844 S 220 ST
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98023-7627 (253)395-7140
Electrical Fixtures
Description orIQuantityA Descri tIOn P, 4antity 106 Description': VCQuantity
Low Voltage Burgler Alarm-Residen 1
PERMIT EXPIRES June 17,2002,IF NO WORK IS STARTED.
Permit issued on December 19,2001
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 ay.
Owne - �'.rl � il.�F'• Date: 1 / N
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$ a of G
CONSTRUCTION PERMIT APPLICATION
�-r HY APPLICATION NUMBER: al .1_ 'G q R Z -
' APPLICATION NUMBER: .._ _ ,_ — _ —
APPLICATION NUMBER:
**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.
_ . ■ PROPER'
TY
SY INFORMATION
SITE ADDRESS: / w 3Y,3414-P1 W1213 ASSESSOR'S TAX/PARCEL#: a / q_ `(/�
S 0_ — •Q b D
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_1;PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
lir ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SY EM
PROJECT DESCRIPTION(Provide detailed description): -'
____ vmi
PROJECT NAME: V Y TO
iii11101M1111Plir. '411111&
a PEOPLE INFORMATION
/IINWIIIIIMMINv-
PROPERTY OWNER:
DA E PHO
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ADORES ' ET ADD• •• TE,IIP: ,/� / Vii�j
1/L`�1 THI Q CJ
CONTRACTOR: MAPPr ; � Wi )o
ct-6.1 7-6
i RFSS aAaoRQTY�, ,ZIP): EVENING PHONE:a q o3D- ( ) -
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CIY OF; a> RAL WAY BUSINESS UCENSE NUMBER: I, sF NUMBER:
1 I - I 6 „ 4 ) /'4/lo- 03'G)0
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card ) ' B 6 '1 .e (2 1 6 Z. Z P / I /63
APPLICANT: NAME: DAYTIME PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS;CRY,STATE,ZIP): EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
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 0 PRIVATE(SEPTIC)
" *N' RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
•
■ • ]ECT 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: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINALS) 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 claim),which may be made by any person,induding the undersigned, and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the informatio su plied to the "ty as a part of this application.
/C71// /6
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NAME/TITLE: DATE:
❑ PROPERTY OWNER 0 APPLICANT (CONTRACTOR
_FOROFFICE USE ONLY•`I
NEW 0 ADDITION ❑:°ALTERATION
fl1tEPAIR��``_ ._�� TENANT IMPROVEMENT
CENSUSCODE r . . LOT'SIZE ,
ZONING DESIGNATION BUILDING SHELL,ONLY? ❑_YES ❑ NO =
•
COMP LAN DxESIGNATION _ BASIC,PLAN? ❑YES O;NO
SECTION TOWNSHIP RANGE NEW ADDRESS:REQUIRED? Q YES. ❑ NO
PLATTED,LOT? ❑ YES,. ❑ NO CHANGE OF USES ❑YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129