07-102142 City of Federal Way Electrical Permit #: 07-102142-00-EL
community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GOODFACE
Project Address: 35120 19TH AVE SW '_, s Parcel Number 795630 0070
Project Description: Install low-voltage security alarm system wx.
Owner Applicant Contractor
WALTER&TANYA GOODFACE PROTECTION ONE ALARM PROTECTION ONE ALARM
35120 19TH AVE S 7617 S 180TH ST PROTEOA033BP 1/17/09
FEDERAL WAY WA 98023-6915 KENT WA 98032 7617 S 180TH ST
KENT WA 98032
Additional Permit Information
Electrical Fixtures
Low Voltage Burgler Alarm-Resi 1,100
PERMIT EXPIRES Wednesday, October 17, 2007
Permit Issued on Friday ,April 20,2007
I hereby eery that the above information is correct and;tat the construction on the above described rroperty and
the occupancy'and the use will be in accordance with the laws,rules and regulations of the State of Washington R'
nd he City of Federal Way.
Owner or agent: T Date: Y—
— 0-
0' THIS CARD IS TO REMAIN ON-SITE 1 .
CITY OF Community Development Inspection Record-
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102144-00-EL
Owner: JON & LESLIE CAULEY
Address: 34028 30TH AVE SW
FEDERAL WAY, WA 98023-7719
This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) r Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date Date
s
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By ()----:--- Date 414:-.a•-t—ty‘
❑ Under-slab groundwork(4295)
Approved
By Date
i ' r RECEIVED 0 7- / • r `A/ qa),
Federal Way PERMIT
COMMUMTY DEVELOPMENT SERVICES •200-7
SF MF COM EL : 1 .1 LIDE EN FP
33325 8m AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,FAX
53-898063-9718-2609 �/�r�� PLICATION D
•is a a r ji,253-835-2607.L WA FAX 253-835-2609 w!/7^1I� r, _Lri ii
www.dtooffederalway.rnm ore O tiOUILAINo_ r ALLWAy'
L.
The oIlowi • is re•uired in ormation-an inco •fete a••iication will not be acce•ted. - •rant le.ibl in in or .
■ PROPERTY. INFORMATION
SITE ADDRESS ')O /9 � w 9,Y®J� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 i ,5.--(
403 0- LJ 01 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaip ion)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) -b a I C� / Q y ci
I
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
/ On Gt &Odd --101-,--101-, RI3 )9) 397
MAILING ADDRESS ,., STATE,ZIP
..3_-1/-k) /9°mac.. 3(A /i /JSyr /Jg gj'w .2
CONTRACTOR Pro
PANY AME APPLICANT NAME OFFICE PHONE
ftCl/OM One. Ckr►S I-e.h° )3) to - -/..33.
MAILING ADDRESSCITY,STATE,ZIP CELL PHONE
76/1" CS % o tkSf KebA Li q 'O32i (( ) -
CITY FWAYBUSINESSLICENSE 1 EXPIRATION
NDATE A?c-- � —B L /) /3/ 1Of-/).)16.)6 BER 7//r
CONTRACTOR'S REGISTRATION NUMBER
(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAM APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS h CITY,STATE,ZIP — CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME r PRIMARY PHONE _ E-MAIL ADDRESS
LENDER ,g '-a An o '-;:41.4.:0„.,i,"' NAME
u r cee
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAI '• VALUE $ VALUE OF PROPOSED W
SPRINKLERED BUILDIN . 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PR• "•ER ❑ LAKEHAVEN Cl HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE P:•VIDER ❑ LAKEHAVEN ❑HIGIHdNE ❑PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
.. 4
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT-
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL x�ror a>nasiuo sr OTALTROPOSED SP EL sr
#
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) W OODSTO V ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/shoswrcombo) SHOWERS WATER CLOSETS(roues) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE — £ra I(Yl(v1 DATE '1// 6
Signature)
(title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent NA Contractor ❑Architect 0 Other
�t1 �,: o � �j• ° �. .E
MENT❑ ��
-HEL e
YES O
, • 7-143—swair-31ION a� HANGS F SE'D YES
ricSiga
4 . Wer e.,:. 9-. 3_ •UH2ED?ice e a L
D welt) .. ° ° �, x SEM ERMIT • a s °"YES °
•
Bulletin#100 January 7,2005 Page 2 of 4 k\Handouts\Permit Application