05-102853 jilb
City of Federal Way Electrical Permit#: 05 - 102853 - 00 ,- EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-(253 Inspection request line: (253) 835-3050
Ph (253)835-7000 Fax (253)835-2609 P 9
Project Name: CLOW
Project Address: 407 SW 350TH ` Parcel Number: 132174 0110
Project Description: Adding a circuit for a new hot tub
Owner Applicant Contractor
Scott W Clow &Rebecca J Clow AZTEC ELECTRICAL SERVICES LLC AZTEC ELECTRICAL SERVICES LLC
407 SW 350TH PL 25316 45TH AVE S 25316 45TH AVE S
FEDERAL WAY WA KENT WA 98032 KENT WA 98032
98023-8101 (206)718-3100
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Hot Tub 1
PERMIT EXPIRES December 13,2005.
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Permit issued';on June 16,2005
I hereby certify that the above information is correct anti 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.
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Owner or agent: ; ( � Date: //L
FINALE°
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• THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102853-00-EL
Owner: SCOTT W CLOW
Address: 407 SW 350TH PL
FEDERAL WAY, WA 98023-8101
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.
❑ Slab/Concrete Floor(4255) 0 Dit over(4030) 10 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date ` I S' Date 6'..._/ -By Date
e❑ Temporary Power(4275) �❑ ` Service(4235) 2❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
Rough Electrical (4225) 0 Ceiling Cover(4020) .❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date G_z
.
'❑ Under-slab groundwork(4295)
Approved
.
By Date
' RECEIVED
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..: � rFederal Way JUN 1 6 ZAA p �( 4S-
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COMMUM7YDEVELOPMENT SERVICFiS PERMIT SF MF CO ME EL PL DE EN FP
3332580 AVENUE SOUTH•PO BOX 9718 P LI C AT I O N
FEDERAL WAY,WA 98063-97I8 C IT Y OF 1:E D E�' ' PLICATION
/ I .
253-835.2607•FAX 253-835-2609 BUILDING A. '1 .
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The ollowi • is • fired in ormation-an Inco •fete • ••lication will not be acce•ted. Please •rint Ie•ibl n i or J1
■ PROPERTY INFORMATION
SITE ADDRESS '7/e;.7 ,j-Z j P //
S lr�� C SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aepamte page for Sength9 feed deaoipioei
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PRO TDESCRIPTION(Provide detailed description of includedwork/ on this permit only)
ket '1.4.{.1-- ( ,.i2.ti:a
PROJECT NAME(Name of Business or Owner Last Name) (1 _G Lk..)
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER C( 1.._.(l)-L-„. caL6 )(,l%- - 27kt.
MAILING ADDRESS CITY,STATE,ZIP
Li v.� S cd 3 >-z; r'� P-.e..4t,�.1 II-. u, 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
yi c i7 fC�d S ( c i -'h l�t5t.,i_-71-.;�,k (�U6) 1�S - i�\
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
2s. `eyL f.5 414,-[ S' /(. ..`. ,Gv/J:.. `YS.-4)'1 (, )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-BL / / ( )
CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
4Z1— C Cr'- S )-:Z f D T 03 le_, /0
APPLICANT COMP NAME APPLICANT NAME OFFICE PHONE
L ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTNAI E PRIMARY PHONE
> 087,4 Llit C 0.,v , E-MAIL ADDRESS
LENDER > k. ex:rti,, rar.'e 4,et:,',To-, e.a,. .' NAME
MAILING kADD',.' d] CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 4.3-�
SPRINK ,ERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE 0 TACOMA ❑PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
•
- PROJECT FLOOR AREAS
AREA DESCRIPTION -� EXISTING PROPOSED TOTAL •
l SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ESisrwo PROPOSED I TOTAL '.. „ r:;,�,. G ...Per,,,u: •. ' ",Al.I
�.,a
**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.
MECHAIVIC,AL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(c...eNa) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
• COMPRESSORS FURNACES OAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(. b/Sho ercombe) SHOWERS WATER CLOSETS crones MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bet reemstnks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIIIIER/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 authorised by the owner of the above premises to perform the work for which the permit application to 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.
j
NAME/TITLE ' i w4,l. f k UL), ,.1Vi '..---1--C- - DATE
(Signature) _ (Title)
RELATIONSHIP TO PROJECT ❑ Owner to Agent`,7<p Contractor a Architect a Other
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Bulletin#100—January 7,2005 Page 2 of 4 kkHandouts\Permit Application