03-104445 City of Federal Way
Community Development Services Electrical Permit #:03 - 104445 - 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: MILLER
Project Address: 2713 SW 327TH 51' Parcel Number: 894520 0050
Project Description: Add circuit for future installation of hot tub.
Owner Applicant Contractor
Christopher John Miller &Michelle A Miller Christopher&Michelle Miller OWNER IS CONTRACTOR
2713 SW 327TH ST 2713 SW 327TH ST
FEDERAL WAY WA FEDERAL WAY WA
98023-2536 98023-2536
Electrical Fixtures
Description Quantity Description - Quantity Description !Quantity
Hot Tub 1
PERMIT EXPIRES March 27,2004.
Permit issued on September 29,2003
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 .= laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: /�- Date:S 2���G C.)3
tO - tG —O 5 Gsve,-- Apr(/1— J�S
F-1/A,( � QrW ��
C P
L
z
� C)
4_„
RECEIVEDCONSTRUC:I ION PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER: 0 - 10145 Lc- 61.....-
Federal Way SEP 2 9 2003 APPLICATION NUMBER: - -
CITY OF FEDERAL
TTWAY kPPLICATION NUMBER: - -
**The followi etARkrmation—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
.
/- - ,.- I PROPERTY INFORMATION
SITE ADDRESS: . )1 S. \A/. j) —1-k S--+- ASSESSOR'S TAX/PARCEL #: T1 d20 - O os--0
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION _
TYPE OF PROJECT(This application): o BUILDING o PLUMBING 0 MECHANICAL a DEMOLITION
'ELECTRICAL 0 ENGINEERING 10'FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Su%�F [ y 2Ji'O / S0 Q.,.1 yo fowe
,---
e",./ ,`11.� S '.?c rC.,cke. Cr F-G-r--. C1 /5 C d n11 C c. - --/-G r 2.
na--7L --/-2." 6/-5 jo .
i PROJECT NAME:
I PEOPLE INFORMATION- ,.
PROPERTY OWNER: NAG�E: R 1I M DAYTIME` PHONE
MA7QNG'ADDRESSS(STREET ADDRESS; TE,ZIP): I e r I 713 )66/ - 79 i
0._--) k- 5 .\,./, 30--)-f-t,_ S,- R J rs / l/a/ G✓,4 95c -3
CONTRACTOR: NAME: 1 DAYTIME PHONE:
A ( )
MAIUNG A RESS(STREET ADDRESS;CITY,STATE,ZIP): � EVENING PHONE:
I ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: j
( )
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: 1 DAYTIME PHONE:
04.r;�-1-vh e r ---3—
y ,Nt ' 1 e ' (2s3) G6/ - 9g5 6
MAILING ADDRESS(STREETADDRESS;CITY,STATE.ZIP): EVENING PHONE:
a-� 13 S.IN. 3�—}-4-1/. 51- qt-De I \/ /‘ '/.Y �j C7007-3) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT a TENANT XCOTHER(DESCRIBE): nl aye e-/ ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: xPROPERTY OWNER O APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION .
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES 0 NO
WATER SERVICE PROVIDER: a LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE O 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 Value of Mechanical Work: $
AIR HANDLING UNITS) 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 ❑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 suds daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only w ere such daim arises out of 'r-Hance of the dty,induding its officers and employees,upon the accuracy
of the informations •pli • o th• d as a part of : lication.
NAME/TITLE• /+� DATE:
!Or
ROPE r.P 0 o APPLICANT ❑CONTRACTOR
,FOR.OFFICE.USEiONLY,ix.
ANEW " � t3:ADDITION }`R,ALTERATION . r®,REP,."AIRS 37 TENANT IMPROVEMENT':- ..
CENSUS`CODE M > a"t *'LOTSIZE � �,'� `a x. ' ; .
`ZONINGIDESIGNATION,,; .rW �* BUILDING,SFIELLONLY? .o YES Axa NO
COMR.pl.AN DESIGNATION :. BASIC PLAN? s_❑AYES ;❑.NQ •`
SECTION , ..-TOWNSHIP k RANGE, NEW ADDRESS REQUIRED? '❑'YES. ❑NO
PLATTED.LOT? _ 0 YES;, oNO L - "t - :>_^ .CHANGE OF USE?, ter :o YES ''0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000 s FAX:253-661-4129
www.citvoffederalway.com