01-103593 City of Federal Way
Community Development Services Electrical Permit #:01 - 103593 - 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: CHAPMAN
Project Address: 32231 12TH SOW Pl SW Parcel Number: 010451 0290
Project Description: ELE-Adding wiring to install new spa
Owner Applicant Contractor
Michael M Chapman Michael M Chapman Michael M Chapman
32231 12TH PL SW 32231 12TH PL SW 32231 12TH PL SW
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-5528 98023-5528
Electrical Fixtures
5 ' Description ,Quantity Description 'Quantity Description Quantity
Hot Tub
PERMIT EXPIRES March 12,2002,IF NO WORK IS STARTED.
Permit issued on September 13,2001
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 Way.
Owner or agent: Date: /J ljo� ✓/
/?J-3 7,;;; 3=-
/U - e/ p��,f
Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection:
Date
1
G �1` ) CONSTRUCTION PERMIT APPLICATION
EO r APPLICATION NUMBER: Q L - L :0359_a - 0°
C\f\ APPLICATION NUMBER:
r, e �,i•I APPLICATION NUMBER: _ _ — _ _ _ _ - - - -
v
Owing is required information-Please print(in ink)or type**
Please notex+JEl Tc®al, Fire Prevention Systems and Engineering permits may require a separate application.
2 Zrj 'PROPERTY INFORMATION
3
SITE ADDRESS: 2 3 I /c 7/ 5 —L✓, ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Se,4 P /0%. ft-;, / st'rie,,, e
- - 174 PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION
la ELECTRICAL 0 ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 17 4 r ay_ I 2t3 1)1 ri n .14 5e rice' 5f/4 /-,/
5 �1 pr W)oJer 50 A,,r LIRA ,...iyy QV.. Y.
PROJECT NAME:
►ri PEOPLE INFORMATION
PROPERTY OWNER: , NAME:JIfl
,C���I ,I, '` wD�sE )D •fqnMAILINDDRESS(STREET ADo'RESS(J Crr STATE, P): � ( 3 Glf / 7 23
3223/ /2 ', / `j_v►/, Fpoltrk/ iYU/iy M Sea 5
CONTRACTOR: NAME: '
7/e /1n DAYTIME PHONE: -
`f
MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE:
( )
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( )
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: DAYTIME PHONE:
SC.wt.to ( ) -
t MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( ) _
4 RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: tgr PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
IN 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: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT i
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: ❑ ELECTRIC 0 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)
-. •ig• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury th•t 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 dty,induding its officers and employees,upon the accuracy
of the information supplied to - e dty as a part of this application.
NAME/TITLE: .if__,_ _ / __...11199.' DATE:
/3 SI d/
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE,USE ONLY:
`O NEW;1,_;. .0 ADDITION ❑ ALTERATION ' ❑;REPAIR O TENANT IMPROVEMENT
CENSUS'..CODE:' 'LOT;SIZE ,
ZONING DESIGNATION„„ , BUILDING SHELL,ONLY? rW❑.YES ❑ NO
COMPPLN DESIGNATION BASIC PLAN?''. ❑YES ❑ NO
SECTION, ' TOWNSHIP I RANGE NEW ADDRESS REQUIRED? ❑.YES ❑=NO
;PLATTED LOT? ❑YES 0 NO CHANGE OF USE?, ❑ YES ONO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129