06-105390 Atom A" , -
• City of Federal Way Electrical Permit #: 06-105390-00-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: MAIER
Project Address: 728 SW 356TH PL Parcel Number: 066231 0090
Project Description: Installation of Hot Tub Circuit.
Owner Applicant Contractor
ANTHONY A MAIER KEN TOMBARGE K&A ELECTRIC
SONDRA K MAIER K&A ELECTRIC KELECI*972BP(1/17/07)
728 SW 356Th PL P.O.BOX 7498 P.O.BOX 7498
FEDERAL WAY WA BONNEY LAKE WA 98391 BONNEY LAKE WA 98391
98023-8133
,
Additional Permit Information
Electrical Fixtures
Hot Tub..
PE
PERMIT EXPIRES Wednesday, April 18, 2007
f Permit Issued on Friday, October 20, 2006
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 b in accordance with the laws, rules and regulations of the State of Washington
wand th ity of Federal Way.
Owner or agent: �" Date: /10/%6
,
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THIS CARD IS TO REMAIN ON-SITE r -'
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-105390-00-EL
Owner: ANTHONY A MAIER
Address: 728 SW 356TH PL
FEDERAL WAY, WA 98023-8133
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical (4055)
Approved Approved Approved
By Date By Date BC ,(41. Date t Q —2\-(2%
❑ Under-slab groundwork(4295)
Approved
By Date
. A RECEIVED
,. _o( - _L _a S_-_3. .g_ SI
Federal Way OCT 2 0 20C3 PERMIT
COMMUMIYDEVELOPMENT SRRV/CSS Y SF MF CO ME PL DE EN FP
333258TMAVENUESOUTH•PO 1�F FEDERAL �TT T��TT O wT
FRDERAL WAY, er 98063 l r L j 1 lv �°
253-835-2607•FAX 253435-2609 BUILDING DE
.c....4_____4_
.do y.ium
The ollowin• is re• ired in ormation-an inco lete a••lication will not be acce.ted. Please .tint le•ibl n in or • .
Q • PROPERTY INFORMATION
SITE ADDRESS 728 5u-) jJ
35(0 u CrSUITE/UNIT#
#
ASSESSOR'S TAX/PARCEL [t) LO 6 2- 3 ( - 0 0 I v LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deaaipllon)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PI}RMING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONvide detailed description of work included on this permit mill)40JtAIc - lot T os
PROJECT NAME(Name of Business or Owner Last Name) PA Alf`
IN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER TD (• \-i PA A i E.K. 531 13.5.9/ '7
MAILING ADDRESS CITY,STATE,ZIP
12.-q 50-' )5-re, PI . cpEEru- v.)A-ki w A- %oz3
CONTRACTOR CO PANT NAPPLICANT NAME OFFICE PHONE
A €(4z., A-(-J
MAILING ESSX 141 ^TCITY,STA I N. e ti sr'39 ((14 )245/)
CELL PHONE
l245/ -39 o
oCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ( EXPIRATION DATE FAX NUMBER
20 - 0JCI, -1 0o CD k ° B L . l2— / 3( /o) ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
K Ei, e- C ..ti< q 1 a .6f 0( / / 7 / 07
APPLICANT COMPANY NA EAPPLICANT NAME OFFICE PHONE
A E( x -r-st 1,2,4-) Ti,on L • (76 3) Y47- 'f''6
1 NG ADDRESS CITY,STATE,ZIP CI i CELL PHONE
D x -7`fN'S% 6o- I-v. e i) (-/-53)1';/ -3398"0
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑ Tenant ❑Agent 0 Other(Describe) IfC.E.& UI A-4 J ( ) -
CONTACTNA , PRIMARY PHONE E-MAIL ADDRESS '
m13A-R4€
(M5).) 51 - 39
LENDER
MAILING ADDRESS CITY,STATE, P PHONE
( ) -
IIII DETAILED BUILDING INFORMATION'
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? d YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSEDJREQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
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
sXnsnso rrtoraeeo ror*t
NUMBER OF FLOORS
**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(commerd.t) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS au-rub/snow.Combo) SHOWERS- WATER CLOSETS genet) 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 authorised 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 / � `�" DATE /0/01C)/0 `.
(Signature) (Title) ,
RELATIONSHIP RELATIONSHIP O PROJECT ❑ Owner ❑Agent ❑ Contractor ❑ Architect Other
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Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application