12-105291Electrical
City of Federal Way
Community & Econ. Dev. Services Permit #: 12-105291 -00-EL
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: HACKNEY -�,Da10
Project Address: 33514 29TH PL SW Parcel Number: 010060 0920
Project Description: Installation of 40 -amp car charger.
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Monday, May 20, 2013
Permit Issued on Wednesday, November 21, 2012
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:aZg4h?
Owner
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Contractor
JEFFERY HACKNEY
MADSEN ELECTRIC
MADSEN ELECTRIC
DANIELE HACKNEY
3939 S ORCHARD ST
MADSEE* 1401`8 (4/30/14)
33514 29TH PL SW
TACOMA WA 98466
3939 S ORCHARD ST
FEDERAL WAY WA 98023-2717
TACOMA WA 98466
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Monday, May 20, 2013
Permit Issued on Wednesday, November 21, 2012
hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u ill be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:aZg4h?
; OA�CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOMAIN ON-SITE
a Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
12 -105291 -00 -EL Address: 33514 29TH PL SW
JEFFERY HACKNEY FEDERAL WAY, WA 98023-2717
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.
EJ
UFER Ground (4295)13
Ditch cover (4030)
By
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
EJ
Pool Bonding (4195)
Approved
By
Date
1:1Approved
Right of Way
By
Feeders/Sub-panels (4045)
Approved
By
Date
By
Final - Electrical (4055)
Approved
By
Date
EJ
Temporary Power (4275)
Approved
By
Date
1:1Approved
Right of Way
By
Rough Electrical (4225)
Approved
By
Date
EJ
Service (4235)
Approved
By
Date
1:1Approved
Right of Way
By
Ceiling Cover (4020)
Approved
By
Date
EJ
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
0
CUT RVA� t2_ c 52 11L
F"Vl�j ELECTRICAL
Nov 21 eon PERMIT APPLICATION
CITY OF FED*EA4LsWkprical permits may be obtained on-line at wn-w.cityoffederalway.com"
Cts PROPERTY INFOWMATION
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PROJECT INFORI1IATION
PROJECT NAME
frenant or HomeouTwr Last Name/
PROJECT DESCRIPTION
Detm1ed description of unxk to
be included on this permit only
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PROJECT CONTACT
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I certify under penalty of perjury that I am the property owner or authorised anent of the property owner. I certify that to the best
of my knowledge. the information suimmitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsilmlag for compliance with local state, or federal lams regulating
construction or environmental tours.
I further agree to hold harmless the City of Federal Way as to any claim lirnctu li ng costs, expenses, and attorneys• fees tenured in
the investigation and defense of such claiml which may be made by any person, including the undersigned, and filed against the city.
but only where such claim arises out of the reliance of the city. including its gffwers and employees, upon the accuracy of the
mfarmation supplied toas a part of this application.
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333225 86 Avenue South ♦ Federal Way 4 WA ♦ 98003-63251 53-835-2607 # fax: 253-835-2609 * www_cityoffeder-d ay com
Bulletin #160 —January 1, 2011 Page I of 2 k-MandoutsMaechical Permit Application
G:Ctr�,
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage]:
1-1 Service/Feeder AdditiortalFeeders
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101- 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201- 400 amp x $307.00 x $121.00
NEW MULTIFAMMY (3 units or morel
401- 600 amp x $358.00 x $143.50
I- Seruece/Feeder Additional Feeders
601- 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 x $ 39.00
801- 1000 amp x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 x $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
I-Senrice/Feeder
I- Service/Feeder Additional Feeders
O - 200 amp x $101.00
0 - 200 amp x $132.50 x $103.50
201 - 600 amp x $164.00
201 - 600 amp x $307.00 x$121.00
Over 600 amp x $246.50
601- 1000 amp x $463.00 x $196.00
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits 1_
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
Plan Review required only for.
Service and feeder x $132.50
• New, or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 3596 of Permit Fee
(Permit Fee x 3596 = + $103.50 = Plan Review Fee)
Plan review for modifted submittals $105.50/hour
MISCELLANEOUS
SERVICE/ UH MENT
LOW VOLTAGE
TEMPORARY SERVICE
O Fire Alarm System
❑ Security Alarm System
1 w Service/Feeder Additional Feeders
❑ voice/Data cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ other
61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1- 2,500112-$71.00: each additional 2.500 ft2 - $18.50
101 - 200 amp x $103.50 x $ 51.00
201 - 400 amp x $121.00 x $ 60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
First $60.50; each additional $18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x $ 80.50
. Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x $101.00
• A $6.00 Automation Fee will be added to all permits.
Ditch eover/iuspection only x $121.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
2534835-2607
33325 86 Avenue South ♦ Federal Way 1 WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-26091 www.cityoffederalway_com
Bulletin #160 - January 1, 2011 Page 2 of 2 k WandoutsElectrical Permit Application