07-106048City of -Federal Way
CommunityDevelopment Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
r
Electrical Permit #: 07 -106048 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: HACKL
Project Address: 1728 SW 323RD ST ---
Project Description: Adding (2) circuits for an outlet. y
Parcel Number: 010454 0270
Owner
Applicant
Contractor
KENT HACKL
OLD TIME ELECTRIC INC
OLD TIME ELECTRIC INC
1728 SW 323RD ST
PO BOX 39745
OLDTIE1021LB 6/2/08
FEDERAL WAY WA
LAKEWOOD WA 98498
PO BOX 39745
98023-5407
LAKEWOOD WA 98498
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits Residential ...................... 2
PERMIT EXPIRES
Pern
I hereby certify that the above informs
the occupancy and the u;se will'be in
Owner or agent: e
nday, October 27, 2008
ay, November 2, 2007
that the construction on the above d9scribed properly and
he laws, rules and regulations of the State of Washington
)f Federal Way.
Date: Z
FWVA L (' ��D
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -106048 -00 -EL
Owner: KENT HACKL
Address: 1728 SW 323RD ST
FEDERAL WAY, WA 98023-5407
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)
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date l� CS
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date // .W 'D
S s
'Cl" ORECEIVE® -
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES O v Q 2 2007
SF MF CO ME PL DE EN FP
33325 D AVENUE,OATH•PO971 9718 �PRLICATI ON �---- --
FEDERAL WAY. WA 98063-9718
253-835-2607• FAX 253-835-2609
❑,,u.e(luaf(ederaivau.<am CITY OF FEDER
aR�� 1�III DING DEPT.
The following is requirAd ih errteation - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTYIM •• •
SITE ADDRESS L 1 a) SW J D3 ►-J GT SUITE/UNIT #
ASSESSOR'S TAS/PARCEL # 6 k O _ - 1) C� LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach-pw— payejtr kir_fhy 1,,," de rIpttan)
INFORMATIONPROJECT
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of cork Included on this permit onlu)
a l,lrca)i�s (-)I.L -1 Qi -
PROJECT NAME (Name of Business or Owner Last Nara
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
K,t,-v.,+ 4 I
PRIMARY PHONE
ca63) 7 - q &:
MAILING ADDRESS -T
1 S LJ 3a3 r' C -i-
CITY, STATE. ZIP
rule-.rco.Sl W Dai
E-MAIL ADDRESS
COMPANY NAMEAPPLICANT
01 i 1 rn� �\e�rC-
NAME
0 K( -D 1 �
OFFICE PHONE
(a53) 'N - 319,
MAILI D
O �x 39-)y S
CITY. STATE, ZIP
Lak-e.euc-ricQ 14-
CELLPHONE
c s3) (oll- 3(c,31
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
-a�-Ia�o��-��-�,�
la131
05-3) zqc -3a(A
CONTRACTOR'S REGISTRATION NUMEER
EXPIRATION DATE
E-MAIL ADDRESS
OLD T*q: CT u t� ( L-3
(, 12 o -2r
acbb @ OlMi rnCC-A
COMNAMIJ^
qlry�et C_-46' ^
APPLICANT NAME
OFFICEPHONE
( )
MAILING ADDRESS
CITY. STATE. ZIP
CELLPHONE
REIATIONSHIP 70 PROUECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME
PRIMARY PHONE
E-MAILADDRESS
NAME
Per RCW 19.27,095:
Lender irijormation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ MGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
• , I
AREA DESCRIPTION
EXISTING
FT.SQ.
PROPOSED
FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEA'T'ERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
ca�T=
P90POOED
T"r—
rarwr>�rwcsr
roraarrmPosmsr
rorusr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f?xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
(A COPY OF BID OR ESTIMA7E MUST BE INCLUDED WITH AFPLICA770M
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEA'T'ERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS Conmacc4J
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS io, Tonisr—i Co,iffio)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (B.O.-Sum)
URINAIS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (R,leq
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY.; ❑ YES o NO
I cert(}y under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the &{formation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local, state, orfederal laws regulating construction or environmental lairs.
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 gfsuch claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arise the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of th4 applicaNQn. i I
SIGNATURE:
and/or Authorized
Il -Z-- 107
FOR OFFICE USE ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY.; ❑ YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 — August 16, 2007 Page 2 of 4 k�Handouts\Pennit Application
0 ,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW CONME RCIAL/INDUSTRIAL SERVICE
4SleFamily Square Feet
Service or Feeder Each Add'n
(First 1300 ft1- $111.00; Each add'n 500 fti- $35.50)
❑ 0 t0 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
Ll 601 - 1000 amp 423.00
Service or Feeder
LJ 0 to 200 amp $ 92.50
❑over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑ # of circuits to he added/altered
❑ over 600 amp 225.50
(1-5 circuits - $94.50: Add'n circuits, $7.00/ea)
11
# of circuits to be added/altered
COMMERCIAL/INDUSTRIAL. PLAN REVIEW
(1-4 circuits -$74.00: Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/M Iii -Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00: each add'n -$48.00)
Commercial/ ndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74.00
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00: add'n-$17.00/ea)
(First sign -$55.00: add'n sign $26.00/ea)
❑ Low voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑
❑ Automation Fee on all Permits .. $5.00
1- 2500 ft2-$65.00:
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910f5)Ib)(i & if)
Bulletin #100- August t6,2007 Page 3 of 4 k\Handouts\Pennit Application