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07-106228t s City of Federal Way community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Electrical Permit #: 07 -106228 -00 -EL Project Name: HAEGELE Project Address: 29527 9TH PL SM j ; --A+ Project Description: Panel to panel changeout -125 a p Inspection Request Line: (253) 835-3050 Parcel Number: 515210 0090 Owner Applicant Contractor TOM HAEGELE NORTHWEST ELECTRIC & SERVICE NORTHWEST ELECTRIC & SERVICE MURIEL E HAEGELE 10228 29TH ST E NORTHES015CK 2/12/09 29527 9TH PL S EDGEWOOD WA 98372 10228 29TH ST E FEDERAL WAY WA 98003-3738 EDGEWOOD WA 98372 Additional Permit Information Service greater than 1000 Amps?...........................No Electrical Fixtures Alt. Serv/Feeder: 0 to 200 amps -1 1 PERMIT EXPIRES Sunday, November 9, 2008 Permit Issued on Thursday, November 15, 2007 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: �� G% THIS CARD IS TO REMAIN ON-SITE CITY of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -106228 -00 -EL Owner: TOM HAEGELE Address: 29527 9TH. PL S FEDERAL WAY, WA 98003-3738 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 ❑ Service (4235) ❑ Final - Electrical (4055) Approved Approved By Date B Date 9 ,d For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date /l % f «yupRECEIVED 1=rai� pERMIT -�— — — — 7YDE— CDMwMYELoPMwSEMCBs SF MF CO ME EL L DE EN FP 3992581•AYEIVUBS0UI}1•P0B(LC971d Nov"o'PLICATION FSDSRAL WAY, WA 98069.9778 "159 d95?607• FAX?59d9S•96d9 (;ITYg OF t-EDERAL WAY The following is required orm t loon Pan incomplete application will not be accepted Please print.iegibly (in ink) or type. PROPERTY•• • SITEADDRESS / � % 9 l'� SUITE/UNIT f ASSESSOR'S TAR/PARCEL q LOT SIZE (sn LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (� .aro.p.rroeymmld aWwQ PROJECT• • TYPE OF PERMIT 0 BUILDING ❑ PLUMBING. . O MECHANICAL O DEMOLITION)ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this Permit oW PROJECT. NAME (Name of Business or Owner Last Namel PEOPLE• • PROPERTY OWNER CONTRACTOR e\'o) APPLICANT PROJECT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE MLING ADDRESS CITY, STA E, ZIP E-MAIL ADDRESS OF COM ANY NAME AP= OFFICE PHONE/ f CITY, STATE, ZIP w i 4' MAILING ADDRESS CITY, ATE, ZIP CLL PHONE CITY OF FEDERAL WAY B ESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER ` CONTRACTOR'S REOIBTRATION ND =P TION DATE EMAIL ADDRESS COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP 7CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other ( _ NAME PRIMARY PHONE EMAIL ADDRESS NAME Per RCW 19.27.0981 Lender information is required (%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 ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT ••• AREA DESCRIPTION AREAS o REPAIR o TENANT IMPROVEMENT •ERISTING SQ : FT. PROPOSED SQ. FT. TOTAL - 00. FT. BASEMENT o NO ZONING DESIGNATION FIRST o YES o NO NEW ADDRESS REQUIRED? SECOND UP/SEPA/SU? o YES o NO THIRD o YES o NO DEMO PERMIT REQUIRED? o YES ADDITIONAL FLOORS (DESCRIBE) DECK (O COVERED OR O UNCOVERED?) GARAGE0 CARPORT O NUMBER OF FLOORS soruo rsorwso ror,►r . ronmsssrmrosr ronarsaroesosr ronaer ••NEW HOMES ONLY".. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture 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 ESTIMATE MUST • BE INCLUDED WITH APPLICA770N7 AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tnb/s combq DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS LOG SETS LAVS pi tb,.. sk*4 RAINWATER SYST SHOWERS SINKS SUMPS GAS PIPE OUTLETS GAS WATER HEATERS HOODS (commmdN RANGES REFRIG. SYSTEMS URINALS . VACUUM BREAKERS WATER CLOSETS (mkq WASHING MACHINES WOODSTOVES MISC (Describe) MISC (Describe) I cart(& under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I cer ft that! 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, or federal laws regulating construction or environmental laws. 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, 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 apart of this application. SIGNATURE: _r' / - DATE ,��-i1–,�— Property Owner and/or Authorized Agent o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES. o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO. Bulletin # 100 _ August 16, 2007 Page 2 of 4 . k\Handouts\Pennit Application . I ELECTRICAL PERMIT INFORMATION RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ Single Family &quare Feet (First 1300 ft2- $111.00; Each addh 500 ft2- $35.50) ❑ Detached outbuilding or garage (Inspected with service) $47.00 ❑ Detached outbuilding or garage (Inspected separately) $74.00 NEW MULTI-FAMII.Y (three units or more) Service or Feeder Service Feeder ❑ Up to 200 amp $120.50 $ 35.50 13 201 - 400 amp 149.50 74.00 ❑ 401 - 600 amp 205,00 102.00 ❑ 601 - 800 amp 262.00 140.50 13Over 800 amp 375.50 280.50 ALTERED SINGLE/MULTI FAMILY ❑ it of circuits to be added/altered (1-4 circuits -$74.00; Add'n circuits $7.00/ea) ❑ Mast or meter repair $55.00 MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 COMMERCIAL NW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Addrn ❑ 0 to 100 amp $120.50 $ 74.00 ❑ 101- 200 amp 149.50 94.50 13 201- 400 amp 280.00 111.00 ❑ 401- 600 amp 327.00 131.00 ❑ 601- 800 amp 423.00 179.00 ❑ 801-1000 amp 516.50 216.06 ❑ Over 1000 amp 563.00 300.00 ❑ Over 600 volts surcharge $94.50 ❑ Mast or meter repair $102.00 ALTERED COMMERCIAL/INDUSTRIAL Servicb or Feeders ❑ 0 to 200 amp $120.50 ❑ 201 - 600 amp 280.50 ❑ 601 - 1000 amp 423.00 0 over 1000 amp 471.00 ❑ i! of circuits to be added/altered (1-5 circuits - $94.50; Add n circuits, $7.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW $94.50 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE MOBILE HOME/RV PARK ❑ Service or Feeder 0 to 200 amp $ 92.50 ❑ 201 - 600 amp 149.50 ❑ over 600 amp 225.50 ❑ it of circuits to be added/altered (1-4 circuits -$74.00; Add'n circuits $7.00/ea) ❑ Mast or meter repair $55.00 MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 COMMERCIAL NW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Addrn ❑ 0 to 100 amp $120.50 $ 74.00 ❑ 101- 200 amp 149.50 94.50 13 201- 400 amp 280.00 111.00 ❑ 401- 600 amp 327.00 131.00 ❑ 601- 800 amp 423.00 179.00 ❑ 801-1000 amp 516.50 216.06 ❑ Over 1000 amp 563.00 300.00 ❑ Over 600 volts surcharge $94.50 ❑ Mast or meter repair $102.00 ALTERED COMMERCIAL/INDUSTRIAL Servicb or Feeders ❑ 0 to 200 amp $120.50 ❑ 201 - 600 amp 280.50 ❑ 601 - 1000 amp 423.00 0 over 1000 amp 471.00 ❑ i! of circuits to be added/altered (1-5 circuits - $94.50; Add n circuits, $7.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW $94.50 plus 35% of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE MOBILE HOME/RV PARK ❑ ResldentiaWhIti Family $65.00 # of service or feeders (First service/feeder-$74.00; each addh -$48.00) CommerciaWndustrfal Service or Feeder Ampacity ❑ 0 - 100 amps $ 74.00 ❑ 101 - 200 amps 94.50 ❑ 201- 400 amps 111.00 ❑ 401 -.660 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICNEQUIPMENT ❑ 4 of Thermostats ❑ 4 of Signs (First -$55;00; addh-$17.00/ea) (First sign -$55.00; addh sign $26.00/ea) ❑ Low Voltage ❑.Swimming pool/hot tub. ................ $111.00 Square Feet to be served by aystem(s) 0acludes additional circuit, if required) ❑ Fire Alarm' system ❑ Yard Pole meter loops....... ............. $74.00 ❑ Security Alarm system ❑Additional Pian Review 13 Voice Cabling i$111,00/hour ❑ Data Cabling (for modified submittals) ❑ ❑ Automation Fee on all Permits .. $5.00 14 2500 ft1-$65.00; Each add'n 2500 112: 17.00) 'Per WAC 29646970(5)jbx! 6 N) Bulletin 100 -August 16, 2007 Page3-of 4 kWandouts\PermitApplication