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