05-105699 • 14
City of Federal Way Electrical Permit#: 05 - 105699 - 00 - EL
Community Development Services
A P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax.(253)835-2609 Inspection request line: (253) 835-3050
Project Name: HASSELHORST
Project Address: 32530 52ND"SW Parcel Number: 189830 0090
Project Description: Installation of(2)new 20 amp GFCI circuits.
Owner Applicant Contractor
Lisa Haselhorst NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
32530 52ND PL SW 10228 29TH ST E 10228 29TH ST E
FEDERAL WAY WA EDGEWOOD WA 98372 EDGEWOOD WA 98372
98023-1933 (253)445-7029
Electrical Fixtures
Description 11Quantity Description Quantity Description ]Quantity
Circuits-Residential 2 '
1
PERMIT EXPIRES May 6,2006.
Permit issued on November 7,2005
I hereby certify that the above info atio, orrect and that the construction on the above described property and
the occupancy and the use will be • - c, .,,ice with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
ri j ---
Owner or agent: � �� �,� Date: ///4/5
F
NA►SD
C3-16
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"` THIS CARD IS TO REMAIN ON-SITE ,
CITY OF . Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105699-00-EL
Owner: LISA HASELHORST
Address: 32530 52ND PL SW
FEDERAL WAY, WA 98023-1933
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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) �❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By(5.6 Dat6rOS
.
❑ Under-slab groundwork(4295)
Approved
By Date
1 -OW .014 �. RECEIVE
5 ia/ _/
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co,uhuNIIYDLVELOPMEN'SERVICES SIT Novo 7 2 00�F co ���PL DE EN FP
93325 . An/•PoBOX971[i APPLICATS��T
FEDERAL WAY.NA 9e069-97I8 '1U
Z5J•d3bZituotWFAX Z53-035•Z609 FEDERAL WA�J / �.��� -.17-.401-`°'
'°""°F1O1Of�'�°"�°'"ro°' BUILDING DEP
The t•_....,s r r -QR ., y r, lA1lI1 iWt bW Picase , Ori r .
I. r'R(PIRi'ti ,NI-ORM',1it,,.
SITE ADDRESS 3 2S-30 - 5--; /v.D 'C 0210 /MTTanNIT#
ASSESSOR'S TAX/PARCEL# - — — _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
Road=ranee woof°,knithYksetdcs t_
• PR() rFt I 4vroRtitA7'IoN
TYPE OF PERMIT 0 BUILDING 0 PLUMB/NG 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this vennit only) �•
4 ) _) 4t G/2 7 ' 6 in s'.
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPI F 'NFORMA I;C,\
PROPERTI NAME PRIMARY Pli+NE
3-S ADDRESS
y -� 9sitrzi ^37ATLe.ZIP
CONTRACTOR COMPANY NAMEApp�r r'.
. .
�y /W/ CW
W PHOM
e. �� 1CELL S� ip 7Dte 2a� s'-
• 5•ERAL WAY BUSINESS IACENSE NUMBER EXPIRATION DATE FAX NUMB{
If9 /De/., .- B L ?..._/ 3/ /df ( _
CONTRACTOR'S
RMIRA
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owl
APPLICANT COMP NAME \ APPLICANT NAME OFFICE PROLE
ADD J1 CITY,STATE.ZIP CELL PHONE;
( )
RELATIONSHIP TO PROJECT FAX NUMBEO
o Architect o Tenant o Agent o Other(Describe) ( )
CONTAICT ✓. elOt M / \ PRIlaAR1tFHONE - Li�A7I,ADI�ESq
LENDER :: e. r. f. ., ,''''4 'NAME/v /A
•
militia ADDRESS CM,STATE.ZIP
II DETAILED BUN I}IN(. INFORMATION
EXISTING USE 37 -172,/ s�/__ PROPOSED USE 6-/7'I(/
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 7 9)
SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEZI o HIGHLIIIE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
JO sill.
-
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PRO'• s' TOTAL
S9.FT. :! . SQ.FT.
BAS., NT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
mMOM=OM= TOTAL TOTAL fi�TTll0Or TOTALiwcroeso°'' TOTAL AT
NUMBER OF FLOORS
**NEW HOMES ONLY"" NUMBER OF BEDROOMS :o. MATED SELLING PRICE $
FIXT URE S
Indicotr number of each pipe offutur to be installed or relocated as part of.1,. .inject. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Caumeniall WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BA BS(or Tub/Sho.,rrawto) SHOWERS WATER CLOSETS(Tolle MISC(Describe)
DI' ASHERS SINKS DRINKING FOUNTAINS
'AS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LENS(ea h.c+ny 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 authorized 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 (including costs,expenses,and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any .-. including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the Incl its officers and employees,upon the accuracy of the information supplied to the city as a part of
:z -z
<' •moi / e C�-
DATE �
(Signa ) Mae)
RELATIONSHIP TO PROJECT Q Owner C Agent ,Contractor 0 Architect ❑Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES n NO BASIC PLAN? n YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Perniit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage U 101-200 amp 141.00 89.00
(Inspected with service) $44.00 U 201-400 amp 264.50 104.00
U Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50
❑ 601-800 amp 398.50 168.50
U 801 - I000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
U Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
U 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00
U 601 -800 amp 247.00 132.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201-600 amp 264.50
❑ 603 -1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0to200amp $87.00
❑ 201-600 amp 141.00 ❑ #of circuits to be added/altered t
6amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
topzet, 00
#of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
$89.00 lus 35%of Permit Fee
( 4 circuits-$69.50;Add'n circuits$7.00/ea) p
LI Service- 1,000 amps or greater
Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family
❑ #of service or feeders $61.00
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
' U 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
U over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
D Security Alarm System U Additional Plan Review $I04.50/hour
❑ Voice Cabling _ ,for modified submittals)
❑❑ Data Cabling '4 Automation Fee on all Permits $5.00
(Per System(s)1s 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)*Per WAC 296-46-910(5)(b)5 do H)
Bulletin#100-January 7,2005 Page 3 of 4 kUiandouts\Perrnit Application