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02-105573 , .. . , ,• alr f .' City of Federal Way Community Development Services Electrical Permit #:02 - 105573 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: HANSEN 11/4V'e./' Project Address: 32450 22ND SW Parcel Number: 638670 0070 Project Description: ELE-Replacing existing panel with new 200amp panel,installing new 60 amp sub-panel in shop Owner Applicant Contractor Deborah A Walters JOHN&DEBORAH HANSEN JOHN&DEBORAH HANSEN 32450 22ND AVE SW 32450 22ND AVE SW 32450 22ND AVE SW FEDERAL WAY WA FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 98023-2503 (253)874-8525 Electrical Fixtures li � t :; w a � .. . Cly A .t w. ;a® a r�;''� , otaafTtlt}f Alt.Sery./Feeder:0 to 200 amps-Res. 2 PERMIT EXPIRES June 11,2003,IF NO WORK IS STARTED. Permit issued on December 13,2002 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: 4k 4- Date: 13, 9-06. --- N9 -0O. — , &3?tot-1 ve ut/6 Poo (2_ A( p (2-,9v a--, l 2— 24-cre-- cmrtiC)k(•c 12 — 1-'7---01- C fl tie�2-- '>)A1s w,� e 4) . ..--- 6 _<. — — 0 3 6 f-CT s tvu tom- lc•L1 DO °: cil/k Ditch cover inspection: C------ -9 Date Rough-in inspection: /� V -•E---p ___`' , i• e Service inspection: • Date FINAL inspection: J41): �,(/� rf—a 4:0_,>- Date We", ` RECC4 0 CONSTRUC I ION�L PE MIT APPLICATION Vv T EIAPPLICATION NUMBER: © - 1_(2 c 5 - 0-0 DEC 3 2002 APPLICATION NUMBER: - - CITY OF FEDERAL wAS, APPLICATION NUMBER: - - BUILDING **The following is reu,r information—Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. j('�rH r��, 2211-(}- y - �- PROPERTY INFORMATION 9 SITE ADDRESS: Tp l�Yll�. UVVIASSESSOR'S TAX/PARCEL#: U! % 3070 - 0_ 07 0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): f I, • I ►L ZD "Amu. 40 1.741 PROJECTINFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION XI ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): PROJECT NAME: P i PEOPLE INFORMATION - • PROPERTY OWNER: NAME: DA ME PHO bebdrec k and John 1- ?Sen (asNE: 3)P4 - g5a5 MAILING ADDRESS(STREET ADORES$;CITY,STATE,ZIP): ds'- Ave, fsul redera•L 09 , t,UA '/8oa3 CONTRACTOR: NAME: DAYTIME PHONE: MAILING ADD S(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME: DAYTIME PHONE: ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR _ = > k ORMATION • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEM .• -. SPRINKLERED BUILDING? ❑ YES ❑ NO UPPRE - • STEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIG ❑ TACO • LI • , ► E WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVE ■ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: —.. _ '. _ •.^-9NCl:UMIW^J:M{CM M1V`AY`V�'{,FmURESJ(iM1YG<fi.N4�` N}F./.MY+.1Mw!epiDi'YJ.I!YS"it."SA'Q'Mr4.itF�M ndicate number of ea pe of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) OOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) • GE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC El GAS PLUMBING BATHTUB .) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHW...HER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRIN.4 NG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS •IPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) I ' RCEPTOR(S) SUMP(S) /:'"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 claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,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 a part of this application. NAME/TITLE: Abttlia /` DATE: MOVeril/ PROPERTYNER ❑ APPLICANT ❑ CONTRACTOR -FOR OFFICE USE ONLY:Y iti.. W � ❑ADDITION S 0 ALTERATIONr E REPAIR' ®iTENANT.IMPROVEMENT _. CENSUS.COD - -_ €LOTSIZE �r_ O' T G • GNATIO �€xgUTIDING SHELL ONLY? YES © Nb .k 1EESTGNAT30N - ... BASXC_PLA_? ---'WES ® TSO ISECi ON TOWNSHIP RANGE' 'liti/WADD IRED? .D'YE la-1 - -,WeL'U-. 1 ❑YES NO _ :.-;:CHANGE OF ti grit ' r COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$l 1.50ea) (Firsk1300'St2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet:(0`U First 2500 ft2-$43.50;Each add'n 2500 ft2-$11.50 Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: - (Inspected with service) _#of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 Yard Pole meter loops $50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 81.00 _Up to 200 amp $ 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 50.00 _601-1000 284.50 _401-600 amp 138.00 68.50 _101-200 101.00 63.50 _over 1000 317.00 _601-800 amp 176.50 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial j ✓0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 201-600 amp 101.00 _Mast or meter repair 68.50 _101-200 63.50 _ over 600 amp 151.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 Z#of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+563.50.Add'l plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B;(B) NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D):. Total Column(D) Estimated Permit Fee: (12) Estimated Permit lee from line 12 Estimated Plan Review Fee: $63.50+( X.35)= (13) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) ■ ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) k _ ■ OTHER FEES it - Mitigation Fee;(18) (20) (22) SBCC Surcharge:(19) - (21) (23) • lotai (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19,2002