03-104147 Counis
Community Wayy Development Services Electrical Permit #:03 — 104147 — 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: HAAG
Project Address: 800 SW 295TH Sr Parcel Number: 119600 2755
Project Description: Install 60-amp sub-panel and circuits to serve pool/pump equipment:3 pumps,pool,spa,waterfall and
• wet-niche lighting.
Owner Applicant Contractor
Jeffrey J Haag &Lisa M Haag KEL ELECTRIC KEL ELECTRIC
800 SW 295TH ST KEL ELECTRIC KEL ELECTRIC
FEDERAL WAY WA 3610 ACADEMY DR SE 3610 ACADEMY DR SE
98023-8212 AUBURN WA 98092 (253)852-7470
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Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps-Res. I Spa 1 Swimming,Pool 1
PERMIT EXPIRES March 6,2004.
Permit issued on September 8,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupaucy 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: 4,,,uf Date: 03
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RECEIVED BY
�, RECEIVED
DEVELOPMENT DEPARTMENT Cn ; -)-RUCTION PERMIT APPLICATION
N
:.JY OF __ _ ___ ; - 1- F-I 17 -Oo
Federal Way SEP PPLIC_��1-ION NUMBER:
0;
?00 �t",,PPLTCATJON NUMBER: - -
PPI 'CATION NUMBER: - -
'=The following is required information - PIeace print (in ink) or type"
'Please note: Electrical, Fire Prevention Systems and Engineering perruits may require a separate application.
SITE ADDRESS: 000 SW ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE i)ESCRLPTIOP4 IF LENGTHY):
,
TYPE OF PROJECT(This application): oLDING 0 PLUMBING MECHANICAL o DEMOLITION
O'fLECTRICAL o ENS."JFERi r; ,, FIDE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): i )p-e Pe70 I L:vyvp 'OJ e -
c o) Q v;p m r-or 3 "_ jlv hill, - P004._C' et Ei/9 / /4 iter rll e4e
4)-6nt 1Hg -
PROJECT NAME: HGIR 1 _
v
PROPERTY OWNER: NAME: , DAYTIME PHONE:
,-->�y 11 `' ; ( )
MAILING ADDRESS(STREET ADDR ,STATE,ZIP)
CONTRACTOR: NAME: �� i DAYTIME PHONE:
c e >>eCf 2)c- ( )
MAIOG AD KESS(STREET ADDRESS;CITY,STATE.liG1. I EVENING PHONE:
?6 _ Ay p2, 547' } (IS-3 ) %-d y70
CIT(OF FEDERAL WAY BU INT=S., ICEN E T:Ilm,J, FAX NUMBER:
- ( ) 10 - 2-3',7
CONTRACTOR'S REGISTRATION NUMBER: ,r ] I EXPIRATION DATE:
(copy of card required) XJJi L ii I---- j 3_ _. .-__ — — — /2 / 3/ 1e23
APPLICANT: ( NAME: DAYTIME PHONE
ei__-_q__ KleeT72 ic ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
,
I ( )
RELATIONSHIP 10 PROJECT: i FAX NUMBER.
o ARCHITECT Cl TENANT u OTHER ( DESCRIBE) e/er oilmoJ ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER [1 APPLICANT 1V<ITRACTOR
`: -: . " `•■ DETAY'LED'fltifilit G lith N.
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR It•1PROVEMENTS: $
SPRI) KLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:a YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGIILINE H TACOMA ,J PRIVATE(WELL)
SEWER SERVICE PROVIDER: Li LAKEHAVEN ti HIGHLINE n PRIVATE (SEPTIC)
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**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER Of BEDROOMS: ESTItlf TED SELLING PRICE: $
FLOOR -._ EXISTING SQ FT. I PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST —
SECOND •
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: Mi
Indicate,number of c'"-`1 "',ne of fixture
MFCH,',Tr•I.
AIR HANDLING UNIT(S) EVAPORATIVE COM r"(';1 GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(f,', RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUt`HIPC
BATHTUB(S) LAVATORY(S) 'IRINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) — WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCL NER t6CK. ,�
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 (in'iuding costs,expenses,and attorneys'fees Incurred In the
Investigation and defense of such claim),which may be made by any Pcr<"'n, including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the re• nce of the cll.',including its officers and employees,upon the accuracy
of the Information suppliedlIto the city as a p. of this. ,Ii tion. 7�/� /Gn G�/// 1
NAME TITLE: f�✓B i Or
ger ef..-.` DATE: l 1 0�J
❑ PROPERTY OWNER 0 APPLICANT ONTRA OR
,FOROFFICE USE ONLY:
'•pfNEWN ,. a ❑j'ADDITION ;. •=. ❑'ALTERATION -=f t.':o:REPAIR.. , 0 TENANT!IMPROVEMENTk
CENSUS`CODE.,_?:. •r- ."--7.:--',-:`.1;...f.:',:-:... ,; 'LOTSIZE: .,. .;=; :._.,- !- ' -a'
:ZONING DESIGNATION - -
. -.;; ' ;-, ,.�. BUILDING StiELL'ONLY? ^''.o YES NO ,_ •�� •.
tOMPPLAN DESIGNATION ' ' 'BASIC PLAN?( , ❑;YES "oNO,"= " .
SECTION ;.r, • .r TOWNSHIP . " `RANGE= - NEW ADDRESS REQUIRED?`,, "`•. o YES v,.- ❑ NO -
PLATTED L017, `❑YES ,:O NO CHANGE OF USE? O YES•:- -a NO .:-
COMMUNITY DEVELOPMENT"SERVICIS•33530 FIRST WAY SOUTH•1'0[O)? 9/1A•f 1"'J>•`L 1 ,',WA 98063-9718•253-661-4000•FAX:253-661-4129
p,ti N.ci'YPi'_ -.r,?Y,
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NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family Service or feeder onl) S<-, m k of Thermostats(First-543.00;add'n-513.(Oca)
(First 1300 (1.:• 85 50.Lao add'n 500 11`-S2'N0) _Sers ice and frcriei . _ 5.!1 l 00 _5 of Low voltage fire or burglar alarms
iquare hceL. First 2500 ft2-550.00:Each add'n 2500 ft'-S 13 04
Each outbuilding or garage C35.5o MOBILE HOME/RV PARI• Square Feet:
(Inspected vvitt'service) k of sere ice or feed,r. ' Per WAC 296-46-910(5)(b)(i& ii)
Each outbuilding or garage 557.00 (Irir;)sus ice/1ce(1:2r ;QlS Aa'n sen!o_ 8 of Signs(First sign-543.00,add'n sign
(Inspected separately) feeder-S37 cac1,) 520.00 each)
Swimming pool,hot tub,spa 585.50
Yard Pole meter loops 557(19
!- I
COMMERCIAL/INDUSTRI/.t COMMERCIAL/INDUSTRIAL
NEW MULTI-FAMILY
(Includes three units or more) Altered Service or Feeders
Service Fcedei Amp. ^,dd a I ll l0 200 s -).3,)u
lip to 200 amp_ S 93.00 ) 27 5O 201 -600 1654
201 -400 amp 115-50 S7 00 0 to IOU * s7 01, 601 - 1000., 126 56
__401 -600 amp 158.50 78.50 101 -2002 1 I's sr) 72.50 over 1000 363.00
_601-800 amp 202.50 108.50 _201 -400 :-1(;.-( 85.50 t:of circuits
_Over 800 amp 289.50 216.50 401 -600... _._._._-__ 2s' s0 1 U 1.ij0 (1-5 circuits-572.50:Add'n circuits,86 ear
ALTERED SINGLE/MULTI FAMILY _601 -800 126.50......... 138.00
(W en inspected separately from the services.) _801 - 1000 399(0, 166.50 TEMPORARY SERVICE
S 'ice or Feeder ��, _Over 1000 t ,t S(1 . __.232.0(1 Residential/Multi-Family/Commercial/ltdustnal
_0 to 200 amp S 71.50 _Over 600 volts larch.[!1 72.50 _0- 100 c 57.00
201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50
over 600 amp 174.00 I _201 -400 85.50
Mast or meter repair 43-00 1 1 _401 -600 I 15.50
C of circuits 1 _over 600 1 25.00
(i-4 circulLs-557.00;Add'n circuits 56 ca)
L__ - I
If a new or altered commercial service is 200 amps or greater,or a new or all r,d res61..4.:I s-rvIi'"u :0 is greritet than 400 amps,a plan review is required. Fee is 35°3 of
rermit fee+57250. Add'I plan review for other submissions is 585.50!11!
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B (B) I [NUMBER OF UNITS(C) TOTAL(D) I
I I
-i
- - - - - +
Ii- - -----------
t TOTAL COLUMN(D): 1
Total Con., r(Cs;
Estimated Permit Fee: (17)_
Estimated Perma ra'i am Irx' '.'
Estimated Plan Review Fee: $72.50 + ( _.__X .35) -- (13)
- - .-- - • es5:4 '110 ' • I • `
Estimated Permit Fee: (14)
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
• - . , .. • •:_,',-'--':-:':•..-11,OTHER •-.
Mitigation Fee: (18) (70) (22)
SBCC Surcharge: (19) (21) (23)
Total (Page;o„c8,Two): Line(s) (11)+-(17)+(13)+(14)+(15)t(10)+(1.7),(1811(10),(20)4(21)!(27)+(23) = (24)-
i
Hulietin 0100-Decernbor 23, 7002