03-105065 K
City uevel��nt a Electrical Permit #:03 - 105065 - 00 - EL
Community Development Services
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: HUGAERT C�,
Project Address: 2207 SW 328TH JI Parcel Number: 894510 0280
Project Description: Replacing existing 125 amp panel with new 200 amp panel with some associated wiring.
Owner Applicant Contractor
Ross Allen Kerns BRETT&TERRI HUGAERT BRETT&TERRI HUGAERT
2207 SW 328TH ST 2207 SW 328TH ST 2207 SW 328TH ST
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98023-2561 \ (253)815-9511
PERMIT EXPIRES May 10,2004.
Permit issued on November 12,2003
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, 8es and regulations of the State of Washington and
the City of FederalW y.
Owner or agent �i► ', Date: '
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Rough-in inspection:
Date
Service inspection:
Date
FINAL inspection:
Date
it (
_,..„ _441\,‘„ RECEIVED _ CONSTRUCTION PERMIT APPLICATION
CITY OF
APPLICATION NUMBER: _6 J( SQ LC S- h/\ e�
Federal Way NOV 1 2 2003 - l//YL,/
APPLICATION NUMBER:
CITY OF FEDERAL WAY `APPLICATION NUMBER: - -
nnING DEPT.
**The follow��'rs required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
= R PROPERTY INFORMATION
SITE ADDRESS: a 5 l S W- b2_' ..\ • ASSESSOR'S TAX/PARCEL #: -
LEGLL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ;Sty CJ ,J c�\ +LiO Y" 41W'_I,�11'�.
e,
■ PROJECT INFORMATION - _
TYPE OF PROJECT(This application): o UILDING o PLUMBING 0 MECHANICAL o DEMOLITION
LECTRICAL o ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION} ,
(�Provide detailed
pdescription): _pt � �i- --C $- GL4/4l(Lec4
PROJECT NAME: C.
■`PEOPLE INFORMATION
PROPERTY OWNER: NA4E, DAYTIME PHONE:
reA- k--�e-cis kAkkct 0 1,---\-- i (<95b)'l c - 94,11
MAILING ADDRESS(STREET ADDRESS;CITY,STATb,ZIP
c9-01-en 5 w' a- ?
CONTRACTOR: i NATs DAYTIME PHONE:
\`'Wf-e-- --4t-1-740.y--r-'‘ \--\---V-e\a
.. i MAILING(;2:; JRESS(STREET J )3 ADDRESS; ,STATE,ZIP ` i (E ) <PQ
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - i ( )
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME ! DAYTIME PHONE'
C;z V>-cn,-E__ ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
t ( )
RELATIONSHIP TO PROTECT: j FAX NUMBER:
0 ARCHITECT o TENANT ❑ OTHER( DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION -
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
I PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES a NO
WATER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: a LAKEHAVEN ❑ 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:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(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)
■ 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(induding costs,expenses,and attorneys'fees incurred In the
Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information supplied to the cityasa part of this applicatio . `
NAME/TITLE: C\A ,/"/ • DATE: \i V2_ 6
PROPERTY OWNER ❑APPLICANT o CONTRACTOR
_,FOR-OFFICE.USEONLY: ;I
_mss, ,+�.;�. ,. E� �� �r., x=� .._ .,., � -..yx a ._; .. :.x .� M....:: ��,.
NEW., ,, ti ADDITION a ALTERATION . ,REP,AIR�, auTENANT IMPROVEMENT, SF, :'-
rCENSUS`CODE vrF - gLOTSIZE
{ZONING DESIGNATION�� � BUILDING SHEL.ONLY? a YES °<:❑NO ' �
COMPgPLAN DESIGNATION . , t z ABASIC PLAN? `❑YES: a NO
`SECTIQN .. TOWNSHIP RANGE :NEW ADDRESS REQUIRED7'��, F .'❑`YES r n NO
'PLATTED LOT?_ i YES o NO -ek r- .CHANGE OF USE? .';" .n YES'' fl NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffederalway.com
•
• ELECTRICAL
•
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
Single Family _Service or feeder only $57.00 _i9 of Thermostats(First-$43.00;add'n-$13.00ca)
(First 1300 ft'-$85.50:Each add'n 500 ft'-$27.50) _Service and feeder 593.00 ft of Low voltage fire or burglar alarms
Square Feet. _ First 2500(12-550.00:Each add'n 2500 ft'-S13 00
_Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) __ft of service or feeders *Per WAC 296-46-910(5)(b)(i K ii)
_Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _d of Signs(First sign-543.00;add'n sign
(Inspected separately) feeder-$37 each) - $20.00 each)
Swimming pool,hot tub,spa $85.50
Yard Pole meter loops $57.00
F i
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three unit.or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 i 9_i_ou
_Up to 200 amp 5 93.00 $ 27.50 Feeder 201 -600 210.50
-201 -400 amp 115.50 57.00 =
amp 158.50 78.50 101 -200 115.50 72.50 over 1000 363.00
0 to 100 5 93.00 $ 57.00 -t 0 i -1000 126.50
401 -600 a
601-800 amp 202.50 108.50 _201 -400 216.50 85.50 ft of circuits
_Over 800 amp 289.50 216.50 401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,$6 eai
ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00
(When inspected separately from the services.) _801 -1000 399.00 166.50 TEMPORARY SERVICE
Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial
10 to 200 amp $ 71.50 Over 600 volts surcharge 72.50 -0- 100 $ 57.00 I 1
_
201-600 amp 115.50 Mast or meter repair 78.50 _101-200 72.50
over 600 amp 174.00 201 -400 85.50
_Mast or meter repair 43.00 _401 -600 115.50
_a of circuits I _over 600 125.00
(1-4 circuits-$57.00;Add'n circuits S6 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+$72.50.Add'I plan review for other submissions is$85.50/hr.
(
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
I j i
i
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $72.50+( X.35) = (13)
■ DEMOLITION . .
Estimated Permit Fee: (14)
Bond Amount:(15)
■ ENGINEERING
Estimated Permit Fee: (16)
Bond Amount: (17)
• OTHER FEES
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one 8,Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
4-.
Bulletin #100-December 23, 2002