12-100804 Electrical
City of Federal Community&Econ.Dev.Services Permit #: 12-100804-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: HANSEN
Project Address: 28922 12TH AVE S Parcel Number: 516201 0130
Project Description: Replace 200-amp panel w/new panel and transfer switch combo.
•
Owner Applicant Contractor
HENRY PARKER WILSON HANSEN ELECTRIC HANSEN ELECTRIC
28922 12TH AVE S 11110 22ND ST SE HANSEEI012PA(10/1/13)
FEDERAL WAY WA 98003 LAKE STEVENS WA 98258 11110 22ND ST SE
LAKE STEVENS WA 98258
Additional Permit Information
Is Use Educational or Institutional? No
Electrical Fixtures
Alt.Serv./Feeder:0 to 200 amps(F 1
PERMIT EXPIRES Sunday, August 19, 2012
Permit Issued on Tuesday, February 21, 2012
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
/ <074 and the City of Federal Way.
Owner or agent --' /�' "� Date: 2 2/AP e2-
1,)
2-
_:.: ?/e42.
® THIS CARD IS TO MAIN ON-SITE
CITY OF '"' '' Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-100804-00-EL Address: 28922 12TH AVE S
Project: HENRY PARKER WILSON FEDERAL WAY, WA 98003-3707
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 UFER Ground (4295) El Ditch cover(4030) ID Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
I
O Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
�s Date 2*--72,-'12„.....---
.
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF
Federal Way ELECTRICAL
PERMIT APPLICATION €a i ```
**Most electrical permits may be obtained on-line at . itaegepy.com**
PROPERTY INFORMATI
SITE ADDRESS: Z r?2 ' 2 A /9✓v..S'
SUITE/UNIT/SPACE i / ASSESSOR'SPARCEL# CURRENT/PROPOSED USE
5L T / ao_ l - 0 ( 30 SFz
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name) N t N/I'y LJ 1 ,.S.P/4
P C LA c d Elites ri,44. (L!<4771 t c.01. P4,' w l rib ,4
PROJECT DESCRIPTION Z•s AMP pA'vrL 1j 1 wcc fe, $ c..••fG 11 — 19++/f[ v P
Detailed description of work to
be included on this permit only L;E N 44,9 rip•%•
PEOPLE
NAME PRIMARY PHONE
PROPERTY OWNER H t /v we kit t c+r ( 2.tl3) 275- 2 o L d
MATING ADDRESS E-MAII.
2923. /2th 9ve S
CITY STATE ZIP FAX
f G�ERI�- wA y I 98003 ( ) -
NAME PRIMARY PHONE
y��r.c e E e,r/Ze C !v (112C)33Y- ??fz
MAILING ADDRESS E-MAIL
ELECTRICAL /M M M P 2 2 ND Sr S E E L E'TAn4 t.v e h*er YO4is .
CONTRACTOR CITY STATE ZIP FAX C•M
G'Ki S/RE NSINJ b✓4 '/t2 Sr ( ) Nig -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NA?5CEro1z1,d
NAME PRIMARY PHONE
APPLICANT ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT DA✓t= N9 NSN
(zv4, )9o 9 - er Yr
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I 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 a part of this application.
SIGNATURE: 7< - - l ✓ DATE Z/21/2.(1.-
PRINT
/2(/20/L-PRINT NAME: )) ✓ HA NS a N
33325 8m Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
►� • •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2 $39.00 201- 400 amp x$307.00 x$121.00
NEW MULTIFAMILY(3 units or more) 401 600 amp x$358.00 x$143.50
1n Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801-1000 amp x$565.00 x$236.50
201-400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401-600 amp x $224.00 x $111.50
601-800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 Service/Feeder 1 st Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp _x$132.50 x$103.50
201 600 amp x $164.00 201- 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601-1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 Plan Review required only for:
Service and feeder x $132.50 • New,or alteration to,service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System
1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ e'er 61-100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1a 2,500 ft2-$71.00;each additional 2,500 f12-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8'"Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application