09-104362 (2)�J
errr or / PERMIT
Federal
iroMigryDVELOP SERvfCSX��Jv f� Ap P p G A'T I O N
253.935.2607- FAX 253-835-2609
BITE ADDRESS
L
SUITEJUNIT •
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ZONING
S_ dF Co ME (ELD PL DE EN FP
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S j"IPAT
$
o_ O I S a
NAME OF PROJECT C a 5 G cL. A Qs 'Rzl 4'V 01_ ` & O 0 G C 2 ✓1V
(Tenant or Homeowner Name)
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT ❑ DEMOLITION P.ELECTRICAL ❑ ENGINEERING FIRE pR/ENTION
l�f
�I
pROJECT DESCRIPTIO14
Detailed deso*lion of work to
be included on this permit only
PROPERTY OWNER
OWNER IS ALSO:
NAME
MAILING ADDRESS, CITY, STATE, ZIP
❑ CONTRACTOR ❑ APPLICANT
NAME F C�eC_A '
Ilee' .�'� u•�� .
MAI3.3NG ADDRESS, CITY. STATE, ZIP
CONTRACTOR PC) & '7 *7 2— �
WA STATE CONTRACTOR'S LICENSE f
Q N i d s e.
NAME
.JGi f C'O�
APPLICANT MAILING ADDRESS, CITY, STATE, Up
444
WA- 180 Y2
p,XFIRATION DATE
'?I.zr //0
PROJECT CONTACT
(The individual to receive and J 2 S
respond to all correspondence MAILING ADDRESS' CITY' STATE,
ZIP
D
concerning this application) s 42,eo-t q..f
PRIMARY PHONE
ALTE"A73 CONTACT NAME:
pWjECT FINANCING 7MAMMG
Requiredforprojects with ADA s, STATE, ZIP
value of S5,000 or more
(WW 19.27.09")
it I Cfl']
PRDdARY PHONE
EMAIL
❑ PROJECT CONTACT
pRImARY PHONE
PAR
zS ia3 - 0
aW_"LWO 15ys�-LICENSE #
PRIMARY PHONE
FAX
PRIMARY PHONE
2 '-l74Z.
FAR
1a3 - 03
❑ OWNER -FINANCED
PRIMARY PHONE
� 5 -
owner or authorised agent of the PMPOrty owner. I eert�fy that to the
I certVy under penalty of perfury
that I am the prop rty this ermit application is true and correct. I cerft that I Will comply
nd that
best of my knowledge, the information subrntttcd to support f F
with all applicable city of Federal W479 regulations pertaining to the work authorized
by the ��ance of a stat ape f derai laws regulating
the issuancs of this permit does not romave the owner's responsibility for c°nSFlianC° with local, ' a ecs incurred
o Federal Way as to any claim (including coats, sXpansea, and actor" 'f
construction or snvironmental laws. and led against the
I further agree to hold harmless the
City
f crsan, including the undersigned, Ji g
g
in tics investigation and defense of such claim] which may be made bg any ar ding it officers and a upon the accruacy of the
city, but only where such claim arises auto athis
e; e reliance of appt cation- the city,
informatlon suppiled to the city as a part f
DATE ll- 60
SIGNATURE:
PRINT NAME: Application
Page 1 of 4 k:�iandouts\Permit
Bulletin # 100 — 4/17/2009
ELECTRICAL
COMMERCIAL ==9
RESIDENTIAL
NEW COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
Ia, ServieelFeeder Additional Feeders
Total Square Feet
E::=:= (including attached garage):
0 - 1DQ amp x $731:50 x $ 80.00
101 - 200 amp x $163.00 x $103.00
FEES: First 1300 ft2 - $121.00;
Each additional 500 ft2 - $39.00
201- 400 amp x $305.50 .x $120-50
NEW MULTIFAMILY (3 units or more)
0
401 - 600 amp x $356.00 x $195..00
14, ServicelFeeder Additional Feeders
601- 800 amp x $460.5Q lS T'ziC - x $€
x $DS5 50
0 - 200.amp x $131.5C1 x $ 39.00
801 - 1000 amp x $562.50
x $327,00
201 - 400 amp x $163.00 x $ 80.00
over i000 amp x $613.00
401 - 600 amp x $223.00 .x $111.00
x $103.00
601 - 800 amp x $285.50 x $152.50
Over 600 volts surcharge
Over 800 amp x $408.50 x $305.50
A LTERED COMMERCIAL
ALTERED SINGLE or MULTI FAMILY
1°' Service/Feeder Additional Feeders
1-1 ServicelFeeder Additional FeedersFdddjed
mp x $131.50 x $103.00
0 - 200 amp x $300.50 x $ 39.00
mp x $305.50 x $142.50
201 - 600 amp x $163.00 x $ 80.00
x $460.50 x $235'0
Over 600 amp x $245.50 x111A0ammo
Overamp x $513.00 x $327.00
Added or Altered Circuits:
$80.00; each additional $8.00
tered Circuits
$103.00; each additional $8.00
1-4 circuits
1-5 circuits
Mast or meter repair $60.50
Mast or meter repair $111.00
PLAN REVIEW FEES
MANUFACTURED HOMES
Service or feeder only x $ 80.OD
$103.00 plus 35% of Permit Fee; Plan Review required for:
Service and feeder x $131.Sb
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $ 120.50 hour
MISCELLANEOUS SERVICE/ E UIPMENT
TEMPORARY SERVICE
LOW VOLTAGE
1°' ServicelFeeder Additional Feeders
Fire Alarm system
Security Alarm System
x $ 71,00.. - x $ 32.00
o = ti0..amp' . .
❑ Voice/.Data Cabling
61 - 1D0 amp x $ 80.00 _x $ 39.00
[3 Other
Area to be served by system:
101 r- 200 amp x $103.50 x $ 51.00
12,500 it2--$71.00; each additional 2,500 ft2 - $18.50
201 -400 amp x $120.00 x $ 60.50
;l of Thermostats
401 - 600 asap x $163.50 x $ 80.00
x $ 9200
First $60.50; each additional $18.50
over 600 amp x $183.00
**NOTE: an automation fee of $6.00 will be charged
l# of Signs
First $60,50; each additional $28.50
on all permits**
Yard Pole/meter loops/pedestal x $ 80.00
f isted contact the Permit Center at
Portable Generator (transfer equipment) x $100.50
For fixtures or fees not
253-835-2607
Ditch cover/inspection only x $120.50
Bulletin # 100 - 4/21/2009
Page 3 of 4 k:\Handouts\Permit Application