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CITY OF •-•v.
Federal Way ELECTRICAL
0 � �\\ PERMIT APPLICATION
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ILt lin ost electrical permits may be obtained online at www.cityoffederalway.com**
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SUITE/UNIT/SPACE if ASSESSOR'S TAX/PANEL# CURRENT/PROPOSED USE
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PROJECT NAME „44 /r l--�
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PROJECT DESCRIPTION ,\ e76,-,/,4q �j e 4/��� f)R V • I
Detailed description of work to ,\ C �/ /fC
be included on this permit only )( / ' All <�/ G'1' f lc' j/mei/„(' j -,I,
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NAME PRIMARY PHONE
PROPERTY OWNER ( ) —
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME , PRIMARY PHONE
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MAILING ADDRESS
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CONTRACTOR C STATE ZIP- ,�j FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT 1 ((/ cry i `: 1( ( ) —
MAILING ADDRESS / E-MAIL
CITY / STATE ZIP FAX
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NAME - PRIMARY PHONE
PROJECT CONTACT ( )
I certify under penalty of perjury that I am the property owner or authorized 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 authorized 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: DATE
PRINT NAME: _____, 71.....:1.--
33325 81h Avenue South♦PO Box 9718•Federal Way•WA♦98063-9718 1 253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:U-Iandouts\Electrical Permit Application
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet I st 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
15t 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
I st Service/Feeder 15t 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 15t Service/Feeder Additional Feeders
ecurity Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other ) t /Th 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system: I _/ 0 0
1s,2,500 ft2-$71.00;each additional 2,500 ft2-$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
#of Signs
First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
33325 8th Avenue South•PO Box 9718•Federal Way•WA 1 98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:u-landouts\Electrical Permit Application
Electrical
City of Federal Way r a
Community&Econ.Dev.Services Permit #: 11-104425-00-EL
33325 8th Ave S
Federal Way,WA 98003 T�
Inspection Request Ph:(253)835-2607 Fax:(253)835-2609 p q est Line: (253)835-3050
Project Name: WEST CAMPUS FOOT &ANKLE
Project Address: 33801 1ST WAY S Suite 105 Parcel Number: 926504 0160
Project Description: Low voltage wiring for fire alarm system.
Owner Applicant Contractor
WEST CAMPUS FOOT&ANKLE FIRE SYSTEMS WEST INC(GENERAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
33801 1ST WAYS 206 FRONTAGE RD N FIRESWI055LW (6/16/13)
FEDERAL WAY WA 98003 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
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Is Use Educational or Institutional? No Service greater than 999 Amps? No
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Low Voltage-Fire Alarm(Comm( I
PERMIT EXPIRES Thursday, November 1, 2012
Permit Issued on Wednesday, November 2, 2011
I hereby certify thatthe 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
�— e pity of Federal Way.
Owner or agent: /
Date: / - r
n—S4r030 the abo
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THIS CARD IS TO MAIN ON-SITE
CITY OF 0 Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-104425-00-EL Address: 33801 1ST WAY S Suite 105
Project: WEST CAMPUS FOOT & ANKLE FEDERAL WAY, WA 98003
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.
El UFER Ground (4295) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
O Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date B. Date,(— ) 4 .. (
El Final-Electrical(4055) \
Approved
By Date 1 X—3a—1 t .
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date