12-105385I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& 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 apart of this application.
SIGNATURE:
I�.�4�41l�/.�141yA
TE i ( P44—
` 4 11,;)-
33325 8h 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
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12 -
-
CITY OF 4A
Federal Way ELEC'T'RICAL
0 RECEIVED
PERMIT APPLICATION
NOV 2 9 2012
"Most electricalermits may be obtained on-line at www.cityoffederalway.com**
SITE ADDRESS: O l a SW 90(5+h Sfi
SUITE/UNIT/SPACE #
ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
O Z
PROJECT DESCRIPTION
nSA-5i
-. r -C 2, ly-(Z,(/1 S r 'S Li l
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRIMARY PHONE
Ljcjitr 0-3 ) q q I- J_:'U
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
/ FAX
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NAME
ril e Y i el i an Ce nfe-r uectyic
PRIMARY PHONE
cd53 8M - 559 5
MAILING ADDRESS A
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E-MAIL
iu m P mC a Ee mi C. C o m
ELECTRICAL
CITY
allu,
STATEZIP
wA
983l3
FAX
1 - 08ga-
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
MER I V CE 318 301
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
-
APPLICANT
MAILING ADDRESS
6axy,'e,
E-MAIL
CITY
STATE
I ZIP
/ FAX
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PROJECT CONTACT
NAME
PRIMARY PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& 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 apart of this application.
SIGNATURE:
I�.�4�41l�/.�141yA
TE i ( P44—
` 4 11,;)-
33325 8h 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
111 Service/Feeder Additional Feeders
(including attached garage):
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.101
,
- 200 amp x $164.00 x $103.50
Each additional 500 ft2 $39.00
201 - 400 amp x $307.00 x $121.00
401 - 600 amp x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
111 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
1st Service/Feeder
1st 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
❑ Other
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101 - 200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00; each addition
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)-L 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
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: MOTZ
Project Address: 818 SW 295TH ST
-- :'J
Project Description: Install transfer switch for permanent generator
0 Veettrical
Permit #: 12 -105385 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 119600 2775
Owner
Annlicant
Contractor
WALTER R MOTZ
MERIDIAN CENTER ELECTRIC INC
MERIDIAN CENTER ELECTRIC INC
HARIKLIA L MOTZ
11109 66TH AVE E
NERIDCE318SG (2/28/13)
818 SW 295TH ST
PUYALLUP WA 98373
11109 66TH AVE E
FEDERAL WAY WA
PUYALLUP WA 98373
98023
Additional Permit Information
Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 amps (F 1
CONDITIONS:
A permanently installed generator is not allowed to be placed within required yards (setbacks). See Bulletin
#150 for placement details.
PERMIT EXPIRES Tuesday, May 28, 2013
Permit Issued on Thursday, November 29, 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
an h City of Federal Way.
Owner or agent: Date: ` I�
THIS CARD IS TOrection
ON-SITE '
CITY OF - Construction In Record
Federal Way INSPECTION REQ3) 835-3050
PERMIT #:
12 -105385 -00 -EL Address: 818 SW 295TH ST
Project: WALTER R MOTZ FEDERAL WAY, WA 98023-8212
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.
Final - Electrical (4055)
Approved
By Date
UFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)Service
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
Temporary Power (4275)Service
(4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
0
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date