12-102810 JUN-20-2012 08:31 FrorI:MCKINSTRY PURCHASING 206 7641687 To:2538352609 P.2'3
RECEIVED
JUN 2 0 2012 /d) - i D 01 g / 0
CITY oil IPII�!
Federal Way ELEggrm CAL
PERMIT APPLICATION
**Most electrical errnits may be obtained on-line cit www e(ryo•eclerciiway.con i*"` 'p` '
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PROJECT NAME Weft.-e -ka.e...Lte��V C (� L '.7
(Tenant.or Homeowner Last.Name) y I �, « ,
A A e. ,
li elPROJECT DESCRIPTION �(.vle O hreVV \a.1N Ut0 `f I ♦ 'r
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Detailed description of t.uork to
he inelmdeci on this permit otliy ...----
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PROPERTY OWNER OWNER V "tPX' . _ -E-MAIL,AP as
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STATE ZIPnj ryry ((�� ) J
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ELECTRICAL
PITA.111. ZIP VAXCONTRACTOR ct rr eL e 't p P-- (,'6 1 4 )..b.)" li• I tel I
�I V�- EytpinwreoN DATE neDILRAI.WAY a:MINEso UM:ma#
WA STATE CQN'tRACCOR'ti Lielk A/GnNAm Y 5-` g /14
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APPLICANT ~MAILING AIIDRRad /_�~l
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CITY t,VTE O (. .oto.) �f' P i
' � �� PRIMARY PRONE
PROJECT CONTACT NAaaa';', 1,414(__ ___
( ) _
I certify under penalty of petjurd that I am irhe property owner or authorised agent of the property owner.I car'tf that to tilt bast
of my knowledge, the Information submitted in support of this permit application is true arta correct,I certify that I will
comply
ly with
all applicable City of Federal Way regulations pertaining to the work authorised by rho issuance of a permit,
ne
Issuance of this permit does not remove the', owner's responsibility for compliance with falai. attire, or federal laws regulating
construction or environmental laws, costs,expanses,and attorneys'foes incurred in
i further agree to hold harmless the City gtlFederal Way as to any Maim(including
the Investigation and defense of such claim),which may ba mada by any person, including trio undersigned,and flied against the city,
but only where such claim arises out of the reliance of the city. including Ito of leers and ampleyeaa. upon the accuracy of the
information supplied to the city as a part of this a,plio, ion.
' ��. IA/ � I DATA i 1) -
SIGNATURE. �i r �/'
PRINT NAMII:: . lam. r „ll ^s� __.
.
33325 6"'Avenue South♦ Rdcrul Way• WA•96003-6325♦253.833-2607•falx!253.635.2609•www.cityofectIeralwuy.cum
Pt I oP2 k;U lanilout.x\EIectricul Permit tip vIi iitio❑
�ulletinitl6Q�;lmutaty 1,'2011 , 6'
JUN-20-2012 08:34 Frorn:MCKINSTRY PURCHRSING 286 7641687 To:2538352609 P.4/4
a
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY-RESIDENCE NEW COMMERCIAL
Total t3quarn PeetJai Serutce/Feeder AdC1U al Feeders
(including attached garage); .":1;:L7‘:.;.:'..1,0.0..n.r
O P,.
.. x,?$;19' $p P. 'Ht,,50
id3
.. ..»...
FEES; First. 1300 I't -$12;,00; Lp 1 200 u,mP x$104..00 . )403.50
Each additional 600 fk+-$3],0f1
-� - 24;1. .,!1.00 nnip . . •x 0t.015. .,_,:::',= k1 a C00
NEW MULTIFAMILY (3 Lllvts Of morel 401- 600 ant1? ,x$35$,00_ 11;1.40;50
I.,Scrutce Feedcr Acldlllarlat Feeds _..-
0- 200,c n)). .�,x,$1.32,40 ,x $,3,$,r9 801 00 amp 9a3apU �7,ElQ.C1Q
„ amp
QQ. 1 ,, ;32$•50
801 1000 crrh x$565.00 236 5
40.7,-OUp,amp .,.., x.,$221,,00 , _,, 'L'. ,x 6�,1 1.0,60 Ov r 1000 uru a, x$fi 1 Q 00•,.. w Q
201 400 uan x $164.00 x t$ £i
• I„60
601 -800 lump x $287,00 x $1.63,50 Ovcr 600 volts surcharge harge j1,03.SO
Durr 800 amp x, '$410.60,; ,,,...
ALTERED SINGLE or MULTI FAMILY — ALTERED COMMERCIAL
0 swl,rScrvlce/Feeder ;1"Saralcc/.Feeder -Add.irf .`rlire4dcrd
.200, ap. ...• ...., ,, — 'M $.f,0.1„d0 0 200. ,a.mp X.$),E,3'2„50.-,. ........ $,1Q3,50
201 ^600 amp x $,164.00 201 - 800 a.mp x$30'7,00 $.1,21,00
60J.,.7.-1000
Ovist 000 amp ,. ' x $ 4b'$0 Iirn
i ',x74145,06,"G .$.i0t3.uU
Over 1000 amp ' x$5:15,430' k328.50
Added or Altered Circuits
1-4 circuits$80.50; each additional$8 00 Added or Altered Circuits
:i-5 circuits$103.50; each additional$8,00
Mast or meter repair $60.50
Must or meter repair $11:1.50
MANUFACTURED HOMES PLAN REVIEW FEES i
service or feeder only x $ 80,50 Plan Review required only liw:'
SC.r7.i .'and';t de.r '' ,ic;.. .,i 162..5.0 • New,or alteration to,seivlce of 1,000 amps or 'Icr
• Medical/Educational/Irlsutulaona.l Facility
$103,50 plus 35%of Permit Fee
(Permit Fec x 35%s_ +$103.80•Plan r lew Fee)
Plan review for modified eubmittals $1t pi0/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
0 Fire Alnrrn Syatern
r:1 Security Alnnn System 111 Serutee/.Feeder Addtttonal f t1cr5
C:1 voice/Dnta cabling 0 .0Q trni 7,1,00,:,‘,„,:::::,,.....':-,
❑ od,,:I 1 ampxc is 130 5p fl 0 0A
81P, ,.,
Area to he served by system: .�..
1• 2,500 11,247 1,(10,each(Alit Klima]2,500 ft,-$1 i 60 - 100 mX ,$,1:P 0..,.. x 0J I,00
101, 200 any ,
00 um
•
1 P . X $121 00 x '$ 01.50
fl of Thermostats 201�.4
First$60,50:tach additional$19.50 40,1 _.000.,amp '.. x $,1.64.00..,.,. zt,,,$p. p,SA
Over 600 amp $I,R ,ZC
,60 $ ,0p
FEE CALCULATIONS
Yard Pole/motor loops/pedestal x$ 90•60
• Fees are determined by the scope of Work us 1ndl )tecl,
Portable Generator(transfer equipment)_._ _x$101.00 • A$6.00 Automation Fee will be added to all peril S.
Ditch cover/inspection only x$121.00 • For assistance In calculating fees or completing i
application form.contact:the Permit Center at
253405.2607
33325 ll”`Avow:South• Federal Way♦ WA♦95003.132$•257-835-2607•fax;2534;35-2600•www.citydredertrlwny,c,
8ulleiin#160-January I,2011 Niue 2 of'2 k:\Handouts1E1cctrieal pi lit Application