15-106015CITY of
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION NOV 3 0 2015
"Most electrical permits may be obtained on-line at www.cityofederafTZ�.Q5&90ERAL WAY
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 igformation submitted in support of this permit application is true and correct. I cert(fy 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 lams.
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 he reliance of the ci , including its officers and employees, upon the accuracy of the
information supplied to t ity as o this app c
SIGNATURE: DATE 11/30/2015
PRINT NAME: Go MAI O /V
33325 8'h 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
SITE ADDRESS: 35419 1 ST AVE S
$ 47-
� � PACE #
o0o , OZ)
ASSESSOR'S O� ARr*JC)
- � O �
CURRENT/PROPOSED USE
s
T" 891
PROJECT NAME
(Tenant or Homeowner Last Name)
VILLAGE GREEN RETIREMENT
INSTALL (202) 6" LED CAN LIGHT RETRO FIXTURES
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
INSTALL (136) 4" LED CAN LIGHT RETRO FIXTURES
CHANGE OUT (17) 4 LAMP T-12 2x4 TROFFER FOR NEW LED 2x4 TROFFERS
INSTALL (2) NEW 120V 20A CONVENIENCE OUTLETS. C i�� C P -Co QTS
r
a
.x.�� h .
NAVE
PRIMARY PHONE
PROPERTY OWNER
( ) -
MAIIdNG ADDRESS
E-MAIL
CM
STATE
ZIP
FAX
NAME
PRIMARY PHONE
SEA -TAC ELECTRIC INC.
(253) 872-5553
MAHMG ADDRESS
E -MAH.
ELECTRICAL
7056 S.220TH ST
corey.m@seatacelectric.com
CONTRACTOR
CITY
STATE
ZIP
FAX
KENT
WA
98032
(253 ) 872-4112
WA STATE CONTRACTOR'S LICENSE A
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 8
SEATAE1077RW
/ /
20 -02 -100376 -00 -BL
NAME
PRbIAKY PHONE
APPLICANT,
COREY MCKINNON
(253 ) 872-4112
MAn=G ADDRESS
WINAM
7056 S.220TH ST
corey.m@seatacelectric.com
CITY
STATE
ZIP
FAX
KENT
WA
98032
(253 ) 872-4112
PROJECT CONTACT
NAME
JASON BEYERS
PRIMARY PHONE
(206 ) 948-5004
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 igformation submitted in support of this permit application is true and correct. I cert(fy 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 lams.
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 he reliance of the ci , including its officers and employees, upon the accuracy of the
information supplied to t ity as o this app c
SIGNATURE: DATE 11/30/2015
PRINT NAME: Go MAI O /V
33325 8'h 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
Iat 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
401 - 600 amp x $358.00 x $143.50
NEW MULTIFAMILY (3 units or more)
Is1 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
IS1 Service/Feeder Additional Feeders
Is1 Service/Feeder
0 - 200 amp x $132.50 x $103.50
0 - 200 amp x $101.00
201 - 600 amp x $307.00 x $121.00
201 - 600 amp x $164.00
601 - 1000 amp x $463.00 x $196.00
Over 600 amp x $246.50
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
S
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
Is' Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
0- 60 amp x $ 71.00 x $ 32.00
❑ Other61
- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101 - 200 amp x $103.50 x $ 51.00
ldt 2,500 ft2-$71.00; each additional 2,500 112 - $18.50
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 80'Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
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