11-101599i�
CITY OF
FederLECTRICAL
APR %PERMIIT APPLICATION
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l permits may be obtained on-line at www.citvoffederalway.com"
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SITE ADDRESS:
SUITE/UNIT/SPACE N
ASSESSOR'S TAX/PARCEL N
CURRENT/PROPOSED USE
tiIECl N O04�j_N
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PROJECT NAME
1�
(Tenant or Honteouwner Last Nam(-)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PRIMARY PHONE
NAME
PROPERTY OWNER
( ) -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME % %„��%
PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
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ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE N
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NAME )C
PRIMARY PHONE
APPLICANT
MSAAII)LINGG ADDRESS
E-MAIL
CIT[Y�
STATE
ZIP 2
FAX
PROJECT CONTACT
NAME
0 S A)
PRIMARY PHONE
( Z'S ).30 - 5 C
I certify under penalty of perjury that 1 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 apart of this application.
SIGNATURE: DATE f� z 7—
PRINT NAME: Qo (Ic L
33325 8h Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 1 fax: 253-835-2609 ♦ www.ciryoffederahvay.com
Bulletin #160 — January I, 2011 Page I of 2 k:VHandouts\Electrical Permit Application
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RESIDENTIAM
MERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1st Service/Feeder Additional Feeders
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
1st 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
1s1 Service/Feeder
1s1 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
11t 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:
1st 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
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 8" Avenue South ♦ Federal Way ♦ WA ♦ 98003-6325 ♦ 253-835-2607 ♦ fax: 253-835-2609 ♦ www.cityoffederalway.com
Bulletin # 160 - January I, 2011 Page 2 of 2 k:\Iiandouts\Electrical Permit Application