15-102112 2-01
SDS2-
CITY OF
—RECEIVED—
Federal Way ELECTRICAL
PERMIT APPLICATION MAY 04 2015
CITY OF FEDERAL WAY
**Most electrical ermits ma be obtained on-line at www.cityo ederalwa .corCOS
SITE ADDRESS: 3957 SW 329TH PL
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
:i ' 2 0 L` - 0 � `7 0
PROJECT NAME
(Tenant or Homeowner Last Name) RUPPERT RESIDENCE
PROJECT DESCRIPTION INSTALL NEW HEAT PUMP SYSTEM
Detailed description of work to
be incktded on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER MATTHEW RUPPERT (770 ) 851 - 7787
MAILING ADDRESS E-MAIL
3957 SW 329TH PL
CITY STATE ZIP FAX
FEDERAL WAY WA 98023 ( ) -
NAME PRIMARY PHONE
MM COMFORT SYSTEMS (425 ) 881_ 7920
MAILING ADDRESS E-MAIL
ELECTRICAL 18103 NE 68TH ST, C-200
CONTRACTOR CITY STATE ZIP FAX
REDMOND WA 98052 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MMCOMMC925C5 02 / 25 /16 20-07-100701-00-BL
NAME PRIMARY PHONE
APPLICANT AMANDA EISTER ( 425) 881 - 7787
MAILING ADDRESS E-MAIL
18103 NE 68TH ST,C-200
CITY STATE ZIP FAX
REDMOND WA 98052 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT JANET CHELGREN ( ) -
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 Federr9 w as o a aim(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 ot4t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart o this application.
4/30/15
SIGNATURE: DATE
14". i
PRINT NAME:
33325-8'h Avemlie 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
`f RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): ls'Service/Feeder Additional Feeders
0- 100 amp V, 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
Is'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
Is'Service/Feeder 1 s'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
`1Added or Altered Circuits
-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
0 Security Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
O Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1^'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
I
#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'h Avenue South♦Federal Way•WA•98003-6325 1 253-835-2607♦fax:253-835-2609 4 www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:A1-landouts\Electrical Permit Application