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06-101864tjjo- Federal Way _) _ 4 _S— q 3 20�FCOMMMIYDEVEMPMEWSERVICES PERMIT ApR MF CO ME EL PL DE E FP 93925 DEMLWAY,WI1N• PO 639OXB778 �yppLICATI'�� FSDER-2607- X25-I. .1-218 fN©,EFlAL 253-695-2607•FAX 259-835-2609 ^��, ri1- u�uw cLolrederaLa"co �f The oilnwin is ufnO- i ormation - an into fete ficatton will not be accae fed. Please 'nt fe [ (in ink] or ��pp PROPERTY •, • SITE ADDRESS Q Tye - SUITE/UNIT # ASSESSOR'S TAX/PARCEL # �/ Q y - �] LOT SIZE (s,� LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) l A- lArm�sepaodePWf-lc m legaldn-OU.V PROJECT•• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL / ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING O'FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Proe,kle detailed descrotion of uaork included on this Permit on PROJECT NAME (Name of Business or Oumer Last Name) La PEOPLE•• • Indicate number of each type 9f h+rn to l7e installed or re xted as port of thfs project Do not include existing fixtures to remain. Value of Mechanical Work 4 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS Iconnne cui I WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS Cr BATHTUBS [wTub/shower combo) SHOWERS WATER CLOSETS ImaW MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAIh`WATiIR SYST WASHING MACHINES URINALS HOSE HIBBS LAVS (alth _ r.),jkv] VACUUM BREAKERS ELECTRIC WATER HEATERS T certify under penalty of perjury that the b1formation furntshed by me is true and correct to the hits[ of my knowledge, and further, that I am aurhorixed by the owner of the above premise$ to perform the u!ork for which the permit application is made. I further agree to hold harmipGC the City of Federal Way as to any claim (Including costs, expenses, and attorneys• jecs incurred in the investigation and defense o such ela[m) which may be made by any person, including the undersigned, and -led against the City ofFederai Way, but only cohere such clavn arises out of the reliance of the city, iac�ing its of act -rs and employees, upon the accuracy of the ir;formatiott supplied to the city as a part of this application. y NAME/TITLE RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent econtractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW o ADDITION ❑ ALTERATION o REPAIR ❑ TENANT 1WROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/611? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — January 1, 2006 Page 2 of 4 k0andouts\Pernut Application ELECTRICAL PERMIT INFORMATION RESII)ENTL4 L COMMERCIAL IIlE 777AL BERM NEW COMMERCIAi I MUSTRIAL SERVICE ily Square Feet FDetached Service or Feeder Each Add'n ft2- $107.50. Each add)3 500 W- $34,50) ❑ 0 to 100 amp $117.00 $ 71.50 outbuilding or garage ❑ 101 - 200 amp 145.00 91.50 ted with service) $45.50 outbuilding or ❑ 201 - 400 amp 272.00 107.50 garage cted separately) $71.50 ❑ 401 - 600 amp 317.00 127.00 ❑ 601 - 800 amp 410.00 173.50 ❑ 801 - 10o0 amp 500.50 209.50 NEW M�A�MELY (three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $ 34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 - 400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 - 600 amp 198.50 99,00 ❑ 601 - soo amp 254.00 136.00 AI F-M D Ct]MAWRCIAL INDUSTRIAL ❑ Over 800 amp 364.00 272.00 Service or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE MULTI FAMILY ❑ 201 - 600 amp 272.00 Service or Feeder ❑ 601 - 1000 amp 410.00 ❑ 0 to 200 amp $ 89.50 ❑ over 1000 amp 456.50 ❑ 201 - 600 amp 145.00 ❑ over 600 amp 218.50 ❑ # of circuits to be added/altered (1-5 circuits - $91.50; Add'n circuits, $7.00/ea) ❑ # of circuits to be added/altered COMM> MIAL RMUSTRUL PLAN RLr gLW (1-4 circuits-$71.50; Add'n circuits $7.00/ea) $91.50 plus 35% of Permit Fee ❑ ❑ Service - 1.000 amps or greater Mast or meter repair $53.50 ❑ medical/Educat[onel/Imt1tutlonal Facility MOi3ILE HOM S ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE iuI£]SII.E iIflME RV PARK ❑ Residentia.1/bfuiti Family $63.00 # of service or feeders (First service/feeder-$71.50; each add'n-$46.50) Comlinercial!/Yndustrial Service or FlccderA ymcity ❑ 0 - 100 amps $ 71.'i0 ❑ 101- 200 amps 91.50 ❑ 201- 400 amps 107.50 ❑ 401- 600 amps 145.00 ❑ over 600 amps 157.00 AUSCELLANEOUS SERVICE/EQUIPMENT ❑ # of Thermostats ❑ # of signs �,Irst-$53.50; add'n-$16.50/eal (First sign-$53.50; add'n sign $25.00/ea) lY Low voltage - Sqpam Fact to be served by s}•stem(s) S� p� ❑ Swimming pool/hot tub ................ $107.50 (Includes additional circuit, If required) Fire Alarm System ❑ Yard Pole meter loops ...................., $71.50 ❑ Sorsecurity Alarm system ❑ votes calling ❑ Addition Pian Review $107.50/hour Data Cabling (for modified submittals) ❑ ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 1-t 2500 R2-$63.00; Each add'n 2500 ft2-16.50) • Per wAC 296-46-910(5)m/(i & W Bulletin #100 - January 1, 2006 Page 3 of 4 klHandoutslPemlit Application