06-101265City of Federal way
Community Development Services Electrical Permit #: 06- 101265 -00 -EL
P.O. Box 9718
Federal Way, WA 98063 -9718 f
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: DENTAL CENTER OF FEDERAL WAY BUILDING B
Project Address: 34704 11TH PL S Parcel Number: 215470 0030
Project Description: (6) New thermostats and wiring
Owner
Applicant
Contractor
VAN H WONG
SUNSET AIR INC (Electrical Contractors
SUNSET AIR INC (Electrical Contractors
CINDY H WONG
License)
License)
2101 SE 2ND PL
5210 LACEY BLVD SE
SUNSEA1005C5 2/25/06
RENTON WA
LACEY WA 98503
5210 LACEY BLVD SE
98056 -8864
LACEY WA 98503
Additional Permit Information
PERMIT EXPIRES Tuesday, September 12, 2006
Permit Issued on Thursday, March 16, 2006
I hereby certify that the above in rmation is correct and that the construction on the above described property and
the occupancy and the u e b in cordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 3 � 1004
V "I
THIS CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSACdT�ON REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101265 -00 -EL
Owner: VAN H WONG
Address: 34704 11 TH PL S
FEDERAL WAY, WA 98003 -6715
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible (read left to right, top to bottom).
Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections
are logged on the back of this card.
❑ Slab /Concrete Floor (4255)
❑ Ditch cover (4030)
❑ Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By Date
By - Date
By Date ---
❑ Temporary Power (4275)
❑ Service (4235)
❑ Feeders /Sub - panels (4045)
Approved
Approved
Approved
By Date
By Date
By Date
[] Rough Electrical (4225)
Approved
By Date
❑ Under -slab groundwork (4295)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
NPL
Final - Electrical (4055)
Approved
B Date
GSY OP
-0
Federal UUay P gA
commuA TYDEv&oPMENrsvvxEs D �� � - SF MF CO M EL L DE EN FP
33325 8M AVENUE, WA 9 • PO BOX 9718 A P P �Te AW6 N
FEDERAL WAY, WA 98069 -9718. ! r ''\ �
153. 835 -1607• FAX 153435.1609
unnw. cif uo/fedemhunr. t»m
The following is required information - an incomplete ap lication will not be acce ted. Please rant legibly in in or
Ve
p &
PROPERTY j O. q
SITE ADDRESS d"-1 % l Q 1! �l t / - �L� / �j %� dog SUITE /UNIT # �
ASSESSOR'S TAX /PARCEL # _ _ _ _ _ - _ LOT SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach sep — Lepage jm• l vft legal demarWaN
PROJECT .-
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJEC .T DESCONvide det�ailfd description of workfichided on this ermlt onl
� GT.'i Ge ✓ fic /L -�3tG �r/sYi.�q YTe%�+ %:<4�i' irfirtCtf e,
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
11t1 (e?l) ) 14" - S'Ja
yMAILING ADDRESS CfTY;ST�ATE, ZIP
�
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
cJr�.�dc �if% ^r c4cic
" .�' ors:
(,?&v )
MAILING ADDRESS
fro AXI se
CITY, STATE, ZIP
CELL PHONE
(34v ) _F01
CITY OF FEDERAt WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CELL PHONE'
CONTRACTORS REGISTRATION NUMBER (copy of card required with epch application) EXPIRATION DATE
RELATIONSHIP TO PROJECT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDR
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑: Tenant
❑ Agent ❑ Other (Describe)
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ . VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
3 . FT.
PROPOSED
3 . FT.
TOTAL
SO. FT.
BASEMENT
FANS
HOODS pomm.,.iA
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
tEtfTelO
rR0lOBL'D
TOTAL.
*-NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to-remain.
Value of Mechanical Work $
_ AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS pomm.,.iA
WOODSTOVES
_ BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
_ COMPRESSORS
FURNACES
GAS WATER HEATERS
.DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS (orTuh /shoowcombo) SHOWERS WATER CLOSETS (roaeq MISC (Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVE (sou.. 9w,4 VACUUM BREAKERS ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is .inade. 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 dny person, including the undersigned, and filed against the City of Federal Way, 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 a part of
this application.
NAME /TITLE DATE i
(Signature) (rime) I
RELATIONSHIP TO PROJECT 0 Owner O Agent 0 Contractor 0 Architect 0 Other
D-1 -fA 4 \i- Te...i���fo \Dn�.,,.r An„li�o ►inn
ELECTRICAL PRRMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDEN SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Squ a Feet
Service or Feeder Each Add'n
(First 1300 tt2- $107. 0; Each addh 500 ft2- $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuil g or garage
❑ 101.- 200 amp 145.00 91.50
(Inspected with rvice) $45.50
❑ 201- 400 amp 272.00 107.50
❑ Detached outbuil ' or garage
❑ 401- 600 amp 317.00 127.00
(Inspected separ ely) $71.50
❑ 601- 800 amp 410.00 173.50
13 801 - 1000. amp 500.50 209.50
NEW MULTI - FAMILY three units or ore)
❑ 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 4500 71.50
❑ Mast or meter repair $99.00
❑ 401 - 600 amp 8.50 99.00
Q 601 -800 amp 2 4.0 136.00
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 36.0 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE MULT RILY
❑ 201 - 600 amp 272.00
1
❑ 601 - .1000 amp 410.00
Se o Feeder
❑ 0 to 200 amp 89.50
❑ over 1000 amp 456.50
❑ 201 - 600 amp ! 145.00
❑ # of-circuits to be added /altered
❑ Over 600 amp (I 218.50
(1 -5 circuits - $91.50; Addh circuits, $7.00 /ea)
❑ # of circuits be added /alte ed
COMMERCIAWINDUSTRIAL PLAN REVIEW
(1 -4 circuits -$71 0; Add'n circuits $ .00 /ea)
$91.50 plus 350/6 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meted epair $53.50
❑ Medical /Educational /Institutional Facility
f
MOBILE HOMES
❑ Service ore ore jeder only $71.50
Q Service apd feeder $117.00
TEMPORARY SERVICE
MOB `B HOME RV PARK
ResidentialfMhUl- Family $63.00
❑ # of service or feeders
-($
Sat service /feeder - $71.50; each addh - $46.50)
CommerciaWndusMal Service or Feeder Ampacity
❑ 0 - 100 amps $ 71.50
❑ 101- 200 amps 91.50
1
❑ 201 -400 amps 107.50
o
❑ 401- 600 amps 145.00
1
❑ over 600 amps 157.00
MISCELLANEOU SERVICE /EQUIPMENT
1--# of Thermostats
❑ # of Signs
(First - $53.50; addh-$16.50/ea)
(First sign- $53.50; addh sign $25.00 /ea)
❑ Low Voltage
❑ Swimming pool /hot tub ................ $107.50
Square Feet to be served by system(s)
(Includes additional circuit, if required)
O Fire Alarm System
❑ Yard Pole meter loops ..................... $71.50
O Security Alarm System
❑ Additional Plan Review $107.50 /hour
0 Voice Cabling
(for modified submittals)
13 Data Cabling
❑ Automation Fee on all Permits $5.00
0
..
(Per Syatem(s) 1-t 2500 ft2- $63.00;
Each addh 2500 ft2- 16.50) *Per WAC 29&46- 910(S)(bjfl & H)