07-100073 ' ' City of Federal Way #:
Comtnunity Development Services
Electrical Permit #. 07-100073-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: BRIGHT NOW DENTAL
Project Address: 1507 S 348TH ST Suite K202 Parcel Number: 185295 0100
Project Description: Installation of 1/v for voice and data cabling
Owner Applicant Contractor
OPUS NORTHWEST LLC TELECOM LABS INC TELECOM LABS INC
OPUS NORTHWEST LLC 2001 48TH AVE TELECLI004R1 (3/21/07)
915 118TH AVE SE SUITE 300 FIFE WA 98424 2001 48TH AVE
BELLEVUE WA 98005 FIFE WA 98424
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercials 1
PERMIT EXPIRES Wednesday, July 4, 2007
Permit Issued.On Friday,January 5,2007
I hereby certify that the above information is correct and that the construction on the above described;property and
the occupancy and the use will be in accordance with the law ,'ruless and regulations of the State of Washington
a d ty of Federal Way.
Owner or agent: Date: 6 /- OS--O 7
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100073-00-EL
Owner: OPUS NORTHWEST LLC
Address: 1507 S 348TH ST Suite K202
FEDERAL WAY, WA 98003
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) ❑ Ceiling Cover(4020) T. Final-Electrical(4055)
Approved Approved Approved
By Date By Date By NAVAv� Date
■❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
cm of �� JAN 0 O O FEDERAL WAY,WA 98063-9718
- Federal Way PERMIT APPLICATION 253-661-41,5•FAe�53--6614129
www CITY OF r=E0ERAL WAY
2 -
ForOffirUsOnIy: — — _ — — — — — — _ — — T
FW File Number: /
The ollowin• is re•uired in ormation-an inco •lete a••lication will not be acce•ted. Please •tint le•ibi (in ink)or .
• PROPERTY INFORMATION
SITE ADDRESS: 15-0-7 5• 3' $Z; l-JE?t•r.. r c MitJ t Likl> SUITE/APT# K .20a
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(eg:Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
'ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): TY1 5f.(l p4dv►e_ et DrA K
co,10 1ve s
PROJECT NAME(Name 0 Busin e):ess/Owner Last Nam ,4 /u l A ,`4 ;[-'
• PEOPLE INFORMATION
PROPERTY NAME: (BINARY;HONE:
-
OWNER -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
CONTRACTOR NAME COMPANY OFFICE PHONE:
�l -v,"le—Co labs 906 )5-75- - 7(co
AILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: _
o2bb( • 5 ,t��9, Fa Ua. qb'�.z 1 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
zc? - v31 Do _ - _ _ /.�- l31 16 -7 ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) /
LENDER NAME: DAYTIME PHONE:
Of Proposed value>$5,0001
( ) —
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
5a one_ ) -
I MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( )
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ Architect ❑ Tenant ❑ Other(Describe): ( ) -
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor ❑ Applicant E-MAIL ADDRESS: I
■ DETAILED BUILDING INFORMATION
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 SQ.FT. PROPOSED SQ. FT. TOTAL _
BASEMENT
FIRST
SECOND
THIRD
FOURTH
—
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
"' BBQS FANS HOODS(Comm WOODSTOVES
BOILERS FIREPLACE INSERTS _ RANGES MISC(Describe)
_COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BarhroamSink VACUUM BREAKERS ELECTRIC WATER HEATERS
N DISCLAIMER/SIGNATURE BLOCK
I certify 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 authorized by the owner of the above premises to perform the work for which the permit
application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city,
including its officer and employees,upon t ac racy of the information supplied to the city as a part of this application.
NAME/TITLE: 1 GY 7 ' 1 J DATE: OI/V ^
(Title)
RELATIONSHIP TO PROJECT: ❑ operty Owner ❑ Applicant ❑ Contractor ❑ Architect ❑
FOR OFFICE USE
n NEW o ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES.'a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? a YES n NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Page 2
. • ELECTRICAL PERMIT INFORMATION
i
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet:
Service or Feeder Each Add'n
(First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601 -800 amp 332.00 140.50
! ❑ 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more)
Service Feeder ❑ Over 1000 amp 442.00 '236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED.COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
li ❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
• ❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
it $74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ o- 100 $58.00 $51.00
,, MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
! ❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Isi,Low Voltage C ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): 2 1 SaO (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
Voice Cabling (for modified submittals)
Data Cabling
0
(Per System(s): 1•t 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(140&u)
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