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07-100339■ 4 City of Federal Way pox . Electrical Permit #: 07-x'00339«00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: CAMILLE VAN DEVANTER DENTAL OFFICE Project Address: 33507 9TH AVE S Bldg G Parcel Number: 926500 0020 Project Description: Installation new 200 amp service Owner Applicant Contractor CAMILLE VANDEVANTER DDS E H S LLC(ELECTRICAL CONTRACTORS) E H S LLC(ELECTRICAL CONTRACTORS) 9510 STONE AVE N EHSLL**033BC(1/3/09) SEATTLE WA 98103 9510 STONE AVE N SEATTLE WA 98103 Additional Permit Information Electrical Fixtures Service/Feeder: 101-200 amps-Ci 1 PERMIT EXPIRES Sunday, July 22, 2007 Permit Issued on Tuesday, January 23, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the e will b in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: Z .0 DATE INSPECTOR AREA AND TYPE OF INSPECT ON zG of 5 K/_'C,k ca71-e/-- N L - THIS CARD IS TO REMAIN ON-SITE • - CITY OF 4--- Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-100339-00-EL Owner: CAMILLE VANDEVANTER DDS Address: 33507 9TH AVE S Bldg G 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 Ci \i„A„ Date z. _ 21,_za•� ❑ Rough Electrical (4225) 0 Ceiling Cover(4020) ❑ Final -Electrical (4055) Approved Approved Approved By 1....C^,�`.._-1 Date 1 - 2.at_. �`1 By Date 3_/7— By 0 W,. : Date If —2:b ❑ Under-slab groundwork(4295) Approved By Date . • Building Division Ah, CITY OF 33325 Eighth Avenue South • ��.. Federal Way • PO Box 9718 Federal Way 98063-9718 Phone 253-835-2607 Fax 253-835-2609 INSPECTION NOTICE ADDRESS: 3807 9 Avg S #: o '7- 1Gb-g - WAG- 4,G/3 -7 Ai( ,,,;rd P-rjp# ,tip 6,6- ,- s ~Je., NJ Q-71 T h ll G, 2/4,- r4 / IF YOU HAVE ANY QUESTIONS CALL -t /L S (253) 835- zG7� Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE, CALLj253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page (i of • Building Division CITY Or• 33325 Eighth Avenue South Ahi, Federal Way • FO Box 9718 Federal Way 98063-9718 Phone 253-835-2607 Fax 253-835-2609 INSPEC ON NOTICE ADDRESS: 3 3S E `� `� •s-3.._ ' #: t\--1-100 3 341-to IF YOU HAVE ANY QUESTIONS CALL (253) 835- Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE, CALL1253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of RECEIVED _62 - 1. 6 Q ,53 q Federal Way PERMIT COMMUN1IY DEVELOPMENrSERVICES 0 2 3 2007 SF MF CO ME�L PL DE EN FP 3332E D RAL WAY,WA 98 6 9718 LI CATI ON FEDERAL AX 58063-8X8 TD / 253-635 26 0 7•FAX 253835-26 9 ���1111FFH��� u�ww.cfn,a fede�alwcu.cam gj)BU op DEPT. • The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. 3 ,{{ CSI PROPERTY INFORMATION SITE ADDRESS _/J —' 7 / £ /1 v� SUITE/UNIT*134106, v_ ASSESSOR'S TAX/PARCEL# - _ _ — LOT SIZE(sf1 LEGAL DESCRIPTION(e.g.Acme Estntes,Lot 1) (Attach separate page jor lengthy loyal desalpttonl III PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION)ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) v�/t- /e•/� 01— .t) /77gL Ls��C- PROJECT NAME(Name of Business or Owner Last Name) /J C' 7vJL 1/444■1/4 'O1-', c'Imo/ II PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER Asp, C.9r-i,//C Y/f vv i¢•v'l2 ( ) - MNLING ADDRESS .fps CITY.STATE.ZIP E-MAIL ADDRESS 33Sv7 7 ,1✓4 S F�,uor / , CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE of ill ,E1.' `�i/1-/cV c Tr .G-& G�Qr ugv /4- (,N ) 3`37 -`/Yao2 ADDRESS "J��% CITY✓iFEEDERAL WAY BUSINESS LICENSE NUMBER /F�IRA .. DATE NUMBER Au re.. '47 9 /0i (' )35,3 -0731 ,710—c0—los7/6'-vo -AL i02- 3i o 7 ( ) - COPY of cord required COMRACTOI S REGISTRATION NUMBER or i-.■ ON TE E-MAIL ADDRESS with eeeh aPPReanoa b FJ 5 14 )&0 j-.3 Ac / i 07 c ze@ Lsh`Sti L,cv,- APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE G©.(177V41C70Jt— ( ) - MAILING ADDRESS CITY.STATE.ZIP CELL PHONE ( ) - REIAIIONSHIP'TO PROJECT FAX NUMBER ❑Architect /❑'Tenant ❑Agent o Other ^7 ( ���)?} - PROJECT Mki - c.0 IGSI�NF7/ //� ( )PHONE / - /1/3, 2 E-MAIL . """z ADDRESS CU'7 CONTACT �CSC� LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5.000 MAILING ADDRESS CITY.STATE,ZIP PHONE ( ) - II DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) • PROJECT FLOOR AREAS 4 ti AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS a� I moeosso TOTAL raTALEMmmsr mrehnroroSEDSP TOTAL SF "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project Do not ihcfurie existing f ixtures to remain. MECHANICAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITI-I APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS lcommertiel) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS FLEMBING BATHTUBS(orT,b/Shower Cobol LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS isles ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify wader penalty of perjury that the information furnished by me is true and co,.c..t to the best of my knowledge.and jhrther.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 tnuestigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Wag,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/ 41--.. 9{-c"--7)-- DATE ��. �.NAME/T1TLE• r g . 7 (Title) RELATIONSHIP TO PROJECT ❑Owner ❑ Agent X.Contractor ❑Architect ❑ Other FOR.OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAHt ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January I,2007 Page 2 of 4 k\Handouts\Permit Application . ,} ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE 10 Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2$111.00:Each add'n 500 ft2-$35,501 ❑ 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage ,X 101-200 amp 149.50 94.50 (Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00 (Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00 ❑ 801- 1000 amp 516.50 216.00 NEW (three units or more) ❑ Over 1000 amp 563.00 300.00 Service Feeder ❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50 ❑ 201-400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 ❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601-800 amp 262.00 140.50 ❑ Over 800 amp 375.50 280.50 Service or Feeders ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 280.50 ❑ 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 ❑ 0to200amp $92.50 ❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered ❑ over 600 amp 225.50 (1-5 circuits-$94.50:Add'n circuits,$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$74.00:Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $65.00 ❑ #of service or feeders (First service/feeder-$74.00;each add'n-$48.00) Commercial/industrial Service or Feeder Ampacity ❑ o-100 amps $74.00 ❑ 101-200 amps 94.50 ❑ 201-400 amps 111.00 ❑ 401-600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $111.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarm System ❑ Additional Plan Review $111.00/how ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 CI 1v 2500 ft2-$65.00; Each add'n 2500 ft2-17.00) Per WAC 296-46-910(511610&W Bulletin#100-January 1,2007 Page 3 of 4 k11-Iandouts\Permit Application