07-100377 R ~
City of Federal Way Electrical Permit #: 07-100377-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: DR BRIAN FILBERT FAMILY DENTISTRY
Project Address: 33507 9TH AVE S Bldg B Parcel Number: 926500 0020
Project Description: Installation of L/V electrical for fire alarm system.
Owner Applicant Contractor
ANTHONY STARKOVICH SMITH FIRE SYSTEMS MANAGEMENT LLC SMITH FIRE SYSTEMS MANAGEMENT LLC
VINTAGE CAPITOL INVESTMENTS LLC 1106 54TH AVE E SMITHFS946LO(6/20/2008)
1611 9TH AVE E TACOMA WA 98424 1106 54TH AVE E
EDMONDS WA 98020 TACOMA WA 98424
Additional Permit Information
Electrical Fixtures
Low Voltage Fire Alarm-Comma 3,256
PERMIT EXPIRES Monday, July 30, 2007
Permit Issued on Wednesday, January 31,2007
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 laws, rules and,regulations of the State of Washington
d the City of Federal Way.
Owner or agent: r 1�� Date: /'S%
c (` N
•
.
THIS CARD IS TO REMAIN ON-SITE
CIr,►oF ' Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100377-00-EL
Owner: ANTHONY STARKOVICH
Address: 33507 9TH AVE S Bldg B
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) ❑ Final-Electrical(4055)
Approved Approved Approved
B,S Date Z-6 7 B Date -6-077 By a_ Date Lk'-1.o-orl
❑ Under-slab groundwork(4295)
Approved
By Date
I, R
OF `r RECEIVED - j - t 0 _2 i
Federal Way PERMIT
COMMUMTYDEVEL0PMENTSERWCF �N 2.4 2007 SF MF CO MF PL DE EN FP
32325 8"'AVENUE SOUTR•Po 971 9 F LI C ATI O N ,� �--//
FEDERAL WAY.WA 98063-9718
35
253807•FAX 253835
wwa�u26woaeacmw•avm GITY OF FEDER
BUILDING DEPT.
The oUowin• is •uired i ormation-an incom•tete a• •(Motion will not be acre•ted. Please • t •ibl" (in ink)or • • .
/��
IN PROPERTY INFORMATION t
SITE ADDRESS _j 3G}7 E 911h 4L g 5,^ �y /� SUITE fi# l
ASSESSOR'S TAX/PARCEL# / Z C CC' L! - `% CT 2- C. LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Lor Lo/ Z r?,::::- CtAprip ei ? o^I R De Li1-.'Inl.; a-
(Attach separate pager lengthy legat deso peen)
II PROJECT INFORMATION
TYPE OF PERMIT El BUILDING o PLUMBING 0 MECHANICAL
0 DEMOLITION XFELECTRICAL 0 ENGINEERING ° PEEQEN41OIfSYS--°'C
PROJECT DESCRIPTION(Provide detailed description of work inchtded on this permit only)
A • ► ■ n_--1 )e hot.) _....---1 G r2 lit °• Ca t`' NC. i r Yi 74 Roe\
PROJECT NAME(Name of Business or Owner Last Name) , DI?, 2 R)A 00 v-„ 143 27
• PEOPLE INFORMATION
PROPERTY NAME� PRIMARY PHONE
OWNER 7(/J fekl 17- 7/-4 )42 5 y ))xl - LL.L_, ( ) -
MAIUNG ADDRESS T CITY.STATE.ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
S»,,-n4 F1 5ysi,&rlls v1'lwvtt +k 0e:K'C,)2C�t.LG-C-� (23 )z' Z °�(
MAILING ADDRESS CRY.STATE.ZIP CELL PHONE
ICl/ 54141 lAot_EA'-u1 76cAvY14- I. 4// `7 1-12c4 ( ) -
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRA•ION DATE FAX NUMBER
f c; 0 �`" 'Z/ 3 l /QF (zj3) lA, -c?Z(,
L 2-� / -� ,2 �-B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
m L i )4 E � 9 Y 6 i- e' t1_ ) ZZ_ /08
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Sal l r/+ l am)1 2 e.. ...2)7 0 1 5 yaI,_x; : 1 2 c bcr r G1 iPc/A i e `-C (7 3) 241 -ZCC`1
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
liete i)tl t Aoe th(J . i kaf ervtA LOA- 9c' ( ( )
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant o Agent p(Other(Describe) hilt. ALARM Ca1.5 ' '►J °4( 20) 97,6' -0,77(e-
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
L )J p►4z�) (25-J) 2L/2- - 70e-2_ Lr?ARic,:_,L 5J Sitm1lwu �.f
LENDER r;'I g. .c NAME
RE of FJ
MAILING ADDSS CRY,STATE.ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE 115H LL / �f /a PROPOSED USE )/.P' t5) ( r)-) rJ
EXISTING ASSESSED/APPRAISED VALUE $ "/ r C( VALUE OF PROPOSED WORK S_ Zi 9 k .
SPRINKLERED BUILDING? ❑ YES ) NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) .
PROJECT FLOOR AREAS - -- - -.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT.
BASEMENT
FIRST
Pt -�� Z �1�
N rr�3
lam. �z `I
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
erica% PROPOSED rani. `rtVLK-5tlosimo§ �=g ' -` , y'
NUMBER OF FLOORS �, i�. _ '
NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
REFRIG.SYSTEMS
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS WOODSTOVES
BBQS FANS HOODS(com B
mcmm
BOILERS
FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSE lS(roLL4
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 �naurreo i in made . ifurt era agree
defense hold of
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'f ee
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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
DATE t ` 2 G7
NAME/TITLE Ili /I(Signature)ISfgnaturcl
RELATIONSHIP TO PROJECT ❑ wrier ❑ Agent Contractor ❑ Architect piZ Other
v- F ^" P s aw A ls?:4264,
qu
s I 1 .-x a I , 1 x e-
4• e, b B :� e f a' / r "a 8 i
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Pa e 2 of 4 k\Handouts\Permlt Application .
Bulletin#100-January 7,2005 g
A .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$104.50;Each add'n 50010-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 LI Mast or meter repair $96.00
❑ 401 - 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ O to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ # of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$99.00:Add'n circuits.$7.00/es)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Comitercial/industrial Service or Feeder Ampacity
❑ 0- 100 amps $69.50
❑ 101-200 amps 89.00
❑ 201 -400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats LI #of Signs
'rst-$52.00; add'n-$16.00/ea) (First sign-$52.00; add'n sign$24.50/ea)
❑ Swimming pool/hot tub $87.00
!f (Includes additional circuit,if required)
❑ Yard Pole meter loops $104.50
• Securi' 411: ystem ❑ Additional Plan Review $104.50/hour
❑ voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
•Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application •