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07-100389 City of Federal Way Electrical Permit #: 07-100389-00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9712 .- ;.:. r c Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 Project Name: DR BRIAN FILBERT FAMILY DENTISTRY Project Address: 32225 PACIFIC HWY S Suite 102 Parcel Number: 150050 0100 Project Description: Installation of l/v voice & data Owner Applicant Contractor DR BRIAN WILLIAMS B&C TELEPHONE INC B&C TELEPHONE INC 32225 PACIFIC HWY S 800 SE 34TH ST SUITE A BCTELI*001LI (6/21/08) FEDERAL WAY WA 98003 RENTON WA 98055 800 SE 34TH ST SUITE A RENTON WA 98055 Additional Permit Information No Fixtures Associated With This Permit !! PERMIT EXPIRES Monday, July 23, 2007 Permit Issued on Wednesday, January 24, 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 accor nce with the laws, rules and regulations of the State of Washington �/ d the City of Federal Way. r� '7 Owner or agent: �i(I�'� // Date: / r -( a r F1. . % 1 ' �Pr° THIS CARD IS TO REMAIN ON-SITE CITY of Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-100389-00-EL Owner: DR BRIAN WILLIAMS Address: 32225 PACIFIC HWY S Suite 102 FEDERAL WAY, WA 98003-6000 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 By Date By Date Bra l- S Date 0—'7%-d? ❑ Under-slab groundwork(4295) Approved \-_,r- ��y�/'t;( /A)- By Date V G.,'s-t- V ����`��" ' �7 - LCD O 3 7 Federal Way 001 PERMIT COMMUNITY DEVELOPMENT SERVICES N 4 k Z - - SF- MF CO ME4 'L DE EN FP 3JJ2FEDERAL AVENUE WAY, A 98063 971 9718\ OPLICATION FfiDERAi.WAY,WA 98063-9718 J� TD / 253-835-2607•FAX 253-835-2609 -S0 u .dtoffnleraiwau.mm f\„�1qq�\AG ' The following is required Information-an incomplete application Will not be accepted. Please print legibly(in ink)or type. S PROPERTY INFORMATION SITE ADDRESS 33S-01 G 14^ ilk)e. J SUITE/UNIT# 1 .11 ASSESSOR'S TAX/PARCEL# ( S1 O O (. 0 - C.., ( O 0 _ LOT SIZE(sf LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page far lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION Pro ide detailed d scription of or$included on this permit(nly) i -RleeI . 4- bo ci. CR\ vac ) tek fhc�v�e ,p5e Sree v^S a ' �/ PROJECT NAME(Name of Business or Owner Last Name) pr iDP\U� 1--. -\ `�e-� PEOPLE INFORMATION PROPERTY t PRIMARY PHONE OWNER 1111t4ist _' Ili_ I L.& ( ) - M' '41111irfaMga:+ • — E-MAIL ADDRESS CONTRACTOR COMPANY NAME APPLICANT NAME - OFFICE PHONE 4-C `-e\Qph©\N"Q_ ,)u fiN (kAsV‘\,S (9,ac,,) 71 - c/4 MAILING ADDRESS ciTY,STATE,ZIP CELL PHONE Sw 3‘-1}L 5 , 5.-Nkk f' v\t WR 'i$055- Pete )73O -- 8 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Zr-3I -o l= 1C 0 LI S-co- G k (J ) 76.7 4886 CONTRACTORS REGISTRATION NUMBER EXPIRATION I 9ATE E-MAIL ADDRESS cons at card required .nn..d.application i > Rc G `-T4, VV\L l (a/T I V s 66,04s Q a(a, /I `Wif APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT - FAX NUMBER a Architect a Tenant a Agent 0 Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per RCW 19,27.095: Lender information is required If project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ _ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? a YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO WATER SERVICE PROVIDER a LAKEHAVEN O HIGHLINE 0 TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC) AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT: SQ.FT. SQ.FT. BASEMENT FIRST SECOND — THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE O CARPORT 0 NUMBER OF FLOORS ExionMO I PROPOSED TOTAL TOTAL SESUNO SF TOTAL PROPOSES SF TOTAL Sr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ IN FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ IA COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commerd,q COMPRESSORS _ FURNACES RANGES DUC'{St - GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(,r Tub/Shower combo) LAYS(am•voom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Imae l ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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,i Iuding its officers and employees, upon the accuracy of the information supplied to the city as a part of this application , NAME/TITLE DATE 1/2.14/0-1. (Signature (Title) RELATIONSHIP T PROJECT ❑ Owner a Agent Contractor ❑ Architect ❑ Other a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO • Bulletin#100—January I,2007 Page 2 of 4 k\Handouts\Permit Application lli01/19/2007 09:29 5094653766 B&C TELEPHONE PAGE 01/01 LICENSED AS PROVIDED BY LAW AS please Remove • ELEC. CONTR TELECOM And Sign LICENSE # ' EXP . DATE ECO9 ••BCTELI*001L1 06/21/2008 Identification EFFECTIVE DATE . 06/21/2000 Card Before .... Placing I B & C TELEPH '... . Ping n ONE �INC Icing 55 E LINCOLN. STE101 SPOKANE WA . 99206 .. • • , si nawc —. livu•d by D1 'ARTMENT OF LABOR AND 1NT)1STR.IFS J .. iii:.,m 1x.,171 REGISTERED AS PROVIDED BY LAW AS� please Remove CONST CONT. SPECIALTY And Sign REGIST. # • EXP. DATE CCEX... . BCTELI*.122J2 04/17/2008 Identification EFFECTIVE .DATE . .. 04%22/1988 Card Before Placing, . n B & C TELEPHONE 'INC — ' - 55 E LINCOLN RD STE 101 • SPOKANE WA 99208 . : . . , • • Signature ••- Issued by f'EPA kTA1}.:NT OF LABOR AND INDUSrRIES� 1,.:;1w:WO 1 g1.171 ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE CI Family Square Feet Service or Feeder Each Add'n (First 1300 112-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage CI 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 MULTI-FAMILY(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 ` ❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL ❑ 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 Service or Feeder ❑ 601 - 1000 amp 423.00 ❑ 0 to 200 amp $92.50 El 1000 amp 471.00 ❑ 201 -600 amp 149.50 CI 600 amp ❑ 4 of circuits to be added/altered P 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) ❑ 4 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 - ResidenHa l/MuIH•Family $65.00 ❑ 4 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 ❑ 4 of Thermostats ❑ 4 of Signs (First-$55.00;add'n-$17.00/ea) . (First sign-$55.00;add'n sign$26.00/ea) U Low Voltage I ❑ Swimming pool/hot tub $111.00 Square Feet to be served by system(s) 2"t J© (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarni System Voice Cabling U Additional Plan Review $111.00/hour L�] Dadtaa Cabling (for modified submittals) • Dat ahlin1Q, ` �(� ❑ Automation Fee on all Permits .. $5.00 1t 2500112465.00;-$65.00;` Each add'n 2500 82;17.00) •P rWAC296-46-910(50)1ia ii) Bulletin 4100-January),2007 . Page 3 of 4 k\Handouts\Permit Application A City of Federal Way Electrical Permit #: 07-100389-00-EL Community Development Services 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: DR BRIAN FILBERT FAMILY DENTISTRY Project Address: 33507 9TH AVE S Bldg B Parcel Number: 926500 0020 Project Description: Installation of 1/v voice & data Owner Applicant Contractor DR BRIAN WILLIAMS B&C TELEPHONE INC B&C TELEPHONE INC 32225 PACIFIC HWY S 800 SE 34TH ST SUITE A BCTELI*00ILI (6/21/08) FEDERAL WAY WA 98003 RENTON WA 98055 800 SE 34TH ST SUITE A RENTON WA 98055 Additional Permit Information No Fixtures Associated With This Permit !! PERMIT EXPIRES Monday, July 23, 2007 Permit Issued on Wednesday, January 24, 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 , nd the City of Federal Way. , �� 7 I Owner or agent: Date: I/ 1 O7 „cu er? Q ND Mai IT CIG1 70 UAL //4/v7- ■ THIS'CARD IS TO REMAIN ON-SITE city of ��� Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-100389-00-EL Owner: DR BRIAN WILLIAMS 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 El 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 c044/4A 3-�Y-') By Date • . 7 ---, Date Z-4-07 , `By0An_ t Date _13_,A.� ❑ Under-slab groundwork(4295) Approved By Date