07-100522■
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City of Federal Way Electrical Permit #: 07-100522-00-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
Project Name: DR BRIAN FILBERT FAMILY DENTISTRY
Parcel Number: 926500 0020
Project Address: 33507 9TH AVE S Bldg B
Project Description: Installation of LIV security system.
Owner
Applicant Contractor
ANTHONY STARKOVICH ALARMGUARD SECURITY SYS INC ALARMGUARD SECURITY
(ITY SYS INC
VINTAGE CAPITOL INVESTMENTS LLC P.O.BOX 98
1611 9TH AVE E PUYALLUP WA 98371 P.O.BOX 98
PUYALLUP WA 98371
EDMONDS WA 98020 '
Additional Permit Information
Electrical Fixtures
Low Voltage Burglar Alarm -Cor 2,500
PERMIT EXPIRES Sunday, July 29, 2007
Permit Issued on Tuesday, January 30, 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 Way and regulations of the State of Washington
and the
Owner or agent: /� Y ��� Date: i ~ 3C?
r-cS.J
THIS CARD IS TO REMAIN ON-SITE
.44444%,CITY OF
Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100522-00-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) r ❑ Final-Electrical(4055)
Approved _J /ll / Approi7- Approved
By Datet - B ( Date 7_� -(7 7, B „t., _ Date ;3- z-1,6,1
❑ Under-slab groundwork(4295)
Approved
By Date
52-7- ( v o 5 z.2.Fede Way RECEIVED PERMIT
SFMFCOMF.t LPL DE EN FP
caAItGNRY DEV�oPeaarr AaRVIrFs
993259"AVENUE SOURr.msox 97/8 ID / /
Pffi1ERAL WAY.VIA 9 .9778 JAN 30 APPLICATION
� .n
u>tmndhroffedvra]maluo m
The following 1e ttertbed it�r��l�ompletC uPP 151!1 not be accepted. Please print (In Ink)or tope.
MI PROPERTY INFORMATION
SITE ADDRESS 33 5-o7 �j )4 lo-ti- summa 4
ASSESSOR'S TAX/PARCEL* I_ ? to_^V Q- V ..0.- q LOT SUN k!)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
a PROJECT INFORMATION
TYPE OF PERMtf ❑BUILDING ❑PLUMBING 0 MECHANICAL
❑ DEMOLITION$III.ECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Proolde detailed description of work included on ids DeRRf only)
AU4e,,v‘. Sys -e)./vs. (Bur1tc ,A 1 OA1Li\)
PROJECT NAME[Name gqB vtlfga or Owner loot Nome) $r), 4 Fc 1 b.e c+- DbS Co f-R LIZ
U PEOPLE INFORMATION //
OWNER " NAME 1,C-i r; be r'T MAW
t7 94p-33'j
MAILING ADDRESS CRY.STATE.ZIP E• DRESS
35720 -9}4 At-e SV-- ci e(a.1 ■AtaI cO3
CONTRACTOR MPANYNAME APPfICANPNAME 1 OFFICE PHONE 759 731b
Li M'1()U ( 4(2)$ (253) 75
MAILING ADDRRESS 99 CRY.STATE.ZIP CELL PHONE
CITY OF FED�d�L WAY�evswESSUCENSENUamrx �l l Q? 37� (253 ) 307 - 1-452-
EXIRATION TE FAX NUMBER
20-oz- too8►3- 00 - 6L 12j31Lo'7 (2s3 ) �79 - 1376
�R��,,,,�,,ae CONTRACTORS REGISTRATION NUMBER EXPIRATION IS E MAIL ADDRfiSS
."" °° b 44Al.mGuAe- 5ota114 to/1(010B AtaamGvAaJ Q
wisp- mj4( t R ' !-
APPLICANT COMPANY NAME 1 APPLICANT NAME OFFICE PHONE
MAILING ADDRESS SAyne_ /,N{•5 �0V E... ( ) -
� 7 CELL PHONE
I ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
in Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT -(� � I PRIMARY PHONE E-MAIL ADDRESS
CONTACT S.oN erS I (lob) 39'9- 2o3
LENDER NAME Per RCW 19.27.095:
Lender imfonuatien is required(fprgject value exceeds$6.000
MAILING ADDRESS CRY.STATE.ZIP PHONE
• DETAILED Bt If.DING INFORMATION
STING 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 ❑SIGHLINE ❑PRIVATE(SEPTIC)
5-1 ( 3
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SA.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
/7 ,
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS �O PROPOSED SEED I TO raw mrmE+r 1.170°®® ram"°
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELU gG PRINCE $
■ FIX TI"IV s
Indicate number of each type of f fixture to be installed or relocated as pact of this project Do not include existing fixtures to remain.
MECHANICAL
VnhIP of Mechanical Work $ (A 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 tcammerzb.q
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLVMEING
BATHTUBS(or Tub/Shower Combo) I AVS(Batmom sms.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roues
ELECTRIC WATER'HEA31 SINKS WASHING MACHINES
HOSE BIBBS ( SUMPS
SIGNATURE
I certify under penalty of perfury that the information furnished by me is true and correct to the best of mg knowledge, and further, that I
ant 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 Wag 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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. Q I
NAME/TITLE `„--.1r P- DATE I 30 -7
(Sigeature) / nitle)
RELATIONSIHP TO PROJECT ❑ Owner ❑Agent Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
n NEW ❑ADDITION n ALTERATION n REPAIR n TENANT IMPROVEMENT
BUILD/NG SHELL ONLY? ❑YES n NO BASIC PLAN? n YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES J NO
NEW ADDRESS REQUIRED? ❑YES n NO UP/SEPA/SU? n YES i NO
PLATTED LOT? o YES n NO DEMO PERMIT REQUIRED? n YES n NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application
"A fi Nib
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 82-$111.00:Each add'n 500 92-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage LI 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 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
Service or Feeder ❑ 601 - 1000 amp 423.00
❑ 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
❑ 0- 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
24(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) 2/5°0 (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data 5 00 ❑ Automation Fee on all Permits .. $5.00
/in 250082-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-48-91015)(1214&S
Bulletin#100-January 1,2007 Page 3 of 4 k\Flandouts\Pemlit Application