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07-100979 a t • • City of Federal Way Electrical Permit #: 07-100979-00-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 9 Project Name: CAMILLE VANDEVANTER DENTAL OFFICE Project Address: 33507 9TH AVE S Bldg G Parcel Number: 926500 0020 Project Description: Installation of audio/video systems. Owner Applicant Contractor SOUTH THREE THIRTY SIXTH,LLC NICHOLS AVE LLC NICHOLS AVE LLC 1611 9TH AVE N 5031 80TH AVE CT E NICHOAL949P4 10/24/2008 EDMONDS WA 98020 TACOMA WA 98424 5031 80TH AVE CT E TACOMA WA 98424 Additional Permit Information Electrical Fixtures Low Voltage-Other Commercial.. 3,000 PERMIT EXPIRES Wednesday, August 22, 2007 Permit Issued on Friday, February 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 use will be in accordance with the laws, rules and regulations of the State of Washington and j lty of Federal Way. Owner or agent: _ ® _ Date:2/1Z V6.:)7 if 4 IlkTHIS CARD IS TO REMAIN ON-SITE .. CITY OF ° Community Development Inspection Record - 1° ��°` Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-100979-00-EL Owner: SOUTH THREE THIRTY SIXTH, LLC 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. e❑ 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 e❑ Rough Electrical (4225) on Ceiling Cover(4020) to Final-Electrical(4055) Approved Approved Approved By Date By Date , Byrt_\ ` Date 2_,=,.) f❑ Under-slab groundwork(4295) Approved By Date RECEIVED Fed Q e ay FEB 2 3 2007 _a 2_ - _L 12 2 _ COMMUNITY DEVELOPMENT SERVICES PERMIT SF MF CO ME 00•L DE EN FP 333358^'AVENAySSOINH Bv�F FEDERAL 53.83 -2WAY, X 53 - (I PLICATION 253835-2607•FAX 353-835360�UILDINC.t DE mmurcihlof(edcraiica4.mm The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 3\5/ 7 th if x ,S bl d G Fc 4© / Wu y AM qwo3 SUITE/UNIT# (6_219. ASSESSOR'S TAX/PARCEL 1 , Z C- 1 - C' o Z C' LOT SIZE(f1 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Mat separa paJe,tor Ieagty lariat desoto ,r (! PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ViLELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) ,r-"l.<te,./)n.j'i 0-, cc. f L,d ,'o /video s y s f t ,-7 PROJECT NAME(Name of Business or Owner Last Name) Uh 4_0P j/ev,tr../— • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ( ) - MAILING ADDRESS CRY,STATE.ZIP E-MAIL ADDRESS CONTRACTOR CO'M"P�ANY NAME APPLICANT NAME OFFICE PHONE N(cI, Lc Ave /c (w44 N,4o Is (2-53) MAILING ADDRESS CRY,STATE,ZIP CELL PHONE so / B19l42 Ai,eCue -IFc; c✓#, 43-4",2,c( (20- 173?- -9 76", CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER e(... -? At Pe(I,� 4t- ( )q 4, -Ssrst/ CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS { > iJIC,/�lOAZciLjR PY /%i /2wBs JaYt' r11`(.yolcctue!/C.c9. APPuCANT COMPANY NAME APPLICANT NAME OFFICE PHONE COVA ¶CI-(- ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant ❑Agent ❑ Other ( ) - PROJECT NAME , PHONE E-MAIL ADDRESS CONTACT C o T-r-C L—1 ( ) LENDER NAME Per RCW 19.27.095: gam- Lender information is required(f project value exceeds$5,000 MAILING ADDRESS CITY,STATE.ZIP PHONE \, ( ) IN DETAILED BUILDING INFORMATION EXISTING USE OPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ . VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE ON SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ --IILINE, ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLIIITE \ ❑ PRIVATE(SEPTIC) • . , U PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL Sp.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND ,A' �\. THIRD ADDITIONAL FLOORS(DESCRIBE) N� DECK(D COVERED OR Cl UNCOVERED?) GARAGE ❑ CARPORT ❑ eEISt,nc PROPOSED Toren- TOTAL/SI twos, TarAGPe0,02160 1, tomer NUMBER OF FLOORS "NEW HOMES ONLY" NUMBER OF BEDROOMS ( ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type offochtre to be installed or relocated as part of this project Do not inclo`le existing fixtures to remain. MECHANICAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE IN ED WITH APPLICATION) R AIR HANDLING UNITS EVAPORATIVE COOL 2S G PIPE OUTLH.tS WOODSTOVES BBQS FANS \ GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Conouenui) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS d'r PLUMBING °"' BATHTUBS(or"bib/Shower Cnmhol LAVS Ihroom sinks} U MISC(Describe) DISHWASHERS ATER SYST VACUUM BREAKERS DRINKING FOUNTAINS ROWERS WATER CLOSE lb(Toilet) 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 m knowledge,further an that am authorized by the owner of the above premises to perform the work for which the permit application 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 o i s and employees,upon the accuracy of the information supplied to the city as a part of this application. - • NAME/ _' Lane) DATE /O 7 RELATIONSHIP TO ' ' `� ❑ Owner ❑Agent Contractor ❑Architect ❑ Other FOR OFFICE USE ONLY o NEW o ADDITION ❑ALTERATION o REPAIR n TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? u YES o NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Petmit Application A . N • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet ❑ 0 to 100 amp $120.50 $74.00 (First 1300 ft2-$111.00:Each add'n 500 02-$35.50) P ❑ Detached outbuilding or garage ❑ 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 ❑ 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 ❑ 0 to 200 amp $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) ❑ it 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 ❑ it of Thermostats ❑ #of Signs ttt (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) ldy! Low Voltage ��.y� ❑ Swimming pool/hot tub $111.00 ®" uare Feet to be served by system(s) 5""c, (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarm System ❑ Additional Plan Review $111.00/hour N.-Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 CY #Pa;Cr- PA 2500 ft2-$65.00; _ Each add'n 2500(12-17.00) •Per WAC 296-46-910(5)(bl(i&0 I, Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Permit Application