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07-101763 City of Federal Way , Community Development Services Electrical Permit #.. 07-101763-00-EL 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: CAPITAL SQUARE Project Address: 728 S 320TH ST Suite A Parcel Number: 082104 9050 Project Description: Provide power & lighting for tenant improvement on dental clinic Owner Applicant Contractor CAPITAL SQUARE ASSOCIATES PWR CONSULTANTS PWR CONSULTANTS 31919- 1ST AVE S 6910 ROOSEVELT WAY NE PMB 202 PWRCOC1997QF(11/06/2007) SEATTLE WA 98115 6910 ROOSEVELT WAY NE PMB 202 FEDERAL WAY WA 98003 SEATTLE WA 98115 Additional Permit Information Electrical Fixtures Circuits- Commercial 15 PERMIT EXPIRES Sunday, September 30, 2007 Permit Issued on Tuesday, April 3, 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 wi be in accordance with the laws, rules and regulations of the State of Washington nd the City of Federal Way. Owner or agent: Date: �-r �p — C=.'") e. W �-f ` THIS CARD IS TO REMAIN ON-SITE - A OF , - Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-101763-00-EL Owner: CAPITAL SQUARE ASSOCIATES Address: 728 S 320TH ST Suite A 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 Date 17 ti7 By 5 Date 6--(e)--07 By< ps . J Date ki_[ $"10''l .❑ Under-slab groundwork(4295) Approved By Date ` CITY OF Building 2Eighth Division ��.. Federal Way • Federal Eighth Avenue South PO Box 9718 Federal Way 98063-9718 Phone 253-835-2607 Fax 253-835-2609 INSPECTION NOTICE ADDRESS: `1. Z$ So Sao #: O •-I. - I. o I 1 tcs 3- tr- 1 °.- - N\ . .C--- \ M c Z.Z... C D (` (i w ur`(^ ( l r11c a w G S vs_a-�1 "s3 ,,w te: fit) Tel_en, ti-k aq ---\ v tn--Z ; C ��� t Z . ki c_ AAo. R 2C - le, g w ti r V-.... J V.,. 1 1 -c :=■ o .‘'‘.- k-g ,-- � , IF YOU HAVE ANY QUESTIONS CALL (253) 835- 2t, 2'1 Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. to s- l S - t,II .— - DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of ' t G�,v .O CITY OF /®O - Feder Ways QR 0 v 1 Py O� I P k_� PERMIT COMMUNITY DEVELOPMENT SERVICES OV -(, SF MF CO ME EI PL DE EN FP 33325 FEDERAL AY.WA 93-83 BOX � !(o o PPLI CATI O N FEDERAL WAY,WA 98063-971 B Q` L NG 3p 253-835-2607*FAX 253-835- ``,� L135,FWMIIeQeril11138.11 V The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. �Q MI PROPERTY INFORMATION ORMATION SITE ADDRESS 7Re 5• 3� ^.j.1- I $u(rE A SUITE/UNIT# A- ASSESSOR'S TAX/PARCEL# (� S 1 (' it - q 0 5 0 LOT SIZE(sj) 54...g80 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) /Attach separate page for lengthy legal description) IN 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 only) '(>atv IDE Di9L&f e q- /-I c -7 4/4 Fon -r-tM41K imPovaffeer plcAfixt, Ci./.UIL PROJECT NAME(Name of Business or Owner Last Name) Ca_ S�j ,tAVv l..X_ I • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER CAP Imt. �dCLUPJ2, LL-C.- ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 'BLUR. CO/ 0 1474107 RIA-IuQ La, Rote (silt ) 44'6 - 4670 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE (4410 Rceviemt7 AyAIE,Po 0 ,2.0-1 5 177E/1 - 9�N5 ( 364 ) 698 - 0566 CITY OF FEDERAL WAY BUST S LICENSE NUMBER EXPIRATION DATE FAX NUMBER COPY of card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-�ADDRESS - -�� .PP��.tlea pwrfte yalw•Le*-- APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 17041. bf'7Mlirj 1`1' k+ LP GW I ROHWZ- (mil,) 50 697O MAILING ADDRESS CITY,STATE,ZIP CELL PHONE (0204 ) 948 - 6595 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant ❑Agent ❑ Other S015 4A TVACV -- ( 224 ) gyp -(9 979 PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT MAke_ I-k)srak/ (?d ) 235 - g3µ7 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 c�,.� EXISTING USE 0F � t( j � PROPOSED USE e(1)17F-1. CUAl(.- EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ le)LVC) SPRINKLERED BUILDING? ❑ YES 9L NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO - WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ.FT. SQ.FT. SQ.FT. FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EZISTflO I PROPOSED I TOTAL =SWIM sr TOTAL PROPOSED sr TOTAL Sr **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 include e s ting fixtures to remain. MECHANICAL Value 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(Commercla)) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or mb/Shower Combo) LAYS)Bathroom SRI.) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS ELECTRIC WATER HEATERS (Toilet) SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I am ti authorized under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I certify 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 cl aim(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. /;/�//�;/�/�(y�/ ^� NAME/TITLE 'l Yom" _ ELI I DEIV T DATE ' / `O 7 aturel (Title) RELATIONSHIP TO PROJECT ❑ Owner o Agent ❑ Contractor ❑ Architect ❑ Other 506 69/0724,-.1r#1--- I:FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100-January 1,2007 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 IF-$111.00;Each add'n 500 ft%-$35.50) ❑ 0 to 100 amp $120.50 $74.00 ❑ 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 ❑ 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 ❑ over 1000 amp 471.00 ❑ 201 -600 amp 149.50 15 #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/Educallonal/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 LI 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 'rst-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) G w Voltage q 0/� ❑ Swimming pool/hot tub $111.00 Square Feet to be served by system(s) 2.1(9 (Includes additional circuit,if required) Fire Alarm System ❑ Yard Pole meter loops $74.00 0,-< urity Alarm System ❑ Additional Plan Review abling $111.00/hour IN/Voice g Data Cabling (for modified submittals) ( ❑ di Automation Fee on all Permits .. $5.00 10 2500 ft=-$65.00; Each add'n 2500 ft2-17.001•Per WAG 296-46-910(0(0(1A.0 Bulletin#100-January 1,2007 Page 3 of 4 k111andouts\Permit Application