12-105374r
et ! • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-105374-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: EHRMANTROUT,ZACHARY DDS
Project Address: 1109 S 348TH ST Suite B Parcel Number: 202104 9042
Project Description: Low voltage wiring to existing fire alarm system for associated tenant improvement work
Owner Applicant Contractor
EHRMANTROUT,ZACHARY DDS KELTIC TECHNOLOGIES LLC KELTIC TECHNOLOGIES LLC
1105 S 348TH ST SUITE B 1628 SUNSET AVE SW KELTITL923N9(8/29/14)
FEDERAL WAY WA 98003 SEATTLE WA 98116 1628 SUNSET AVE SW
SEATTLE WA 98116
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Monday, May 27, 2013
Per it Issued on Wednesday, November 28, 2012
I hereby certify that the above i ormati,,n is cor -ct and that the construction on the above de•cribed prdperty and
the occupancy and t°.e►tse w. be in -ccord- ce with the laws, rules and regulations of the St.:te of Washin•ton
�/� 7 • d the City of Federal Way.
Owner or agent: > Date:.try--4.---Q-C) r
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THIS CARD IS TO MAIN ON-SITE
CITY OF "y ��'' •
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 12-105374-00-EL Address: 1109 S 348TH ST Suite B
Project: EHRMANTROUT, ZACHARY DDS FEDERAL WAY, WA 98003
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.
El LIFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) .
0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'o Feeders/Sub-panels(4045) Rough Electrical (4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By A Date
O Final-Electrical(4055)
Approved
By LhoFsc, Date S c,_ ,t ..)._
.
❑ Rough Electrical Final Electrical Right of Way
Approved ApprovedEll Approved
By Date By Date By Date
CITY OF
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Fedikl ,, ELECTRICAL
Nov 28 201? PERMIT APPLICATION
CITY OF FEEtth electrical permits may be obtained on-line at www.cityoffederalway.corn**
PROPERTY INFORMATION
SITE ADDRESS: C`\ LA� �j l
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
V , O 4 _ _
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PEOPLE
NAME i PRIMARY PHONE
PROPERTY OWNER �� \lam Cs��rl l l �N 6\ C G . ' ( )
MAILING ADDRESS I .}• c� E-MAIL
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CITY \\ STATE ZIP FAX
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CONTRACTOR CITY STATE ZIP I FAX
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WA STATEO RACTOR'S LICENSE# EXPIRATION DAT FEDERAL WAY BUSINESS LICENSE#
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NAME 1 PRIMARY PHONE
APPLICANT 56P\K_ CV5 4,30 k ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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PROJECT CONTACT NAME\\ C;\‘\(\\ C;\‘\(\t\( ( 1\'� u ` O( );TC Y M.-)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to arty 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,
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 ci as part of this application.
SIGNATURE DATE
1 f (a
PRINT NAME: ‘1\ ��\` ��i�,d`• I
33325 8ih Avenue South•PO Box 9718•Federal Way♦WA•98063-9718 1253-835-2607•fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
RESIDENT* CIMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): is Service/Feeder Additional Feeders
0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00'- x$103.50
Each additional 500 ft2-$39.00 201- 400 amp: x$307.00 x$',121.00
NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
....Q- 200 amp x $132.50 x $ 39.00 801- 1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x -$ 80.50 Over 1000 amp x$616.00 x$328.50
401-600 amp x $224.00 x $111.50
601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY AL RED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
0'- 200 amp x $1101.017 ....0- 200 amp'' x$132.50 x$103.50
201 -600 amp x $164.00 201-- 600 . s p x$307.00' x$121.00
Over 600 amp x $246.50 601- 100+ amp x$463.00 x,$196.00
Over 10'40 amp x$515.50 x$328.50
Added or Altered Circuits...
1-4 circuits$80.50;each additional$8.00 Add:• or Altered Circuits
1- circuits$103.50;each additional$8.00
Mast or meter repair $60.50
ast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 Plan Review required only for:
Service and feeder x $132.50 • New,or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISC ' LLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling 0-- 60 amp x $ 71.00 x $ 32.00
❑ Other 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1st 2,500 ft2-$71.00;each addition. 2,500 ft2-$18.50 101-200 amp x $103.50 x $ 51.00
201-400 amp x $121.00 _ ;; x $ 60.50
#of Thermostats 401-600 amp 1 x $164.00 x $ 80.50
First$60.50; each addition. $18.50
Over 600 amp x $184.50 x $,'92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8th Avenue South•PO Box 9718•Federal Way•WA*98063-9718♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application