07-104320t
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
• -,*
Electrical Permit #: 07 -104320 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: AESTHETIC DENTAL CENTER kk
Project Address: 34704 11TH PLS # Parcel Number: 215470 0030
Project Description: Adding 2 new circuits to connect new signage
Owner
Applicant
Contractor
VAN VUONG
SENECA ELECTRIC CO
SENECA ELECTRIC CO
2101 SE 2ND PL
10010 99TH AVE SW
SENECEC956CC 2/2/09
RENTON WA 98056-8864
LAKEWOOD WA 98498
10010 99TH AVE SW
LAKEWOOD WA 98498
Additional Permit Information
Electrical Fixtures
Circuits - Commercial ................... 2
PERMIT EXPIRES Monday, July 28, 2008
Permit Issued on Friday, August 3, 2007
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use w.1 be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date.
M
0
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104320 -00 -EL
Owner: VAN VUONG
Address: 34704 11TH PL S
FEDERAL WAY, WA 98003-6715
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.
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved Approved //��
By Date By Date'O -6 'd
For inspector reference only _
Rough Electrical D FINAL - Electrical
Approved Approved
By Date By Date
Federal Way RECEIVED PERMIT
COMMUNITY DEVELOPMENT.smvic s SF MF CO MCEL)PL DE EN FP
33325 8- ENUE
FEDERAL WAY,, r- Po 9�77s9A� G o a Z'A P P L I C:A-TI O N To
253-835-2607• FAX 253-835.2609
www. dtpoRederalwaa. com
CITY OF FEDERAL WAY
The following is regt$Wfb&- an incomplete application will not be accepted. Please print legibly (in ink) or type._
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # T -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aaach eeparote page for lengthy legal deeaipft-q
PROJECT INFORMATION
r
t4,' SUITE/UNIT #
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION YELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
PROJECT NAME (Name of Business or Owner Last Name
l
PEOPLE•• •
PROPERTY
OWNER
CONTRACT
COPY of card requlnd
wNh eec beppli—ti—
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
M c r7
(?/r�) L. - q co
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRES
, STATE, ZIP
WA
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
CO ANY NAME
L_
APPLIPANT NAME
-
OFFICE PHONE
-Z&
Ear
k'1 %n I VI
) - 2w
MAILING ADDRESS
zcc/c
, STATE, ZIP
WA
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAXTURBEER
CONTRACTORS REGISTRATION NUMBEREXPIRATION
DATE
E-MAIL ADDRESS
<7576` // C
11
._ 2-- f✓ .
COMPANY NAME APPLICAN_TNAME
OFFICE PHONE
MAILING ADDRESS CITY,_STATE, ZIP
f-4 ` I
CELLPHONE
4cp4c TQ 4=� G.J
- (2-,--', 3
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other cc''(i7�1���
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME Per .
nder information is required ijproject value exceeds $5,000
MAILING ADDRESS TY, STATE, ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED V $ UE OF PROPOSED WORK
SPRINKLERED BUILDING ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM SED/REQU:
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEP
❑ YES ❑ NO
s
a
a: ARIA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S • . FT.
TOTAj.
SQ. FT.
BASEMENT
o YES o NO .
BASIC PLAN? D YES
n NO
FIRST
CHANGE OF .USE? a YES
o NO
,SECOND
o YES a NO
UP/SEPA/SU? o YES
D NO
THIRD
o YES b NO
DEMO PERMIT REQUIRED? o YES
(3NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT
}
NUMBER OF FLOORS
swanso
P'R6;;iZ7
TorAL
rorAt er
rorAc reorosso sr
70TALer
""NEW HOMES ONLY"• NUMBER OF DROOMS ES717 ftD SELLING PRICE $
Indicate number of each type of fvcture to be
Value of Mechanical Work $ (A COPY OF
AIR HANDLING UNITS
BBQS.
BOILERS
COMPRESSORS
DUCTS '
BATHTUBS (orhb/shower combo)
DISHWASHERS /
DRINKING FOUNTAINS!
ELECTRIC WATER HEATERS
HOSE BIBBS
or
F1139PLACE INSERTS
RNACES"
GA3 LOG SETS
LAV.S (Bathroom sinks)
RAINWATER SYST
SHOWERS
SINKS
as part'of this project. Do not include existing fixtures to remain.
ESTIMATE MUST BE INCLUDED WI9`H APPLICATION)
GAS PIPE OUTLETS WOODSTOVES
CTAS WATER HEATERS MISC (Describe)
HOODS (cmm "q .
RANGES
PRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (Tone[)
WASHING MACHINES
MISC (Describe)
I cert(fy 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 aad,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 hVermation supplied to the city as a part of
thif application. 2
NAME/TITLE '�� DATE _ '
nl . (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Other
o NEW o ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES o NO .
BASIC PLAN? D YES
n NO
ZONING DESIGNATION
CHANGE OF .USE? a YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP/SEPA/SU? o YES
D NO
PLATTED LOT?
o YES b NO
DEMO PERMIT REQUIRED? o YES
(3NO
Bulletin #100—April 2, 2007. Page 2 of kUlandouts\Permit Application
f..
-' ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL. SERVICE
❑ Single Family. Square Feet
Service or Feeder EachAdd'n
(Hist 1300 ft2-$111.00; Each add'n 500 ft2- $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
0 401. _ 600 amp 205.00 102.00
❑ 601 - 800 amp 262,00 140.50 •
ALTERED COMMERCIALANDUSTRIAL
❑ 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
13 over 1000 amp 471.00
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
#
❑ over 600 amp 225.50
of circuits to be added/altered
(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 350/6 of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $55.00
❑ Medical/EducatiQnal/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK
ResidentiaWulti-Family $65.00
❑ #.of service or feeders
(First service/feeder-$74.00; each add1n -$48.00)
CommerciaVIndustrial Service or Feeder Ampaeity
❑ 0 - 100 amps $ 74:00
'❑ 101 - 200 amps 94.50
0 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLAN SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(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 systems)
cludes additional circuit, if required)
❑ Fire Alarm System
❑Yard Pole me ..................... 74.00
❑ Security Alarm System
❑ Voice Cabling
0 Additional Plan Review $111.00/hour
❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
1.9 2500 0465.00;
Each add'n.2500 ft2-•17.00) 'Per WAC29646.910(5)lbfi b iif
Bulletin #1100- April 2, 2007 Page 3 of 4 k\Handouts\Permit Application