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04-100483
lr 44 'il , r City of Federal Way Electrical Permit #:04 - 100483 - 00 - EL Community Development Services 33530 1st Way S • Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050 Project Name: DENTAL OFFICE OF DR.JOHN HODGES Project Address: 33301 9THIS Suite125 Parcel Number: 926501 0130 Ave Project Description: New 100 amp/480 volt feeder to new panel&150 amp feeder to transformer and 120/208 volt panel, wiring for 7 dental chairs,lab,sterilization,lounge,&business office Owner Applicant Contractor SPIEKER PROPERTIES L P NORTH STAR ELECTRIC NORTH STAR ELECTRIC PO Box A3879 1905 S JACKSON ST 1905 S JACKSON ST SEATTLE WA 98144 SEATTLE WA 98144 PO Box A3879 !Chicago,IL 60690-3879 (206)329-159 PERMIT EXPIRES August 9,2004. Permit issued on February 11,2004 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 the City of Federal Way. Owner or agent: Al e7.7 Date: - /1- Ci 2 « -o dk O i_vc� C'ov.e✓- AfYini " c-- . a -o VVa.1 l Cover .„_-"---3 �1-- G -vk t fov. 4 - & -0 ct ceri/Lec4,4•01,,c, slzect.,-.1.43.1. De"k LtD .5.- s 4.0•-r -;:f-1-5(..V-------) b It\K\CLt -,._..ivs\\ t\ ‘S.\W-0 Oe.X. Nkcil!,emi., ,\ ?V . " , C\ ,,> RECEIVED CONSTRUCTION PE MIT AP CTIOI4 CITY OF A' FEB 1 1 2004 APPLICATION NUMBER: _ -l0_40 - (ti Federal Way APPLICATION NUMBER: - - 1TY OF FEDERAL WAY BUILDING DEPT. APPLICATION NUMBER: - - **The following is required information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: 33301 9th AVE S suite 125 ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): New 100amp 480 volt feeder to new panel and 150amp feeder to transformer and 120/208volt panel,wiring for seven dental chairs and all office/Lab/sterilization/lounge/business office/ PROJECT NAME: Dr. John Hodges • PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME: DAYTIME PHONE: North Star Electric Inc ( 206 )329 - 1596 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 1905 S Jackson street Seattle Wa. 98144 ( 206 )329 - 1596 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX MBER: 20 00 - 10 18 18-0 0 B L 12131/0.L1 206 ) 329 - 9437 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) NORTHSE 13608 09/ 28/2005 APPLICANT: NAME: DAYTIME PHONE: North Star Electric ( 206 ) 329 - 1596 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 1905 S Jackson Street Seattle Wa. 98144 ( 206 ) 329 - 1596 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑TENANT X OTHER(DESCRIBE): Electrical Contractor ( 206 ) 329 - 9437 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT X CONTRACTOR Michaele@nstarele.com • PROJECT INFORMATION EXISTING USE: Vacant EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: Dental Office PROPOSED VALUATION FOR IMPROVEMENTS: $ 40,000.00 SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES X NO ' WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) •` 1 • Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) • PLUMBING Base Fee Number of Fixtures $26.00+{ X$9.00/fixture)= (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11) • ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 _#of Thermostats(First-$43.00;add'n-$13.00ea) (First 1300 ft2-$85.50;Each add'n 500 ft2-$27.50) _Service and feeder $93.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$50.00;Each add'n 2500 ft2-$13.00 _Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-$57.00;Add'n service/ _#of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-$37 each) $20.00 each) _Swimming pool,hot tub,spa $85.50 _Yard Pole meter loops $57.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 93.00 _Up to 200 amp $ 93.00 $ 27.50 Feeder _201 -600 216.50 _201 -400 amp 115.50 57.00 _0 to 100 $ 93.00 $ 57.00 _601-1000 326.50 _401-600 amp 158.50 78.50 _101-200 115.50 72.50 _over 1000 363.00 _601 -800 amp 202.50 108.50 _201 -400 216.50 85.50 _#of circuits _Over 800 amp 289.50 216.50 _401-600 252.50 101.00 (1-5 circuits-$72.50;Add=n circuits,$6 ea) ALTERED SINGLE/MULTI FAMILY _601-800 326.50 138.00 (When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 71.50 _Over 600 volts surcharge 72.50 _0-100 $ 57.00 _201-600 amp 115.50 _Mast or meter repair 78.50 _101-200 72.50 _over 600 amp 174.00 _201-400 85.50 _Mast or meter repair 43.00 _401-600 115.50 _ 4 of circuits _over 600 125.00 (1-4 circuits-$57.00;Add'n circuits$6 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$72.50.Add=1 plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) 100 amp feeder $93 1 $93 150amp feeder $72.50 1 $72.5 TOTAL COLUMN(D): $165.50 Total Column(D) Estimated Permit Fee: (12) $165.50 Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50+( X.35)=(13) • DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) • ENGINEERING , Estimated Permit Fee:(16) e1 r SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST 2685 2685 2685 SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING EVAPORATIVE GAS LOG(S) REFRIG.SYSTEM(S) UNIT(S) COOLER(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGES) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER VACUUM BREAKER(S) o ELECTRIC o GAS SYS. DRINKING SHOWER(S) WASH MACHINE FOUNTAINS) OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) ■ DISCLAIMER/SIGNATURE BLOCK I certify 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 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 ' s out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the ci a part of this application. �/ NAME/TITLEi�G�� ecTri...-.?,- eDATE: "— " © /❑ PROPERTY NER ❑APPLICANT X CONTRACTO FOR OFFICE USE ONLY: o NEW ❑ADDITION o ALTERATION o REPAIR X TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? ❑YES o NO COMP PLAN DESIGNATION BASIC PLAN? o YES o NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES NO PLATTED LOT? o YES o NO CHANGE OF USE? o YES ❑ NO