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04-100864 City of Federal Way Electrical Permit #:04 - 100864 - 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 9TH,S Suui�ite125 Parcel Number: 926501 0130 Project Description: Install low-voltage data/commumications cable. Owner Applicant Contractor TRANSPACIFIC INVESTMENTS*STAN KLE REDMOND CABLE CORPORATION REDMOND CABLE CORPORATION 101 SW MAIN ST SUITE 350 15331 NE 90TH ST 15331 NE 90TH ST PORTLAND OR 97204 REDMOND WA 98052 REDMOND WA 98052 (425)882-2009 Electrical Fixtures I.`• ,4,,= C1 p3 on ,°. Qt titiA cnpt10 i .::.;-:; ti$t1 t f °•" f:'; esc tifM? u?•x Qf I t y Low Voltage-Other Commercial 2685 PERMIT EXPIRES September 8,2004. Permit issued on March 12,2004 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: 4—CC 16_ Date: 3 42- OAtio\o Wasar-4, oc 7-0 D4 °4`1 '&-To ';,� Q 3 . U► - w REGtty Mid �� CVS COMMUNTIY DEVELOPMENT SERVICES \/ 33530 FIRST WAY SOWN•PO BOX 9718 AY,WA 98063-9718 Federal Way MAR 12 Zap 4PERMIT APPLICATION clv`'' 6 FEDERAL�ynf(e of 36611ml 9 For Office U:Only. '� I'W C4 IVU EUT' 0 - I JO - < (r14 Il- _ — TD. m er. / I The oliowin• is re.uired in ormation-an Inco .lete a.•lication will not be acce•ted. Please •rint Ie.ibl (in ink)or . � j ■ PROPERTY INFORMATION SITE ADDRESS: 3 3"3 OJ / Ir9 t � 5• SUITE/APT# 12-5— ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT(This application): 0 BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJT DESCRIPTION(Provide detailed description of work included on this permit onlu): e QAgl,-(U w(Co�/ � /Ds v.../Ec PROJECT NAME(Name of Business/Owner Last Name): 4(4 ' " ' z °f' -t a R PEOPLE INFORMATION PROPERTY NAME: �� PRIMARY PHONE: OWNER K ( _ MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CONTRACTOR: NAME COMPANYOFFICE PHONE: R�.tMAW) C ,€LL 7 Y(9eZ0,-i/ ?t---7-Au (.Ls)6g2_ -1e9.01 MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE: 1c3)1 f& 907-1(ST R DkfoVJ) Cv4.i8o5'2. (1'zf)y66 -885'7 CITY OF FEDERAL WAVIL{,SINESS LI EN6E NUMBER: EXPIRATION DATE: FAX NUMBER: - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required with each application) / LENDER: NAME: DAYTIME PHONE: (If Proposed Vidor>$5,000( ( ( ) - MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: Cottrg/k7©aC ( )MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE: ( )RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ Architect ❑ Tenant o Other(Describe): ( ) - CONTACT PERSON FOR TMS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS: ` I DETAILED BUILDING INFORMATION . EXISTING USE: PROPOSED USE: EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL • BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL oXSTmG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED "NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • FIXTURES Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ --AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(comm,,ci i) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(mile) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sioii VACUUM BREAKERS ELECTRIC WATER HEATERS • 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 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. NAME TITLE: p DATE: 3 ©y (Signature) (Title) RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant ontractor 0 Architect ❑ ,FOR OFFICE,USE ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? a YES ❑NO • ZONING DESIGNATION:- - - CHANGE OF USE? o YES a NO- NEW'ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO .. .. ... :E Page 2 ■ ELECTRICAL PERMIT INFORMATION 1 RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet: Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00 (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50 O 801 - 1000 amp 405.50 169.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp Feeder 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 600 volts surcharge $74.00 ❑ 201 -400 amp 117.50 58.00 ❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50 (Inspected separately from service) ❑ 201 -600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 -600 amp 117.50 ❑ over 600 amp 177.00 ❑ #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) ❑ Service over 200 amps ❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee . • MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ 0- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00 ❑ #of service or feeders ❑ 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) U 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) Low Voltage U Swimming pool/hot tub $87.00 Square Feet to be served by system(s): (Includes additional circuit,if required) O Fire Alarm System ❑ Yard Pole meter loops $58.00 O Security Alarm System U Additional Plan Review $87.00/hour JJVoice Cabling Data Cabling (for modified submittals) (Per System(s): 1•t 2500 ft2-$51.00; • Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(4b)(&ii) Page 3