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05-105559
'► • a • City of Federal Way Electrical Permit #: 05 - 105559 - 00 - EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: VUONG DENTAL FACILITY Project Address: 34700 11TH S Parcel Number: 215470 0040 Project Description: Installing a new 400 amp,120/208 3 phase,4-wire service,including branch circuits Owner Applicant Contractor Van H Vuong &Cindy H Vuong SHEPPARD&NELSON ELECTRIC SHEPPARD&NELSON ELECTRIC 2101 SE 2ND PL PO BOX 3630 PO BOX 3630 RENTON WA KENT WA 98032-0210 KENT WA 98032-0210 98056-8864 (206)878-7333 Electrical Fixtures j • Description !;Quantity I Description Quantity Description (Quantity WI-vice/Feeder:201-400 amps-Comtj 1 1 PERMIT EXPIRES April 25,2006. Permit issued on October 27,2005 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 accordant 'th the laws,rules and regulations of the State of Washington and the City of Federal W o, Owner or agent: Date: /D r a --Q °'�`_ . .41.:1 .....41k16. THIS CARD IS TO REMAIN ON-SITE ctn OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-105559-00-EL Owner: VAN H VUONG Address: 34700 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. ig Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved i B ',111 Date \\\CkCISBy Date By Date , 0 Temporary Power(4275) Vil Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date Bi:) Date tie.‘ttO(D By Date . • �.. Rough Electrical(4225) �12I Ceiling Cover(4020) 1 pn Final-Electrical(4055) Approved Approved Approved `By 1 Date `1\AS By(, 41 ON Date 0� By y�,y Dates `�P . , 0 Under-slab groundwork(4295) Approved By Date oil rnrw RECEIVED J - I 0 ✓ 5 5-2 ��w�/ PERMIT SF MF CO MDmPL DE EN FP =SANITY DEVELOPANNT YVHS C T 2 7 20 3=5 Pi AmpsY,WA f•A3BOX.9718 gPLI CATI O N - / �_ FSGBRAL WAY,FAX 980635778 TU jT '153.835.1607•FAX 153835-1609 c xi W o°'a"°�"°'' CITY OF�FEDERAL The oltowt . is r>tid'tG DEPT.• -an t -.fists - 1•heartfeltheartfelttheartfeltwill not be - A`- Pleas* . nt _ • •, or •, • PROPERTY INFORMATION SITE ADDRESS 3 7 OCI 117-;-6 P c -e Soc.41- SUITE/UNIT 0 ASSESSOR'S TAIL/PARCEL 0 - _ _ — LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Oath*Wanly pcp PrJenptlwJogai deurU • PROJECT INFORMATION TYPE or PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this pern;it only 110 ) /-&"t p I-o/o-o83 V ywc.c p S c—i. ci 13 G c.i=cam b u y _ &c" PROJECT NAME(Name of Business or Owner Last Name) 1./(t)(41(3 1 Daraj lac( ( v ( -61 • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER /.1-1 a�.� p-e�l L c i L t ( ) - MAILING ADDRESS CITY,STATE, P CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE S6-.. Gil+' ,�� d Y-44_.t.Lsty q Eiocik<< /9-ey 0-00&)9- 333 MAIL! ADDRESS CITY,STATE,ZIP CELL PHONE Vr 0e i30, 3Us0 / 2Ati-- %OE' ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER l -9Q-1 0 i €i 1 .67- B 1. / 2 / 3/ / 0'J (9d)609e -76)o CONTRACTORS REGISTRATION NUMBER(dopy of card required wftlla seal appllee te.) EXPIRATION DATE 56L- 1) P c k 07 / 3/ / ©' APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT f L'.NAME PRIMARY PHONE E-MAIL ADDRESS -012 IC <.' _ >,,' ,a.,,' .a „a rs,Se}M fa' NAME rjgd:67tAt • Po-tri)/. MAILING MOMS CCIY,STATE,ZIP U DETAILED BUILDING INFORMATION .»•STING USE PROPOSED USE .+•STING ASSESSED/APPRAISED VALUE $ VALUE OP PROPOSED WORK $ +'RINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO 11111 ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 its-$104.50:Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage ❑ 101-28 c : .... 141.00 89.00 (Inspected with service) $44.00 A 201 400 am. 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50 ❑ 801 - 1000 amp 486.50 203.50 NEW MULTI-FART(three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder ❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201-400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 600 amp 193.00 96.00 ALTERED COMMEW IAL/UIDUSTRIAL ❑ 601 -800 amp 247.00 132.00 O Over 800 amp 353.50 264.50 Service or Feeders ❑ 0 to 200 amp $113.50 ALTERED SEIGLE/MULTI FAMILY U 201 -600 amp 264.50 Feeder 0 601 - 1000 amp 398.50 Service or ❑ over 1000 amp 443.50 ❑ 0 to 200 amp $87.00 ❑ 201-600 amp 141.00 ❑ *of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00:Add'n circuits.$7.00/ea) U #of circuits to be added/altered COIl IRCIAL/INDUSTRJAL PLAN REVIEW (1-4 circuits-$89.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1.000 amps or greater ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 O Service and feeder $113.50 TEMPORARY SERVICE ]MOBILE HOME/RV PARE► J'amilg $61.00 ❑ #of service or feeders (First service/feeder-$69.50:each add'n-$45.00) Service'or Feeder Auapacity ❑ 0-100 amps $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00:add'n sign$24.50/ea) U Low Voltage U Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit if required) Fire Marin System ❑ Yard Pole meter loops $104.50 o Security Alarm System ❑ Additional Plan Review $104.50/hour O Voice Cabling (for modified submittals) 0 Data Cabling ❑ Automation Fee on an Permits .. $5.00 (Per System(a)1.12500 fl2-$61.00: Each addh 2500 ft2-16.00)•Per asic 296.46-910455b11 e.10 Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application 11111 . . . WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLUIE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL • SQ.FT.SQ.FT. SQ.FT. BASEMENT . FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 WORM PROKIIISD NUMBER OF FLOORS TOTAL **1VEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHAMCAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS ic.....ko WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATErruss or Tub/Shower Camboi SHOWERS WATER CLOSETS rrcam MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE DRIBS ______ LAVS(Bathroom Sinks) VACUUM BREAKERS UZCTRIC 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 authorised by the owner of the above premises to perform the work for which the permit application is made. 'further agree to hold harmless taw City Of Federal Way as to any amiss(blending costs,evenees,and attorneys'fees incurred in the investigation and defense of such claim),which slay be made by any pervert,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,u ' the accuracy of the information supplied to the city as a part of this application. NAIIE/TITLE 677 C= /kr/..."-- 0-C-41.-re'e tride) DATE /OI-S..- . 9 '7- 031 RELATIONSHIP TO PROJECT 0 Owner 0 Agent A Contractor 0 Architect 0 Other .X-Nrif,iliv,-oiAtvx,T.,;?iew,ftz.ft-;:i: cmnoNK-f4gt..'il g'.' ev.,?$14thcr3,r"il,St.. .-6-4,±fr'. .tbIr'.;ti:',,----'%,,,,,,:a-I.;& gkv,,Aiiot,,,,o_, ,,,,R of-.- 1.1. ,,. 0,0 : ., k‘ei-,.. , 4-.,*:;,-..,, r,.--.,-,....•,-,-1,10,-,-prily., ,,,o,,,,,,,,,,,:' ,,. •„.,/...,,,s,,,,,„:4.Aw,-;,,,,,.Q.*,..,54,•,*',,,..wi.:,Aik, ,---,,,:-:• •r.:,-,' ,.• <,w3,,-,,,,,,,Cpr,‘ 'r4iiii7aiiiiiiiiiir;;*"17r;-''''4:;"",;-,4",Y.MPC- rvci'•',Af4.;-; ;;Zpz,..4„-V2,Mq:',•,4,,•E=04,',.'",' --..,A4,..,:ik4,4:igZ•7.'Wz',WITTY , 4-‘,''',..:'44,„.-,:2A. ,.1,4,-ki,,:v.,-,S,,, :AI,WPW,Mril!,,,` '•:.',-,, ,,,:t".", .,,Mtk.„,,og,:,,,,,l'A,,,,,4ip.f. ,,,:qr,',V.1&,PO4:2,-":',;'-':1,;!.N'1,;•Tf.4-i,t,';',WPre., -' .,,,t, o..A...;,A ...{, :,':4.1';k• T.:.?4,N, ,;;', ,, ', ..wavialli124,4mduk,',.4#,.04,9.,,,4." -',tipiti-'2,7, ;'',i;-.i,';‘-•'.'-.Y:;5 '.-'-'-' - l'a..-'. ,.'11.,4'201':'i:4:1.-ef441 ..tlii-FrTr,"- 1;0'9- 4'°i‘,r:e'0,4'''OK-t,etilii..;'Aert;:t.IWL ;,;;.4041'4.1, :.-&%,;.4.IV-4, .-'i,,ly:,111)..A.1;11.kVst,a41-fl:!;0.- - ,-'[1:•-.41.,=.7tri, ,,, 7iner;111, -,!a4.4_,A,,,.:4,4,-',.-,..*P;4;%-*" ..0,44Li..- .: ,,,-:.,,,- ,is.,--,,,,. , :.„- . ,....::,,-,.„4).1,.,,Ifl''W.,,,i,'V,..,`;5•'-'11. 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