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05-106304
t . . • # City of Federal Way Electrical Permit #: 05 - 106304 - 00 - EL Community Development Services ` P.O.Box 9718 Federal Way,WA 98063-9718 h:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-30541 Project Name: DENTAL CENTER OF FEDERAL WAY BUILDING A Project Address: 34700 1ITH�S L Parcel Number: 215470 0040 Project Description: Installing 2 LN thermostats Owner Applicant Contractor Van H Vuong &Cindy H Vuong SUNSET AIR INC(Electrical Contractors Licei SUNSET AIR INC(Electrical Contractors Licei 2101 SE 2ND PL 5210 LACEY BLVD SE 5210 LACEY BLVD SE RENTON WA LACEY WA 98503 LACEY WA 98503 98056-8864 (253)582-6712 Electrical Fixtures Description Quantity Description Quantity Description Quantity Thermostat 1 2 I PERMIT EXPIRES June 7,2006. Permit issued on December 9,2005 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 accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: See �p A.rcaloti Date: f Z i (0-c Ai' • THIS CARD IS TO REMAIN ON-SITE ..��T,►oF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-106304-00-EL i 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. ❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 'T.1 Final-Electrical(4055) Approved Approved Approved By Date By Date k By fj%41\ Date S a ❑ Under-slab groundwork(4295) Approved , By Date if 94r-'4.- „.. . y� Ai- «4f4 -~ ---#_ :' - . CONSTRUCTION PERMIT APPLICATION 1�_ � .,, O - L0 �oJJ_ ,VV FiY - VELA EAT APPLICATION NUMBER: �'�- Co�L M APPLICATION NUMBER: - - --- NOV 3 0 LtiU5 APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** l � Please note: Electrical, Fire Prevention Systems and-Engineering permits may require a separate application. IJ ■/ ,PROPERTY INFORMATION _ /-� SITE ADDRESS: .3/1700 I/ +i1 P IUeSL 5 ASSESSOR'S TAX/PARCEL #: I 5 �© - Do(/r o LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .-' • PROJECT INFORMATION - . • - - - . TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ,LECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM C Ztie 1+ �,-1.,�.Ar' PROJECT DESCRIPTION(Provide detailed description): � LeC..¢� ` f PROJECT NAME: V CSC-Yv t,"C)(1 (J-epthd E 14 A- ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE. i %g L-1.- ) - MAILING ADDRESS(STREET ACRESS,CITY,STATE,ZIP): / 31 Co 3 v'G ,(+ t,<-)' i ljed--'e-'41 1 <--) �(��/e// c.tJ.' `7KCo 3 NAME: WAYTIME PHONE: CONTRACTOR: ,tA 11 -�'�/,`/� 0-&--_ZI MAILING ADDRESS(STREET A D E S,CITY-IP C_- (ENING P)O .5Z 5 Z/& &U u,9W55-3 ( ) ja...bn�, CITY OF FEDERAL WAY BUSINESS LICENSE R: /y>L� FAX NUMBER: 0 - / d �2 G] 88' - C © (3&o) VI6- — V4i' CONTRACTOR'S REGISTRATION NUMBER: // 5/i/ a /Ak EXPIRATION DATE: (copy of card required) S(/ E /1 � ) C Z / .5 / O 6 APPLICANT: NAME: DAYTIME PHONE: l" -21,Y-16c�.- — 5LCi4 tet2L (36o ) z/5-6 - 27/f3. ;ft/ MAILING ADDRESS(SIRE 4'DRESS;CM,STATE,ZIP): EVENING PHONE: IS C°4N-' --6-2-/0 ef. - 22.,Vid ,'/d-re----71- `-d/f- 9F --3 (36o) I/SZ - 495 RELATIONSHIP TO PROJECT: �cFAX NUMBER: � ,� 0 ARCHITECT TENANT OTHER(DESCRIBE): (ii4J12?-et— (3/:G)�5� -74 `U EMAIL ADDRESS. CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT X CONTRACTOR • DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: 0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESS.... `.iG PRICE: $ • ■ PROJECT FLOOR AREAS FLOOR _ EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.WOO STOVEEM(S) WOO BBQ(S) FAN(S) HOOD(S) ( BOILER(S) FIREPLACE INSERT(S) RANGES) MISC. COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) R% : ' • 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 I further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim 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: ------- 'lr14�lv7 (� �7C.��,l.-C.�f', DATE: / /— 2- o PROPERTY OWNER ❑CANT CONTRACTOR a" '-(-- ' FOR OFFICE USE ONLY: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO - r SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129 ■ ELECTRICAL • . TABLE B Y NEW RESIDENTIAL SERVICES MOBILE HOMESMISC QUIPMENT/TEMP SERVICES _Single Family _Service or fccdcr only S4 . 5 '' N Thermostats(First-533.50;add'n-S10.50ca) E (First 1300 ft2-567.00;Each add'n 500 ft -$21.50) _Service and feeder S7 .25 of Low voltage fire or burglar alarms -t' Square Fcct: First 2500 112-538.75,Each add'n 2500 02-S 10.50 _Each outbuildingor garage............... .... S28 00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _N of service or feeders •I'cr WAC 296-46-910(5)(b)0&ii) _Each outbuildingor garage $44.25 (First service/feeder-S44.25;Add'n service/ _N of Signs(First sign-S33.50,add'n sign (Inspected separately) feedcr-$28 each) $16150 each) - _Progress inspection per'h hr $33.50 _Swimming pool.hot tub.spa 67 00 _Yard Polc meter loops 44 25 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 S 72.25 _Up to 200 amp S 72.25 5 21.50 Feeder _201-600 169.00 _201-400 amp 89.75 44.25 _0 to 100 $72.25 $44 25 _601-1000 254.50 _401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75 _601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits _Over 800 amp 225.25 169 00 _401-600 197 00 78.75 (1-5 circuits-556.25;Add'n circuits.$5 ea) ALTERED SINGLE/MULTI FAMILY _601 -800 254 50 107.25 ' (When inspected separately from the services.) _801- 1000 310.75 129 75 Temporary Service Service or Feeder _Over 1000 339 00 181.00 _0 to 60.. $38.75 _0 to 200 amp S 61.50 _Ovcr 600 volts surcharge 56.25 _61 - 100 44.25 _201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25 _over 600 amp 135.25 _201-400 67.00 _Mast or meter repair 33.50 _401-600 89 75 _#of circuits _over 600. .97 75 (1-4 circuits-544.25;Add'n circuits S5 ea) If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit tee+556.25.Add'I plan review for other submissions is S67.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) ---)- TOTAL COLUMN ): 1/\°:)-\° .(� Total Column(D) _, ,,�` Estimated Permit Fee: (12) ! G t%J�_v�-�-'7S Yi- .e . O1/4, , Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25+ X.35 = (13) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) ■ ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) • OTHER FEES • Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) Total (Pages one&Two): Une(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24) • 1 Bulletin #100-January 3,2001