05-106303 t . t O..
.4 City or Federal Way Electrical Permit #: 05 - 106303 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
t Ph:(253)835-7000 Fax-(253)835-2609 Inspection request line: (253) 835-305C
Project Name: DENTAL CENTER OF FEDERAL WAY BUILDING B
Project Address: 34704 11TH\S , Parcel Number: 215470 0030
Project Description: Installing 6 Litthermostats
Owner Applicant Contractor
Van H Vuong &Cindy H Vuong SUNSET AIR INC(Electrical Contractors Lice' SUNSET AIR INC(Electrical Contractors Lice'
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 6
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 Application Date: • • . 144(d.s
. ,
.. THIS CARD IS TO REMAIN ON-SITE . .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
i
PERMIT#: 05-106303-00-EL
Owner: VAN H 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.
0 Slab/Concrete Floor(4255) 0 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
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) '. ❑ Final-Electrical(4055) .
Approved Approved Approved
41
By Date By Date Blip s\ Date\ \ Q
Q�
❑ Under-slab groundwork(4295)
Approved
By Date
CIT YOF = ���` ONSTRUCTION PERMIT A?PLICATION�
ER(RL1iECEIVED BY APPLICATION NUMBER: Q4 - / D ALJ -OO ex_
uV Env COMMUNITY DEVELOPMENT DEPAn7 N-01,.4�.�
NOV 3 0 2005 �p���0e c\t APPLICATION NUMBER: - -
/ �V��t`� G4 ,,,I,‘)
APPLICATION NUMBER: - -
I **The following is reggi ted 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: OL-17.6e--/ 114- P62-ea- 5 ASSESSOR'S TAX/PARCEL #: .;4 5 `(/
- 0000
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' - ■ PROJECT INFORMATION -
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING FIRE/ PREVENTION� SYSTEM
PROJECT DESCRIPTION(Provide detailed description): (6) V
1) /��/9� (/�YK.e-
al
PROJECT NAME: �(i'-) IO OCC • 42-rt.0 8 1C7' 3
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME _ DAYTIME PHONE:
/tel �i i i_,, l/
MAILING ADDRESS(STREET ADNSS,CITY,STATE,ZIP): // /
3 l G 3 T' •
11 aj,, S _,,,e t.S C,t) / C
- cifoa
3
� . ,
CONTRACTOR: NAME: t OAY IME PHONE;
^9C__.--- c) )4E5 Z_ ' ^
MAILNGADDRESSDRESS, ITY l ): EVENING PHONE.
52-/Z6.e. ' ' ( )
Sce_:;-x-e_--
CITY OF FEDERAL WAY BUSINESS A NUMBER: / FAX ,BER:
OD - OL OEC - C ( ) 44.6 - z/ d
CONTRACTOR'S REGISTRATION NUMBER: S /' /�I— -•� ^� /'� EXPIRATION DATE.
(copy of card required) Ai J�' J d vC 6 6 At z l 3 /a 6
APPLICANT: NAME: DAYTIME PHONE:
lL2 GL --- / L .e ,t (- 6,6) /7.5-z, / I
- eJ 4v
MAILING ADDRESS( "'ET ADDRESS;CITYSTATE,ZIP): EVENING PHONE:
r',
'(l./ .---,..2.- i � � 00oQ . 6ib C cJ 9&03 ( )
FAX RELATIONSHIP TO PROJECT: / / NUMBER
C61141/U'
6I ❑ ARCHITECT ❑ TENANT gl.,OTHER(DESCRIBE): e. ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT P CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN Cl HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY** .,
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
■ PRO]ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
-THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? ____
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S)
BBQ(S) FIREPLACE INSERT(S) RANGE(S) 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)
■ 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 daim(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 aas�a part of this application. /'/���, /
NAME/TITLE: I�'(.E 616 CD')'u11 IZ1 Gfl�i `-c''"'".LcJ DATE:
❑ PROPERTY OWNER4e APPLICANT YO CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW 0 ADDITION 0 ALTERATION 0 REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
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
■ E, C'TRIRAL -
TABLE B `
NEW RESIDENTIAL SERVICES MOBILE HOMES ? SC EQ IPMENT/TEMP SERVICES
_Single Family _Scrvicc or fcedcr()illy ..................$44. 62#of crmostats(First-S33 50,add'n-510 50ea)
(First 1300 fr-567.00;Each add'n 500 n2-521 50) _Service and feeder.............. . . .S72. - : . Loss voltage fire or burglar alarms
Square Feet. First 2500 Ile-$38 75,Each add'n 2500 ft2-$10.50
_Each outbuilding or garage... .. . 528 00 MOBILE HOME/RV PARK Square Feet
(Inspected with service) _ #of service or feeders • l'cr WAC 296-46-910(5)(h)(i&ii)
_Each outbuilding or garage . .544 25 (First scrvIce/fcedcr-$44 25,Add'n service/ _#of Signs(First sign-533 50;add'n sign
(Inspected separately) feeder-$28 each) $16 00 each)
_Progress Inspection per Y hr.... ......$33 50
_S‘‘,miming.pool,hot tub,spa .. ........67.00
Yard Pole 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 $72.25
lip to 200 amp $72.25 $21.50 Feeder ___201-600 169.00
_201 -400 amp 89.75 44.25 _0 to 100 5 72 25. 5 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 (I-5 circuits-$56 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 $61.50 _Over 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-$44 25,Add'n circuits$5 ea)
f service is greater than 200 amp.a plan review is rcq'd.Fee is 35%of permit fee+556.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) I
TOTAL
CO
LUMi N D (
f
Estimated Permit Fee: (12) LIV���dotal Column(D)cl_ E 57) 741
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): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24)
Bulletin #100-January 3, 2001