04-104954 City orFed.:ral way Electrical Permit #7, 04 - 104954 - 00 - EL
Community Development Services
P.O.Box 9718 f`
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: FAMILY DENTAL GROUP
Project Address: 33600 6THIS JSuite102 Parcel Number: 926480 0205
Project Description: Extend circuit into sump pump box.
Owner Applicant Contractor
•
Api IDEAL SERVICES INC IDEAL SERVICES INC
88050 148TH AVE NE 3525 S ALDER ST 3525 S ALDER ST
REDMOND WA TACOMA WA 98409 TACOMA WA 98409
98052 (253)922-1616
Electrical Fixtures
Description Quantity Description Quantity Description [Quantity!
Circuits- Commercial 1
PERMIT EXPIRES June 6,2005.
Permit issued on December 8,2004
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: P✓ Date: /]._ — C, 0 el
441/4. THIS CARD IS TO REMAIN ON-SITE .
CITY OF Community Development Inspection Re1Qrd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104954-00-EL
Owner:
Address: 33600 6TH AVE S Suite 102
FEDERAL WAY, WA 98003
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.
ElSlab/Concrete Floor(4255) �❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
13 Temporary Power(4275) �❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ►.1 Final-Electrical(4055)
Approved ApprovedApproved
By Date By Date B All Date Z ' II
. ik. .
❑ Under-slab groundwork(4295)
Approved
By Date
�_ CONSTRUCTION PERMIT APPLICATION
r' CITY OF �� APPLICATION NUMBER: Q1.( - 1 (..) e TJl - EL...
Federal Way APPLICATION NUMBER:
k PPLICATION NUMBER: - -
I
"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.
R PROPERTY INFORMATION
n `ik 1 E 102_SITE ADDRESS: _ _ . /�al / AEI ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION 0 SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): O BUILDING 0 PLUMBING O MECHANICAL 0 DEMOLITION
ICTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): `r f N3 N OUX( L--1'— l NTe) .e\\
coW&! cx
PROJECT NAME: r AIM Cr . 0G,..0-1-
- . - - ■ PEOPLE INFORMATION _
PROPERTY OWNER: NAME;..._ DAYTIME PHONE
. 1Z.-. rId.c-5Cro V s-3) - ,31
MAILING ADDRESS(STREET ADO • ,STATE,ZIP): h, �
MAI .‘Cr i ' S r C 2 L f ,/ /4_ i . ✓��/ [ I OI,.
CONTRACTOR: NAME:`--�--�_%V, � �1 U,�s DAYTIME PHONE:
453)(171 -Z l(QQ
MAILLiNGADS S-tDDRRESS(STREETAD/DDR(E`SSSSCITY.STATE. IP):Pj` .-, / /�j�/`� ��y�
CITY OFFEDERAL W�BUSINE55 ACENUMBER: e 1 J fj(�a 1.lsl . Wit ggy f7` f EVENING)ONE'
"�, FAX NUMBER:
1 1 - 98 i o —C -IS _Q--B4 a51) (17/ - al 70
CONTRACTOR'S REGISTRATION NUMBER: EXPIRA required) IDEA -5101_ 1_ 3: 2 ; c7N DATE:
( / o
/�2- cj
APPLICANT: ( NAME: DAYTIME PHONE
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
( I
RELATIONSHIP TO PROJECT: FAX NUMBER
0 ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER 0 APPLICANT
CONTRACTOR •
:.----,z- - -■ DETAILED BUILDING INFORMATION
g,EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
r PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
J:SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
, WATER SERVICE PROVIDER: ❑ LAKEHAVEN O HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**FLEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
•
,. ■ PROSECT 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 Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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(induding 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 arisut of the reliance of the dty,induding Its officers and employees,upon e accuracy
of the Information sup lied to the dty as a part of this application.
NAME/TITLE: //-2// %J Cl /
` DATE: !
o PROPERTY OWNER 0 APPLICANT tn.CONTRACTOR
..FOR.OFFICE.USE ONLY- I
t1` NEW: .0 �D ADDITION -:f - .F_, s.-:.:,� : ,�. :s _E._.,
�s��t7 ALTERATIbN��' fl REPAIRS.�-`TENANTIMPROVEMENTgM -
CENSUS=CODE L'9 "
'ZONING bESIGNATION i #, . a SBU G --�;' 5' _ 4
_�- ����. BUILDING SHELL;ONLY?�❑YES�"O NO '•
COMP PLAN DESIGNATION = , ,BASIC PLAN?- r D YES '^❑ NO
•
:SECTIONTOWN&NIPS _ `u
RANGE R� NEW ADDRESS REQUIRED? ;, .d YES ❑'NO
PLATTED tOT? S'ES: '=co NO t �' -" CHANGE OF USE?=x , = �-
.,-::OYES-. -tI N0
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.dtyoffedentlway.Com
1 w
■ ELECTRICAL
t
TABLE B ,
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $57.00 _11 of Thermostats(First-$43.00;add'n-$I3.00ca)
(First 1300 ft'-S85.50;Each add'n 500 ft'-527.501 _Service and feeder $93.00 _#of Low voltage fire or burglar alarms
First 2500 Il'-$50.00:Each add'n 2500 ft'-S 13(i(;
_ Each outbuilding or garage 535.-)(1 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders * Per WAC 296-46-910(5)(b)(i R:ii)
_Each outbuilding or garage S57.00 (First service/feeder-557.00;Add'n service/ _#of Signs(First sign-543.00;add'n sien
(Inspected separately) feeder-537 each) $20.00 each)
Swimming pool,hot tub,spa $85.50
_Yard Pole meter loops 557.01
NEW MULTI-FAMILY
COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
. Service Feeder Amps Serstce or Add'n _0 to 200 5 93.uu
_tip to 204)amp S 93.00 S 27.50 Feeder _201 -600 216.50
_201 -400 amp .............. 115.50 57.00 _0 to 100 $ 93.00 S 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 .1-216.50 85.50 of circuits
_Over 800 amp 289.50 216.50 _401-600 '' 252.50 101.00 I- circuits-572.50:Add'n circuits,S6 eat
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/Commerciaf/Industrial
_0 to 200 amp S 71.50 _Over 600 volts surcharge 72.50 0- 100 e 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 i 15 50
-a of circuits l
over 600 125.00
(1-4 circuits-55 7.00;Add'n circuits S6 ea)
i r
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+S72.50.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)•
E 1 ii'
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
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)
Bond Amount: (17)
■ OTHER FEES . - . .
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (page,one i&Two): Line(s)(1i)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) •
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Bulletin #100-December 23, 2002