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12-104862 - • •• ` Electrical City of Federal Way - Community&Econ.Dev.Services Permit #: 12-104862-00-EL 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: BELLA DENTAL Project Address: 34410 16TH AVE S Unit 109 Parcel Number: 250090 0040 Project Description: Low-voltage wiring for fire alarm system. Owner Applicant Contractor BELLA DENTAL NW ELECTRIC SERVICES INC NW ELECTRIC SERVICES INC 34410 16TH AVE S SUITE 109 32419 3RD AVE SW NWELEES925DL (3/27/14) FEDERAL WAY WA 98003 FEDERAL WAY WA 98023 32419 3RD AVE SW FEDERAL WAY WA 98023 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps No Electrical Fixtures Low Voltage-Fire Alarm(Commf I PERMIT EXPIRES Monday, April 22, 2013 Permit Issued on Wednesday, October 24, 2012 I hereby certify that the above inform-'•n is co = t and that the construction on the above described property and the occupancy and the use will be• - ,ord• ce ith the laws, rules and regulations of the State of Washington • d th- '' of Federal Way. Owner or agent: Date: /o•-.)-se-1 SIN , - ..1 fi-_() u /ifZ ` THIS CARD IS TO FMAIN ON-SITE crrr of , Construction I ection Record . Federal Way INSPECTION REQ TS: (253)835-3050 PERMIT#: 12-104862-00-EL Address: 34410 16TH AVE S Unit 109 Project: BELLA DENTAL FEDERAL WAY, WA 98003 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 LIFER Ground (4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date • ' 0 Pool Bonding(4195) , '0 �Temporary Power(4275) El Service(4235) ApprovedApproved Approved By Date 1 By Date BY Date 0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date BY Date 0 Final-Electrical(4055) Approved BKT( Date 14 -(-1 Z Ij Rough Electrical Final Electrical Approved Approved I E] Right of Way Approved By Date i 1 By Date BY Date , 44*%S\RECEN • •a.Z - i 0 R 6 ) ) Federal Way%4 2012 ELECTRICAL cm of TritilIT APPLICATION **Most electrical permits may be obtained on-line at www.cityo ederalway.com** r d /2'%' � bac .:, - a` yx� 1 � &- s $ ''.c, �"rz'�,,. �'o"' '.� • � r r,t� �nza-ak it'. :. „�/ °�,... �:; � ", ��,, .,.�5.�,�;: SITE ADDRESS: ) V/9' 3 Y(�r 3 fC�Cle /(/1 4vE f SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE lo, .), S 009v - o ) 40 l ra PROJECT NAME 1/ (Tenant or Homeowner Last Name) PROJECT DESCRIPTION M Z re 1 / v. fn/ 1-i'vl. r Detailed description of work to be included on this permit only , NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP / FAX ( ) - NAME PRIMARY PHONE.. e Set-lJ to ( 20() '28- 2 -2 i MAILING ADDRESS E-MAIL ELECTRICAL 3Yd A V e Ski CONTRACTOR CITYSTATE ZIP FAX ed-e tvet Gv et 95 © ( ) - WA STATE CONTRACTOR'S LI = SE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE APPLICANT , /14 4 S £b ve ( ) - MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) - NAME PRIMARY PHONE PROJECT CONTACT ( ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. 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, 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 us a p this application. SIGNATURE: DATE /�C11—.2-5- -(') PRINT NAME: / t/Dui C? 6G, 33325 8i°Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com Bulletin#160-January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENT* CSIIMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet (including attached garage): 1st Service/Feeder Additional Feeders 0.+.100 amp x;$1'32'.50' x$,8050 FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50 Each additional 500 ft2-$39.00 201- 400-airip ,k" 30'1.00 x$121.00 NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x$143.50 1st Service/Feeder Additional Feeders 601 800 amps _x$463.00 x$196.00 0 .v,20tt a$tp ,- ' x,;, 32.50' x" .$ 39.00 801-1000amp x$565.00 x$236.50 201 -400 amp . x $164.00 x $ 80.50 $328.50 401' 600f gip.,_. x„$ 24 00 x $111.50 601'-800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50 x $307.00 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Sennce/Feeder 1st Service/Feeder Additional Feeders �x. :0:::•;400;s. F • x$13 :50. Y$103.50 201'"-600 amp x $164.00 201- 600 amp x$307.00; x$121.00 Over"600 amp , x $246.50 60.1'. 1000 amp" x":$46300 ` X$196.00 Over.1000 amp .x$515.50 x$328.50 Added or Altered Circuits 1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits 1-5 circuits$103.50;each additional$8.00 Mast or meter repair $60.50 Mast or meter repair $111.50 MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder"only x $ 80.50 Plan Review required only for: an+ ,feclr x;... • New,or alteration to, service of 1,000 amps or greater $132.50 • Medical/Educational/Institutional Facility $103.50 plus 35%of Permit Fee (Permit Fee x 35%= +$103.50=Plan Review Fee) Plan review for modified submittals $105.50/hour MISCELLANEOUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling 0;- 60amp i x-$ 7100. : ❑ OtherqD 61-100 amp x $ 80.50 x $ 39.00 Area to be served by system: ',goo T lst 2,500 ft2-$71.00;each additional 2,500 ft'--$18.50 `.-x200 ampu "' ' x.$100 50 s x $ 51.00 201-400 amp x $121.00 x $ 60.50 #of Thermostats 4(}l 613QP amp x $16 00 <, :', . .$ 80:50 First$60.50;each additional$18.50 Over 600 amp x $184.50 x $ 92.00 FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated. Portable Generator(transfer equipment) _ x$101.00 • A$6.00 Automation Fee will be added to all permits. Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the application form,contact the Permit Center at 253-835-2607 33325 8'"Avenue South•Federal Way•WA•98003-6325•253-835-2607•fax:253-835-2609•www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application