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06-105221
City of Federal Way Electrical Permit #: 06-105221-00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: MYLAN Project Address: 29426 PACIFIC IIWY S Parcel Number: 304020 0088 Project Description: Installation of misc wiring for Tenant Improvement.Installation of light fixtures. r • Owner Applicant Contractor TUAN ANH NGUYEN LAN HOANG LAN HOANG 29426 PACIFIC HWY S 14614 24TH AVE S 14614 24TH AVE S FEDERAL WAY WA 98003 SEATAC WA 98168 SEATAC WA 98168 Additional Permit Information Electrical Fixtures Alt. Serv./Feeder up to 200 amps- 1 PERMIT EXPIRES Tuesday, April 10, 2007 Permit Issued on Thursday, October 12, 2006 I hereby certify tttat the above information iscorrect and that theconstruction on the above described property and the occupancy'and the use will be in accordant with the laws, rules and regulations of the State of Washington d the City of Federal Way. Owner or agent: Date: I / /a/04) . ,,, ,A,,_. THIS CARD IS TO REMAIN ON-SITE ~' CITY OF Community Development Inspection Record. Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-105221-00-EL Owner: TUAN ANH NGUYEN Address: 29426 PACIFIC HWY S FEDERAL WAY, WA 98003-3829 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) ❑ Ditch cover(4030) ❑ 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) ❑ Ceiling Cover(4020) 1; Final-Electrical(4055) Approved Approved Approved `B,44� Date\© c\cb By Date By ` �1. Date `a ti ❑ Under-slab groundwork(4295) Approved By Date W RECEIVED Cirr Or A — z 2- 1 Federaiway OCT 12 2006 PERMIT iiLL i ® • COMMUNITY DEVELOPMENT SERVICES SF MF CO ME PL DE EN FP 333258TMAVEN[JE SOUTH•P3af bi- FEDER TY�LI CATION FEDERAL WAY,WA 98063 `(( r ID --f- 253-835-2607•FAX 253-835-2609 BUILDING D / www.cituoff ede ral wau.com The ollowin• is r-•uired in ormation-an incom•lete a• .lication will not be acce•ted. Please •rint lee ibl (in ink)or p-. • PROPERTY INFORMATION SITE ADDRESS q : � c a �' - W 4 FEDE�� ' u SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 3 O y o Q- C) 0 8 8 LOT SIZE(4) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)35 , `A ILS Pe.RF S .Sc( 1/4 ilS,5 °n kb LF (Attach separate pagej lengthy legal description) •, 1220 C1_.. • PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING 0 PLUMBING ,1$MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this ermit only) WANCTE 1 RAMS LI CT(-IT _ 4C) 1/U ! EA IN) 'N11\1 I(vc- I2C . 1 11„ .- uAIL I KMIT .25 to znisrria it St1f1t<ptf& -DASTAiL t RLd J tE c r CrnNr RCL. -TN IN(NG- Ra3N4 uiC3-t-in _4Sw PROJECT NAME(Name of Business or Owner Last Name) f /fit? • PEOPLE INFORMATIONI PROPERTY NAME PRIMARY PHONE OWNER TVAN NCIU jF N ( C ) q9., - 7379 MAILING ADDRESS CITY,STATE,ZIP 614 a24� L1 Q S sEfl1 ±, _ q i8 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS �//��J'()/�p r CITY,STATE,ZIP 9 // CELL PHONE �J/� y r OF y WAYBUSINESS LICENSETNUMBER� fe/A C EXPIRATION D/ / r (ZD ) V / - t2(J 6 CIEic - - X - / "/ FAX ) - B L CONTRACTOR'S REGISTRATION Nt4�fBFJQ(copy of card required with each application) EXPIRATION DATE �\ / / APPLICANT COMPANY NAME AVPLICANT N E OFFICE PHONE Jf"-le 4y- Ce9' yz,e ,-- ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) - CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS Q°tN1t VI_ (2 in) 35 I - C )GC)( ca.nhin,c@yr)e,no cern . LENDERPerRCW 19.27.095: Lender information is NAME required if project value exceeds$9,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - \ �• DETAILED BUILDING INFORMATION EXISTING USE RE, J I v 1 ' PROPOSED USE RFSTA0 RA-Nit EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? o YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? )(YES ❑ NO • WATER SERVICE PROVIDER )1(LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER )(LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST I 2C0¶CR _ 11C0 1.2_00 sC SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED VIA.TTam.EVSVRNQ SP TOTAL PROPOSED SP TOTAL SP **NEW 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. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EV °•RATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS NHOODS ercia) WOODSTOVES BOILERS FIREPLAC • SERTS S MISC(Describe) COMPRESSORS FURNACES N GAS WATER HEATERS ' itu DUCTS GAS PIPE OUTL PLUMBING BATHTUBS for TUb/Shower Combo) SHOWERS, WATER CLOSETS ironer) MISC(Describe) DISHWASHERS SINK , •RINKING FOUNTAINS GAS PIPE OUTLETS PS •• ATER SYST WASHING MACHINES URINALS HOSE : LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC ` R 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 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 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 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 as a part of this application. L � NAME/TITLE ] _ )(fir DATE i of 124 V (Siiature) Title) RELATIONSHIP TO PROJECT XOwner ❑Agent 0 Contractor ❑ Architect D Other FOR ow=USE ONLY ❑NEW ❑ADDITION a ALTERATION ❑REPAIR 0 TENANT IMPROVEMENT BUILDING SHELL ONLY? 0 YES C NO BASIC PLAN? ©YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES 0 NO NEW ADDRESS REQUIRED? d YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES oNO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application 1111, ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) 0 to 100 amp $117.00 $71.50 ❑ Detached outbuilding or garage • 101-200 amp 145.00 91.50 (Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50 ❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50 ❑ 801 - 1000 amp 500.50 209.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 -600 amp 198.50 99.00 CI -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 364.00 272.00 Service or Feeders lLi-0 to 200 amp $117.00 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00 ❑ 601 - 1000 amp 410.00 Service or Feeder ❑ over 1000 amp 456.50 ❑ 0 to 200 amp $89.50 ❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered ❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $63.00 ❑ #of service or feeders (First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps $71.50 ❑ 101 -200 amps 91.50 ❑ 201-400 amps 107.50 ❑ 401-600 amps 145.00 ❑ over 600 amps 157.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $107.50 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $71.50 ❑ Security Alarm System ❑ Additional Plan Review $107.50/hour ❑ Voice Cablingr modified submittals) ❑ Data Cabling Automation Fee on all Permits .. $5.00 (Per System(s) 15t 2500 ft2-$63.00; Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(5Mb1(i&W Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application