06-100051 1111. ab•
City of Federal Way Electrical Permit #: 06-100051 -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: DENTAL CENTER OF FEDERAL WAY BUILDING A
Project Address: 34700 11TH PL S Parcel Number: 215470 0040
Project Description: Installing L/V wiring for new F/A system
Owner Applicant Contractor
VAN H VUONG A D T SECURITY SERVICES,INC. A D T SECURITY SERVICES,INC.
CINDY H VUONG 11824 NORTHCREEK PKWY N SUITE 105 ADTSESI032O5 9/25/07
2101 SE 2ND PL BOTHELL WA 98055-2910 11824 NORTHCREEK PKWY N SUITE 105
RENTON WA BOTHELL WA 98055-2910
98056-8864
Additional Permit Information
Electrical Fixtures
Low Voltage Fire Alarm-Comrnei 3,922
CONDITIONS:
PERMIT EXPIRES Saturday, July 8, 2006
Permit Issued on Monday, January 9, 2006
I hereby certify that the above information is correct a • that theconstruction on the above described property and,
the occupancy and the is, will be in a cord-nce wit laws, rules and regulations of the State of Washington
1 he City • ederal Way.
Owner or agent: , / Okla Z, Date: /-
01111"1.11.1..-
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Ai, THIS CARD IS TO REMAIN ON-SITE .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 06-100051-00-EL
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.
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) ❑ Service(4235) 0 . Feeders/Sub-panels(4045)
Approved Approved Approved
By Date . By Date By Date
❑ Rough Electrical(4225) [A` . Ceiling Cover(4020) ,L1 Q Final-Electrical(4055)
Approved Approved Approved
kil
By Date , ' By�t Date t _ lE`., By,���� Date 2L .% .us
❑ Under-slab groundwork(4295) 1 Lj :' -` • -
Approved t
3
By Date ) a,t;
• . .
DECEIVED
Federal way. P E - C S
co_.MMWSTDBVRWPMENT ssxvlcES JAN 0 5 20 06 R M I T SF MF CO M EL PL DE EN FP
333?SA� B,WA98SOUTH•0Po 9718 , LIGATION
FEDERAL WAY,WA 98069--26 U
?6 p.vw?607•PAXraiwn 5?609 CITY IL f E irD / l Ca/
7cwia•diw/kdemiwa°�"i BUILDING DEPT. l// /a
The ollowin• is re fired i ormation-an inco •tete a••lication will not be acce•ted. Please •rint le•ibl n in or
IN PROPERTY INFORMATION
SITE ADDRESS a4-3-00 l Pi- 5 ppiell 4SUITE/UNIT
ASSESSOR'S TAX/PARCEL# 2 1 S '
- / 0 - (J 0 Lk- LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
IAS separate pave for heathy heal deurOdan)
■ PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING . 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION 7RCELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onht)
kA)114k0G. P12 'Onset.70 eTIN Sit. •
PROJECT NAME(Name of Business or Owner Last Name) J U,006 'D Elia ('(__.
NI PEOPLE INFORMATION
PROPERTY . NAME'
OWNER • ki. -} ` 1J19 O� , PRIMARY PHONE
MAILING ADDRESS CITY,STATE,ZIP
!l 003 Piz, ttv ( S Fe wkti wA 4X003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
f-UT z-wR-i,-vi P-oiN 0-1231- &Q -52q1
MAILING ADDRESS STATE,ZIP CELL PHONE
t11?)21 ii Cudit_Pkwy iJ *I CIS. ( it O(/ (1S3 T3' -k1(04
CITY OF FEDERALGWAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I I - 7 r- / o ,SS & L . • 1Z / 3/ / 04 ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
4- 0 7 5lr 5,.r 0 .3Z o3 5 /25 / 07-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
4i4-44.j 1-S ct.11-12-"r c-.m ' ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE• "
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑:Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACTNAMgn _ — PRIMARY PHONE E-MAIL ADDRESS
�Y71a'� �- _ ( .)
LENDER d?,•{3 ::r i,az �i, r ,:a_Yzs'a NAME
MAILING ADDRESS CrTY,STATE,ZIPPHONE
� (
■ DETAILED BUILDING INFOR1IATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ k, 6 wV •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES a NO
WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER rrt T.ATC THAVP.N ri urnsn raro n 1111111‘711,erns INVirstrumw yr..
PROJECT FLOOR AREAS
' AREA DESCRIPTION EXISTING PROPOSED TOTAL
•
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
•
FIRST
SECOND
•
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE) •
DECK(COVERED?) •
GARAGE 0 CARPORT
msrnro PROPOSSY raeu „, ,
NUMBER OF FLOORS
**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 EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS IC.mm.rtn WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
•
COMPRESSORS • FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING. •
BATHTUBS(or Tub/•howerCombo) SHOWERS WATER CLOSETS(routes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS ..i. • • j VACUUM BREAKERS ELECTRIC WATER 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
am authorised 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.
NAME/TITLE DATE I - S-0 w
•
(Signature) (Tide)
RELATIONSHIP TO PROJECT Ci Owner 0 Agent Contractor 0 Architect 0 Other •
•
•
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:!N“ ,i 2., yy�]� ,J t tae 1.L•'s �ua�,�a';:` telt. <l,t.
�9_ se a �sr -je ' : i �� u.a �k= �,,.�i•� 7 �� ;a4, �atc
,, 1_•'s�hrC dpJ fs <��. �l..t�yi 1 )zlriJ,r. Ir<:'.; �
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• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL •
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CISingle Family Square Feet Service or Feeder Each Add'n
(First 1300 ftz$107.50;Each add'n 500 ft2-$34.50) • ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage 0 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
O Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 0 601-800 amp 410.00 173.50
O 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 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 254.00 136.00 •
❑ Over 800 amp 364.00 . 272.00 Service or Feeders
U 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201-600 amp 272.00
❑ 601-.1000 amp 410.00
Service or Feeder 0 over 1000 amp 456.50
❑ 0'to 200 amp $89.50
O 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
O Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
O Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVdultl Family $63.00
O #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
0 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600.amps 157.00
•,
MISCELLANEOUS SERVICE/EQUIPMENT
•
❑ #of Thermostats . 0 #of Signs
(First-$53.50;add h-$16.50/ea) 'Tili
.' jL (First sign-$53.50;add'n sign$25.00/ea)
aLow Voltage v ❑ Swimming pool/hot tub $107.50
Hare Feet to be'served by system(s) (Includes additional circuit,if required)
Fire Alarm System ❑ Yard Pole meter loops $71.50
Security Alarm System
0 Additional Plan Review $107.50/hour
Voice Cabling (for modified submittals)
a Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per systema)l' 2500 ft2-$63.00;
Each add'n 2500(0-16.50) •Per WAC 296-6•916(5)(b)t a it)