07-102078 City of Federal Way Electrical Permit #: 07-102078-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
-Pt:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DR DUANE JONES-DENTIST
Project Address: 33507 9TH AVE S Bldg E ' 4 ail Number: 926500 0020
Project Description: Alt/add L/V wiring for fire alarm system. kl , ,-n �„
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Owner Applicant Contractor
ANTHONY STARKOVICH NORTH STAR ELECTRIC NORTH STAR ELECTRIC
VINTAGE CAPITOL INVESTMENTS LLC 1905 S JACKSON ST Contractor
9/28/07
1611 9TH AVE E SEATTLE WA 98144 1905 S JACKSON ST
Il EDMONDS WA 98020 SEATTLE WA 98144
Additional Permit Information
Electrical Fixtures
Low Voltage Fire Alarm-Comma 3,250
PERMIT EXPIRES Wednesday, October 24, 2007
Permit Issued an Friday,April 27, 2007 �� 3
I hereby certify that the above information incorrect and that the constructicn on the above descri.?. property and
�
the occupancy and the use will be in accordancethe laws, rules and regulations of thtate Washington
an. the City of Federal Way.
Owner or agent: Date: ,f-- ----O
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- THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102078-00-EL
Owner: ANTHONY STARKOVICH
Address: 33507 9TH AVE S Bldg E
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.
O 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) ' ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By0 Date fl 6_0:,17,.2n, By a-id_....,. Date •211-(37 By Date 7- 31-0--
0 Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVED
0 ^7 _ to2o � g ,
Federal Way PERMIT
COMMUNTIYDEVELOPMENT SERVICES APR 1 8 2007 SF MF CO ME JPL DE EN FP
33325 6�5-260WAVENUE SOUTH•PO BOX 9718 P, LI CATI O N j
FEDERAL WAY,WA 98063-9718
253.835.2607•FA X258--8351261 1W OF F�EDE
Iktvw iil o/ick ntma_com pUILDINQ DEPT,
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The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3 S-0--) 7 e .f I �5 �� SUITE/UNIT•
ASSESSOR'S TAX/PARCEL 8 2 (a S_ 0 0 - 00 2_ 0 IAT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
4At°'0h separate Pa9ef,r Ie, thy Ie9a1 iksatPtimi
El PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ PLUMBING 0 MECHANICAL t)
0 DEMOLITION -tLECTRICAL 0 ENGINEERING ON SYSTEM.
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onh) /y
(i>:1r1 4ejC1\y f tt•-,y r1Yr 4-6Ar„,.,., S?S'Iw•.,, 11 ' � �
> +'
PROJECT NAME(Name of Business or Owner Last Name) '1).-- , 0 11 0"e 'o I^-^e j
I♦ PEOPLE INFORMATION
PROPERTY NAME - PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CTY.STATE,ZIP E-MAIL ADDRESS
t CONTRACTOR COMPANY /� CANT OFFICE PHONE
`°.-i-f-(‘ j€r r J't Li,a rel` ( zoi- ) ri Z` -/sI 6
MAILING ADDRESS► (C /L cm STATE. L (/ CELL PHONE
'i c 5 J., C�Lc3n 7/ 5-e•. f"1'( LA 4t `� b�'�) e ( 'Lc+�' ) -)`( 3 -_?r(1kJ
CITY OF FEDERAL WAY BU INESS LICEN BER EXPIRATION DATE FAX NUMBER
ZD...�e.- ta181< _00 —� I2-/. 1 I (ZP ) 3Z7 - ?4?37
�� cud CONTRAA�CTOR'S REGISTRATION NUMBER EXXP/I/�,/A,TI`OON DATE E- ADDRESS
TIth aaeh appuatlt b Al f.' 'fl 7 S C� \ /C C5(/ 7 ! - U' iL'7 4'.'-S c' AC 7 `1e'6)4'
APPLICANT COMPANY N APPLICANT NAME OFFICE PHONE473. --
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
, ( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant 0 Agent 0 Other C ✓va C ( ) -
PROJECT NAME- PRIMARY PHONEE-MAILADDRESS
CONTACT F .\✓C((X ) Pi`^.5 ( let ) 70 -7.�i 3 fI6PP"..cS @nS tz,,e_ e.6,-,
LENDER NAME Per RCW 19.27.095:
information is required(f project value exceeds$5,000
MAILING ADDRESS TTY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ hJ Cl Ll 0
SPRINKLERED BUILDING? 0 YES 0-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0,NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
in PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. Sq.FT.
BASEMENT
FIRST
•
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS TTATrQW PROPOS® ( TOTAL TOTAL SSISTIII0 Sr TOTAL PROPOSED SF Tom sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fb tures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ES7TMA MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORA COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INS• ' HOODS!commen:10
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or1Lb/SbowerCombo) LAVS :- ..•Sink.) URINALS MISC(Describe)
DISHWASHERS • ( TER SYST VACUUM BREAKERS
DRINKING FOUNTAINS S i RS WATER CLOSETS rmuet
ELECTRIC WATER HEATERS NKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty gf 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 gf 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 the city,including officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. r
i,/ Ir
NAME/TITLE DATE / / ! )
(Signature) Mile)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent §d'Contractor ❑Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application .
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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-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage U 401-600 amp 327.00 131.00
(Inspected separately) $74.00 U 601-800 amp 423.00 179.00
O 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
U 201 -400 amp 149.50 74.00 U Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
U Over 800 amp 375.50 280.50 Service or Feeders
U 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
❑ Oto 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
U over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
U Mast or meter repair $55.00 U Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/industrial Service or Feeder Ampacity
U 0- 100 amps $74.00
❑ 101-200 amps 94.50
U 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
cia-Dow Voltage �j, .' / ❑ Swimming pool/hot tub $111.00
Feet to be served by system(s) �/ 57/ (Includes additional circuit,if required)
eAlarm System U Yard Pole meter loops $74.00
❑ Security Alarm System U Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits .. $5.00
1st-2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910i'5)(b)(l&it) •
Bulletin#100-April 2,2007 Page 3 of 4 k Handouts\Permit Application