07-102041 I
•
Communcniity ofDeveloFederalpmway
entServices Electrical Permit #: 07-102041-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
a
Project Name: DR DUANE JONES-DENTIST
Project Address: 33507 9TH AVE S Bldg E Parcel Number: 926500 0020
Project Description: electrical tenant improvements.Installation of(1)200amp panel and (1) 100amp sub panel.
Low voltage for data/voice also.
Owner Applicant Contractor
ANTHONY STARKOVICH NORTH STAR ELECTRIC NORTH STAR ELECTRIC
VINTAGE CAPITOL INVESTMENTS LLC 1905 S JACKSON ST NORTHSE136O8 9/28/07
1611 9TH AVE E SEATTLE WA 98144 1905 S JACKSON ST
EDMONDS WA 98020 SEATTLE WA 98144
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 2 Low Voltage-Other Commercial.. 3,250
PERMIT EXPIRES Sunday, October 14, 2007
Permit Issued,on ipesday, April 17, 2007
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
d th ity of Federal Way. (�
Owner or agent: Cf " Date: / /� 2 ®
9
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102041-00-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 Bues Date L_6
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) g❑ Final-Electrical(4055)
Approved..- Approved Approved
By Date la... t—cs� By =g Date 7- 26..67 By Date -7— SI—0
O Under-slab groundwork(4295)
Approved
By Date
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'is RECE%VED COMMUNITY DEVELOPMENTNERV!CES
33530 FIRST WAY SOUTH•PO BOX 9718
Fed yAPR 1 PERMIT APPLICATION 2536614115•FAX:253-6614129
WAY,WA 98063-9718 -
Federal Wa 7 20 7 unuw ntynljederalway corn
For Office U.oh'V„ 0
'r BCW. (.Chary 4Y0 - 1 a 0 L _ �q ® To:
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The ollowin• is re,uired in ormation-an inco •fete a••fication will not be acce•ted. Please .rint le,ibi (in ink)or •e.
Ave ■ PROPERTY INjFORMATION
Q
SITE ADDRESS: 33 0-7 (1 V . s.`F-EERWPs L. q V..)A SUITE/APT# . L . E
1
ASSESSOR'S TAX/PARCEL# �y /: 6 Z Ca 5 0 0- 00 Z 0 SQUARErrFOOTAGE OF LOT: SZ-
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) lee..• tO� 3E ‘__. 0 0 F5
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
TYPE OF PERMIT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSIms-M
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onli(): L.0 11/4)A PT— ) i`1\A)L' e"'J 1
1 k)ST1 LL Ltc-iwT-1 SL)fl \k?c SEC (STI ctl LS o oG�i\ I MTh
C1��T»'1 A1�o�G ®NLY) L ,)gym T , £L-&-C MIC&. CSI EL'Z)7 S
•1 ) V4 k. 70 4 k !JE 40 2a)Ami? LI*L. i-10. 1._ loo P 2 .SPS ;?_= .
PROJECT NAME(Name of Business/Owner Last Name): Dfk> , A E _No0ES
■ PEOPLE INFORMATION
PROPERTY NAME: p� [ 'l ,1 PRIMARY PHONE:
OWNER: �b0-1 ST03001c-Ik, (1425) ( O -2350
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
1101\ ' it AVE. to, ✓Y1opP lAffir : c?- o
CONTRACTOR NAME COMPANY OFFICE PHONE:
-rim ST\i AM IL?) .1 51- C-ac-k l c (2o(.0)32C -1Sq In
MAILING ADDRESS(STREET A DRESS;): •CITY,STATE,ZIP CELL PHONE:
1C'S S. S&o ET. 5ER1T E (,kik 96P-141 (2_0[4 Si 1 -SS!,1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 'EXPIRATION DATE: FAX NUMBER:
2. 0 -00- 10 ( 4 1 S - tZ / 3t / D'7 (2ca)3214 -% 3`l
p o SL.
CONTRACTORS REGISTRATION NUMBER: r XPIRATIOODATE:
(copy of card required with each application) P3 D R T RS E 1 3 tF b S 9N/ 248 /0-1
LENDER: ME: DAYTIME PHONE:
(If Proposed Value>$5,000)
(
( ) _
MAILING ADDRESS(STREET ADDRESS;): a STATE,ZIP
APPLICANT: NAME: S`r%1 �1,1 COMPANY OFFICE PHONE:
T AN PSN ilk F, r- ;RIC (20(2)32_1 - 1501/2
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
IS°S 3. , so0 ST, SE.R`1TL.c_ i 61114.1 (?Aa )' 71 - 3501
RELATIONSHIP TO PROJECT: - J FAX NUMBER:
0 Architect o Tenant Other(Describer CN '(, CtOL (ZO(Q,)32.dt - (3431
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner , Contractor 0 Applicant ,WIL Ag .-Ty 40
in
■ DETAILED BUILDING INFORMATION .
EXISTING USE: NC u.) t J PROPOSED USE: 1 Uv AL
I "/
EXISTING ASSESSED/APPRAISED VALUE $ A VALUE OF PROPOSED WORK: $ )9 go
SPRINKLERED BUILDING? 0 YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ANO
WATER SERVICE PROVIDER: LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
3ZSo
SECOND J
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING
STING TOTAL PROPOSED TOTAL EXISTINGANDPROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ FIXTURES
Indicate number of each type of fixture that is 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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink 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 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 occur• -_ • - information supplied to the city as a part of this application.
/ IC)
NAME/TITLE: t v` DATE: y// 7/ 7
(Signature) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Contractor 0 Architect 0
FOR,OFFIC USE ONLY ;
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESSo
'REQUII2ED. o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
FiuLC'IStt 'f e il;i ,1ai:':;i.s.- ,;i Page 2
■ 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-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) El 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
CI 201 400 amp 117.50 58.00 CI Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
/ ()2.Q Service or Feeders CO
ALTERED SINGLE/MULTI FAMILY "T�1n to 200 amp $ 94.50 (00 A,--f
(Inspected separately from service) /A 201 -600 amp 220.50 S(O
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
• ❑ Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0- 100 $58.00 $51.00
MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00
❑ #of service or feeders 0 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50) •
❑ 401 -600 117.50 n/a
Li over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
Lj,ow Voltage 2250 ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s): J (Includes additional circuit,if required)
e Alarm System ❑ Yard Pole meter loops • $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0 •
(Per System(s): 1. 2500 ft2-$51.00; . •
Each add'n 2500 ft2-13.50) •Per WAC 29646970(5)16)(&ii) .
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