04-103781 , • ,
City of unity
ever Way Building - Commercial Permit#: 04 - 103781 - 00 - Co
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)8'+4-7000- Faxc-(253)835-260s Ins i0$ lF uest line:(253 $35-305O
-fi . . .._.__ .._.- ---..�._.._...—
Project Name: HAN'S BURGER
Project Address: 2120 SW 336TH ST Parcel Number:132103 9097
Project Description: TI-New mechanical hood,restroom renovation,and new sinks
Owner Applicant Contractor Lender
BILL DIMSDALE S.A.CONSTRUCTION S.A.CONSTRUCTION NONE
204 E 17TH ST 35796 9TH AVE SW SCONS**022LS 6/15/05
COSTA MESA CA 92627 FEDERAL WAY WA 35796 9TH AVE SW
FEDERAL WAY WA NONE
Includes:
Census category: 437-Comm #1 #2 #3 —1
r oprw-u Cirnup:
1 e..uetl. --- _.. �-•�- -- _. - ---- - --
Occupant•1.. ,
1 Floor Area(Sq,;'llt'
Census Category d3:- 'mercial aldadd Mechanical Yes
Number of Stones ,,.„ ..I Permit for 8tdtdf g Shag Only..�...�. ...... No
Plumbing ,,,-, ems;
r Plumbing (ttw.s
Description :—1 r .,..,,. _ .
(- — __ p (Quantity Description lQuai.ity, - «°'antj
Sinks 1 I --
Mechanical Fixtures
(- Description ualt 1 Description �t
p IQ t�tY_�._ p (Quantity Descri tt'l ion IQuanti
Hoods I 1 J
PERM 1 u4;PLRES May 2,2005.
Permit issued on November 3,2004
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 and
the City of Federal Way.
Owner or agent: Date: t' - // �0
THIS CARD IS TO ikr MN ON-SITE
cITYOR Pommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE #(253) 835-3050
PERMIT#: 04-103781-00-CO
Owner: BILL DIMSDALE
Address: 2120 SW 336TH ST
FEDERAL WAY, WA 98023-2848
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 Footings/Setback(4110) .-❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Cj4 Date iill•JI 014 By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath float Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) El Rough Plumbing(4230) • ,❑ Mechanical Rough-in(4165)
Approved to install roofing ,y Approved Approved
By Date By 1C(/r Date 03/0 y By Oi''''''. Date /2
❑ Gas Piping(4125) _ ElFire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 4r
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
41
❑ Framing(4120)• ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By4 Date/Z.`1 .hp I By Date
❑ Final-Public Works(4080) ❑ Final-Mechanical(4065) '❑ Final-Plumbing(4075)
Approved Approved Approved
By Date By C. Date fZ• . U By j Date Z, /.. a
❑ Final-Building(4050) � ( /6 3 9. 41
Approved at.e.� Val. ( tip />/G A .10
G / •—
..,,,j
By Date1Z.9 •d le,
I DATE INSPECTOR AREA AND TYPE OF INSPECTION
•
/If7 Uy o — C f/f r j ieim1otWAy<r/AiW ct*,
K`)34
4.A .
CITY OF illr fir g - __L ...03ar_i_
. .. . • • .
• Federal Way ��^^
PERMIT SF MI\ EL PL DE EN FP
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive. 3325 8uN V DEVELOPMENTUSOUT71• BOX9SERVICES
� 3JJ15 Bar AVENUE SOy7ff•PO BOX 971 B
PTA A T N-- FEDERAL WAY,WA 98063•9718 �4 .L,/ 1 ) . • 1 ro
_ T_IA1495i iii,ifYY f
PERMIT FEES _- tp I 1(
Building,mechanical,and fire prevention system fees are based on the following schedule.
**.Electrical and plumbing fees arc calculated separately"• The ollowin• is re, fired in ormation-an inco •fete • ••iication will not be acce•ted. Please •rint le•ably(in ink)or pe.
• PROPERTY INFORMATION
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR [[ n /
(1)$1.00 to$500.00 (1)$30.50 SITE ADDRESS ..1./.3-0 ....SW 33 Q sL /' 4/ �� G(/i9 ? -3SUITE/UNIT# 2./.2 0
(2)$501.00 to$2,000.00 (2)$30.50 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and ASSESSOR'S TAX/PARCEL# / .3 Z / 0 3 - 7 O ? 7 — 0.2- LOT SIZE(sf) 9605*
including $2.000.00 ,,/
(3)$2,001.00 to$25,000.00 (3)$90.50 for the first$2,000.00 plus$18.00 for each additional$1.000.00 or fraction thereof,to and LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) AA M:1 e"
including$25,000.00 µtruth sepa.ate P.O.for tmewy tool desatyeaq
(4)$25,001.00 to$50,000.00 (4)$504.50 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to .• MIPROJECT INFORMATION
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$829.50 for the first$50,000.00 plus$9.00 for each additional$1,000.00 or fraction thereof,to TYPE OF PERMIT )(BUILDING
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,279.50 for thefirst$100,000.00 plus$7.50 for each additional$1.000.00 or fraction thereof, 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING (FIRE PREVENTION SYSSTEM
_
to and including$500,000.00 PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 1
(7)$500,001.00 to$1,000,000.00 (7)$4,279.50 for the fist$500,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof,to t s+ Deg R m•,�• ` 6 C e. /4o__L,•,r er' RQS' M„r
and including$1,000,000.00 -l1�` Hood
(8)$1,000,001.00 and up0 &iC_S+ R fl 1 p p f O tl C�, . h'0o4 S ys�-H1 .
(8)$7,279.50 for the first$1,000,000.00 plus$4.50 for each additional$1.000.00 or fraction thereof. d-`
i r
• Table A ® /9J Ilopid S,.m X , Tzw. ,ty, um,'TL
PLAN REVIEW FEES PROJECT NAME(Name of Business or Owner Last Name) liao S 61.1/7tX,
• Building Permit 65%of Building Permit Fees .
• Mechanical Permit 25%of Mechanical Permit Fees _ ■ PEOPLE INFORMATION
• Plumbing Permit 65%of Plumbing Permit Fees PROPERTY NAME n / avid/ / PRIMARY PHONE
Q
• Additional Building Division Review $61.00/hour OWNER i�! C J,a/h e L),�l,.o"da�e (.?ii.9) 761_ -i67#-
MAILING ADDRESS CITY,STATE,ZIP /
PLUMBING PERMIT FEES •Z•01 L. /774 _5/tee-II-
STU . McScA . C04�1 9�-b-2-7
• $26.50 Permit Fee plus $9.50 per facture CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE
OTHER FEES (Vary according to project type and scope) S.A 64 1"UCi' o€l. Miss//v . /4/l/ ( i )-1-91` -b341-3
• WA State Building Code Council (SBBC) Surcharge $4.50/1SSued permit MAILING ADDRESS CITY,STATE,Z1' CELL PHONE
• Fire District#39 review fees (commercial only) 15%of Building Permit Fees 3�79� Ate s' ehfl L( t W., y8o3 (���) 7O9- 9/�• Public Works review fees Hourly/varies by project //��OF FEDERAL WAY BUSINESS LICENSE NUMBER IRATION DATE FAX NUMBER
• School District Impact Fees (new residential only) $3,269.00/single family residence .. 4 Q g -B L / / (-).39 ) del/ - /90
CONTRACTOR'S REGISTRATION NUMBER(copy of yard required with each application) EXPIRATION DATE
$ 940.00/multi-family unit S c 0 /t/S d „'2. 2 L $ e fj / /,-- / 0,�-
• Demolition Permit Fees •
• Required Bonds)/Deposits APPLICANT COMPANY NAME APPUCANT NAME OFFICE PHONE
.SQaye Alk ye. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME t P'tiMARY PHONE E-MAIL ADDRESS
If you need assistance completing the permit application form, or have questions s l/e N. /�'�' (.L 3) 709- 9/�D
LENDER � CW 19 2 9$ aLen Ter.dnformatton ts� NAME ( •
/Q-4
concerning the application process, please contact �
k r {(p (eet..,00 61.8 a5,000 . •.,
MAILING ADDRESS CITY, TE, P
Community Development Customer Service Counter at (253) 661-4115 7�C 7U) 3�Q �F ? — IQ
I .I/
8:00 am to 5:00 pm, Monday through Friday ■ DETAILED BUILDING INFORMATION
) EXISTING USE PROPOSED USE /
6�re ;vs; k�s�
• EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1 .'7OD, �-
- SPRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES O NO
i WATER SERVICE PROVIDER a LAKERAVEN O HIGHLINE O TACOMA O PRIVATE(WELL)
k
Bulletin 100—March 30,2004 — Page 4 of 4 kHandouts—Revised\Petmit Application I SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
•
"`' • PROJECT FLOORAREAS - EL" 1TRICAL PERMIT INFORMATION
• ___- __- --- -J---�J-�
AREA DESCRIPTION EXISTING S a.FT. PROPOSED S..FT. TOTAL
RESIDENTIAL COMMERCIAL
, -'o►
NEW COMMERCIAL/INDUSTRIAL SERVICE
FIRST IIIIIIIIIIII NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
SECOND ❑ Single Family Square Feet ❑ 0 to 100 amp e 94.50 $
• IIIIIIIIIIIIIIIIIIIIIIIII (First 1300 ft2 $87.00;Each add'n 500 ft2-$28.00) 0 101 -20 a amp 1 17.50 0
74.00
THIRD UR ❑ Detached outbuilding or garage ❑ 201 -400 amp 220.50 74 00
(Inspected with service) $36.50
FOURTH ❑ Detached outbuilding or garage ❑ 401 -600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
ADDITIONAL FLOORS(DESCRIBE) ❑ 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) CI Over 1000 amp 442.00 236.00
DECK(COVERED?) Service Feeder
CARPORTIIIIIIIIIIII ❑ Up0 -400 amp $117.50940 $ 28.00 0 Over 600 volts surcharge $74.00
GARAGE/ TOTAL .558.00
Tor,u-twsTur° 0 201 -400 amp ❑ Mast or meter repair $80.00
HOW MANY FLOORS? ❑ 401 -600 amp 161.00 80.00
ESTIMATED SELLING PRICE $ ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
"NEW HOMES ONLY" NUMBER OF BEDROOMS___-_- ❑ Over 800 amp 294.50 220.50
S Feeders
Service or
❑ 0 to amp $ 94 50
Indicate number of each type of fixture to be installed or relocated as part of this project.ect. Do not include existing fixtures to remain aLTERED SINGLE/MULTI FAMILY ❑ 201 to-20000 amp 220.504
Service or Feeder ❑ 601 - 1000 amp 332.00
Y�
MECHANICAL G Q , ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
Value of Mechanical Work $ GAS LOGS REFRIG.SYSTEMS ❑ 0 to -600 amp 117.50
EVAPORATIVE COOLERS WOODSTOVES 177.00 ❑ N of circuits to be added/altered
• _ AIR NANDUNG UNITS FANS HOODS;Comm<r<iili MISC(Describe) ❑ over 600 amp (1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
•
•
• _ COMPRESSORSBBQS FIREPLACE INSERTS �NGES
•
BOILERS FURNACES GAS WATER HEATERS ❑ ff of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
GAS PIPE OUTLETS (1-4 circuircuits.to Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee
DUCTS 0 Service over 0 amps
MISC(Describe) ❑ Mast or meter repair $43.50
PLUMBING WATER CLOSETS(toile) ❑ Medical JEducational/Institutional Facility
BATHTUBSS Ur LEs�w�<rcomeol T SHOWERS DRINKING FOUNTAINS
�J . SINKS RAINWATERNKINGF SYST SINGLE MULTI FAMILY PLAN REVIEW
DISHWASHERS SUMPS
GAS PIPE OUTLETS HOSE BIBBS 0 Service Over 400 amps
_ URINALS - EL gIC WATER HEATERS $74.00 plus 3 amps
of Permit Fee
WASHING MACHINES VACUUM BREAKERS -
I�V$ :atAr•om Stoles - _ - _
MOBILE HOMES TEMPORARY SERVICE
_ _ _ DISCLAIMER/SIGNATUREBLOCK- �] �M�or feeder only $58.00
and knowledge,and further,that! I Commercial Residential
y - -- - e ❑ Service and feeder $94.50
I Ce y under penalnerty of perjury that the premisesrtatlon furnished by workm which hep permit application is made. I further agree to hold S 1.00
to perform the for incurred 1n the Investigation and defense of i MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $
harmless authorised by ofe Federal Wayof the above expenses, and feesattorneys' I ❑ 101 200 74.00 51.00
am the City om a any any claim(includingdingte under P andfiled against the City of Federal Way,but only where such claim ❑ p of service or feeders
such claim),which may be made by person,including the undersigned, • ❑ 201 -400 87.00 n/a
(First service/feeder-$58.00;each add'n-$37.50)
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 pa of
❑ 401 600 117.50 n/a
this application. 7/ Q
DATE �9 ❑ over 600 127.00 n/a
NAME/TITLE (T'tiel
(Signature)_ Contractor o Architect 0 Other________------_
er
� RELATIONSHIP TO PROJECT o Owner o Agent MISCELLANEOUS SERVICE/EQUIPMENT
r
❑ ❑ N of Signs
( °FOR OFFICE USE ONLY o REPAIR 6-TENANT IMPROVEMENT p of Thermostats (First sign $43.50;add'n sign$20.50/ea)
o NEW o ADDITION o ALTERATION o YES o NO (First $43.50;add'n $13.50/ea) 7.00
BASIC PLAN? ❑ Swimming pool/hot tub
' BONING SHELL ONLY? o YES o NO o YES o NO ❑ Low Voltage (includes additional circuit,;f required)
I CHANGE OF USE? Square Feet to be served by system(s) $58.00
ZONING DESIGNATION UP/SEPA/SU? o YES o NO 0 Fire Alarm System ❑ Yaru Pole meter loops
REQUIRED? o YES o NO o YES a NO 8.00 hour
1 NEW ADDRESS REQUIRED? ❑ Security Alarm System ❑ Additional Plan Review
o YES •o NO DEMO PERMIT ❑ Voice Cabling (for modified submittals)
PLATTED LOT?
0 Data Cabling
f (Per Systems)D'2500 ft2-$51.00;
Each add'n 2500 ft2-13.50)•Per WAC 296-46-9105$'X'&iii
Application Bulletin#100-March 30,2004
Page 3 of 4 k\Handouts-Revised\I'erntit Application
Bulletin q l00-March 30,2004
- • Page 2 of 4 k�liandouts-Rcviscd�Permit