08-104906`.
City of Federal WayElectrical
' Permit #: 08 -104906 -00 -EL
Community Development Services -�
P.O. Box 9718
Federal Way, WA 98063-9718 k
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: TOUCH OF GRACE MASSAGE AND WELL -SPA LLC
Project Address: 2000 S 314TH ST Parcel Number: 092104 9053
Project Description: Adding/altering (8) circuits for installing power to washer/dryer, microwaves & 120 volt
power.
Service greater than 1000 Amps?...........................No
................... 8
I hereby certify that the abo%
the occupancy and the use
and the City of Federal Way.
Owner or agent: Date: AO t 16/ YO Z
nk
Owner
Applicant
Contractor
ALBERT B LEBENZON
DAINES ELECTRICAL SERVICE INC
DAWES ELECTRICAL SERVICE INC
2000 S 314TH ST
PO BOX 5255
DAINEES955R9 (12/29/09)
FEDERAL WAY WA 98003-5475
SPANAWAY WA 98387
PO BOX 5255
SPANAWAY WA 98387
Service greater than 1000 Amps?...........................No
................... 8
I hereby certify that the abo%
the occupancy and the use
and the City of Federal Way.
Owner or agent: Date: AO t 16/ YO Z
nk
THIS CARD IS TO WAIN ON-SITE
CITY aF tommunit'y Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08 -104906 -00 -EL
Owner: ALBERT B LEBENZON
Address: 2000 S 314TH ST
FEDERAL WAY, WA 98003-5475
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.
❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab/Concrete Floor (4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding (4195)
Approved
By Date
❑ Temporary Power (4275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved ,P,
By Date le C �'
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
lozF
0(,
SIV ------
Federa PERMIfi Pg5q' SF MF CO ME L L DE EN FP
375 6- IIY DEVELOPMENTS,
333258TM AVENDEsoUTH•PO ]8 +J L APPLICATION
FEDERAL WAY, AX 98063-9 1 /
253-835-2607• FAX 253-835-2609
fM`E FEDERAL WAY
The following is requipmo4gbrmation - an incomplete application will not be accepted. Please print legibly Cin ink) or type.
SITE ADDRESS �y G! r�l cr SUITE/UNIT #
v
ASSESSOR'S TAS/PARCEL # 2- / - LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Au-h--p-d,PW-> jk'qdd—WJE
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION eECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
C PANY NAME ✓�a�,,�
APP NAME
OFFICE PHONE may,
IN AD
C , ZIP
aC�ELL PHONE
.;;�)
CTIY OF FEDERAL AY BUSINESS LICENSE NUMBER EXPIRA _ DATE
� — ( 0123 — Oct
FAX . NUMBER
c ) -
CONTRACTO, XXPXRAMN DALE
E-MAIL ADDRESS
COMPANY NAMEAPPLICANT'NAME
Per RCW 19.27.095.
Lender igformation is required If project value exceeds $5,000
OFFICE PHONE
i ) -
MAILING ADDRESS
CRY. STATE. ZIP
(CELL PHONE
t ) -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( } -
PROJECT NAME PRiMARYPHONE E-MAILADDRESS
CONTACT C ) -
LENDER
NAME
Per RCW 19.27.095.
Lender igformation is required If project value exceeds $5,000
MAILING ADDRESS
CITY. STATE, ZIP
PHONE
EXISTING USE �� PROPOSED USE &- & (L t1661.0 �
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRIIHHLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAHERAVEN ❑ HIGHf/NE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAffiNiAVEN ❑ ffiGK INE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
E 0STINiG
FT.
PROPOSED
89, FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG_ SYSTEMS
CHANGE OF USE?
THIRD
o NO
NEW ADDRESS REQUIRED? o
YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT? o YES o NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
o YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
rr
►,torn®
����%���
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixbire to be installed or relocated as part of this project Do not include existing,f ixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED VWM APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (comme,riao
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG_ SYSTEMS
BATHTUBS wTvb/sh_c..w
LAVS (B,th—mswcs)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYSr
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS rroneti
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certVy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy that to the best of my
knowledge, the igfwmation submitted in support of this permit application is true and correct. I cert(fy that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized bg the issuance 4f a permit. I understand that the issuance of this permit
does not remove the owner's responsibilityfor compliance with local, state, orfederai laws regulating construction or environmental lawns.
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, 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 apart of thoeqpplication.
SIGNATURE:
Owner and/ar Authorized
FOR OFFICE USE ONLY
o NEW ❑ 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
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 —January 1, 2008 Page 2 of 4 k\Handouts\Permit Application
0
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 13W fta- $115.50; Each add'n 500 ftz - $37.001
❑ O to 100 amp $125.50 $ 76.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 155.50 98.00
(Inspected with service) $48,50
❑ 201 - 400 amp 291.00 115.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 339.50 136.00
(Inspected separately) $76.50
❑ 601 - 800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $ 37.00
❑ Over 600 volts surcharge $98.00
❑ 201 - 400 amp 155.50 76,50
❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00
❑ 601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ O to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 291.00
Ll 601 - 1000 amp 439.00
Service or Feeder
Dover 1000 amp 489,00
❑ O to 200 amp $ 96,00
❑ 201 - 600 amp 155.50
Er of circuits to be added/altered
❑ over 600 amp 234.00
1-5 circuits - $98.00; Add'n circuits, $7.50/ea)
❑ # of circuits to be added/altered
COMMERCIAL/II IMSTRIAL PIAN REVIEW
(1-4 circuits -$76.50; Add'n circuits $7,50/ea)
$98.00 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $57.50
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARS
Residential/Multi-Family $67.50
❑ # of service or feeders
(First service/feeder-$76.50; each add'n -$50.00)
CoirimerciaWndustrial Seroiee or Feeder Ar p ity
❑ O - 100 amps $ 76.50
❑ 101 - 200 amps 98.00
❑ 201 - 400 amps 115.00
❑ 401 - 600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of signs
(First -$57.50; add'n-$17.50/ea)
(First sign -$57.50; add'n sign $27.00/ea)
❑ Low Voltage
❑ Swimming pooi/hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $76,50
❑ Security Alarm System
❑ Additional Pian Review $115,00/hour
❑ voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee an all Permits .. $5.50
❑
11 2500 ft2-$67-50;
Each add'n 2500 ftl - $17.50) • 1{r WAC 296-46-910(WbKi &. ii)
Bulletin #100 -January 1, 2008 Page 3 of 4 MandoutAPermit Application