04-104734 4 r
City of Federal Way Electrical Permit #: 04 - 104734 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: ARTHUR MURRY DANCE STUDIO
Project Address: 32724 PACIFIC S SuiteA Parcel Number: 162104 9054
Project Description: (1)New circuit for free standing sign
Owner Applicant Contractor
ARTHUR MURRAY DANCE STUDIO*ATTIT DWINELL'S VISUAL SYSTEMS INC DWINELL'S VISUAL SYSTEMS INC
ARTHUR MURRAY DANCE STUDIO 814 6TH AVE S 814 6TH AVE S
32724 PACIFIC HWY S SEATTLE WA 98134-1304 SEATTLE WA 98134-1304
FEDERAL WAY WA 98003 (206)292-8865
Electrical Fixtures
Description (Quantity Description Quantity Description Quantity
Circuits- Commercial ! 1
PERMIT EXPIRES May 18,2005.
Permit issued on November 19,2004
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:., GPL(-Wfltk Date: 1( /
"I r L) 9
atcy-J2K) 4_ -..:)\ -.
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A 4 THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-104734-00-EL
Owner: ATTN: BUSINESS OWNER
Address: 32724 PACIFIC HWY S Suite A
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) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
By Date By Date B i . ) Date S
•
•
O Under-slab groundwork(4295)
Approved
By Date
RECEIVED BY
4.0:L116. COMMUNITY DEVELOPMENT DEPARTMENT
Federal Way �Q o 3 6(
PERMIT
MMUNITYDEVELOPMENT SERVICES
`SF MF CO M EL PL DE EN FP
3 25 8r"AVENUE SOUTH•FO BOX 9718
/� FEDERAL WAY, er 98063-9718 APPLICATION TD /
\' \� 253-835-2607•FAX 253-835-2609
`�, wmu+.dttp/jederdu+aV.rnm /
The following is required information-an co •fete ap.lication will not be acce•ted. Please •rint legibly(in ink)or type.
%i -,:.;; .. ..-.:, NI PROPERTY INFORMATION
SITE ADDRESS 31 - • -1 I ..A0 J �\"A S S . 3 SUITE/UNIT# A)
ASSESSOR'S TAX/PARCEL# - - _1_ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenption)
A PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) ' hi in ratiyucy rj --I-got" 0
/. PEOPLE INFORMATION
PROPERTY
/ME PRIMARY PHONE
OWNER
■t!' .41.. r1 V i=i(, ► .l .• . i ( 1
F:ali( ILCiVi,4_,k-Aiiii\C. Fe -12ra- all Loti
3
CONTRACTOR COMPANY NAME APPLI NT NAME ,
OFFICE PHONE
.UViSvn Qa% ► lb) R 1 % (fit) @Lk:' 4--1'
MAILING1ADDRESSA�11/v` L��1 CITY,STATE,ZIP I�- �1 CELL PHONE
Cl •
\NIA
6FD L WAY BUSINESS UCENS�M v� TION D ,,1' FAX NUMBER
J. q-q1-i Q (A0 i- B L / 3/ /O ( q) (/ O1/L/
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE
N U S S -0 —1 / D /OY-
APPLICANT COMPANY NAMEAPPLICANT NAME
OFFICE PHONE
LNC � �
`Ox . \,L ( 1) & - -Z
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
\\\ 6 . LOQW -61 cel -I \IL't &ucLi WN'►yti) ( ) -
RELATIONSHIP TO PROJECT )(Other
' ,� ` ;K ,�-(V- -._ FAX NUMBER
0 Architect 0 Tenant ❑Agent ](Other(Descr7D„e]Jw Y y+�As D1k ( ) a�r -o--4--1
0.. 1 q
CONTACT NAME ` PRIMARY PHONE E-MAIL ADDRESS
( )
LENDER '*Per.RCW 1927 095 Lenderinformation.is NAME
>rrequired fprolect value exceeds$5,000,
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑LAKEHAVEN ❑HIGHLINE a 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
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
-
TOTAL=STING TOTAL PROPOSED TOTAL EX[STDQG AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY*` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
_,.-
FILTIIRES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
• MECHANICAL
. Value of Mechanical Work $
EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS HOODS(commercial( WOODSTOVES
BBQS FANS
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING WATER CLOSETS(roue) MISC(Describe)
BATHTUBS or Tub/Shower Combo) SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
,, ,, '' =°;_DISCLAIMER/SIGNATURE/MOCK - -
Icertify under penalty of perjury that the nformation 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 accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE
\,......„\t.... \C,IX-C.A. LL� w Ai A. _'1 i i ATE \\ aL'
(Signature) Il (Tule)
I RELATIONSHIP TO PROJECT 0 Owner ❑ Agent o Contractor ❑ Architect SI Other•,
11.
S /`
1 .
i FOR OFFICE USE ONLY
-
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
i BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES ❑NO
{ ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
-
• t NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO
F
Bulletin#100-March 30,2004 -
Page 2 of 4 k\Handouts-Revised\Permit Application
- ' ELECTRICAL PERMIT INFORMATION
RESIDENTIAL ,COMMERCIAL
.1
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300 ft,-$87.00;Each add'n 500 ft,-$28 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 0 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more)
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00 ❑ Over 600 volts surcharge $74.00
❑ 201 -400 amp 117.50 58.00 ❑ Mast or meter repair $80.00
CI 401 -600 amp 161.00 80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
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) $ 74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50
❑ Service over 200 amps
❑ Medical/Educational/Inslitutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
CIService and feeder $94.50 Commercial Residential
MOBILE HOME/RV PARK 0 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ 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)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
O 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 29646-910(5/(14(i&iil
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-Reviscd\Pennit Application
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