04-103887 City
uDevelopment Services eveWay
CommunityElectrical Permit #:04 - 103887 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050
Project Name: DRY CLEANING STATION
Project Address: 1630 SW DASH POINT Rd Parcel Number: 122103 9074
Project Description: Adding circuit(s)to install new outlets
Owner Applicant Contractor
THE AUDREY AND SYDNEY IRMAS CHAR SE'BOTS'THA INC SE'BOTS'THA INC
THE AUDREY AND SYDNEY IRMAS 5108 S DAWSON SUITE 11 5108 S DAWSON SUITE 11
CHARITABLE FOUNDATION SEATTLE WA 98118 SEATTLE WA 98118
16027 VENTURA BLVD SUITE 601
_ENCINO CA 91436 (206)280-6921
Electrical Fixtures
Description Quantity T Description Quantity Description __ JQuantity
Circuits- Commercial 1
PERMIT EXPIRES March 22,2005.
Permit issued on September 23,2004
I hereby certify that the above informationis correct and that the construction on the above describedproperty 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. r� �
Owner or agent: .-- �(, t 'e Date: 7/ 3✓ `/
0.
AO
C.../\13 5 or
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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#: 04-103887-00-EL
Owner: THE AUDREY AND SYDNEY IRMAS CH
Address: 1630 SW DASH POINT RD
FEDERAL WAY, WA 98023
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.
0 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) ❑ Service(4235) ,❑ Feeders/Sub-panels(4045) ,
Approved Approved Approved
By Date By Date By Date
.1.3.2, •
1M Rough Electrical(4225) ►1. Ceiling Cover(4020) #13/ Final-Electrical(4055)
Approved Approved Approved
`B S Date Gl`-Zst-OA 11_,,„, Date ,...do• _ 0 %1� Date/d—in/4(
t❑ Under-slab groundwork(4295)
Approved
By Date
�:
RECEIVED 04i - I o 3 _S E --
FederalWay PERMIT
SF MF CO ME EL PL D NFP
COMMURl1Y DEVELOPMENT SERVI��p 2 3
33325 D AVENUE SOUTH 9.PO 63BOX9 z°APPLICATION -TD
FEDERAL WAY,WA 98063-9718 / /
253-835.2607•FAX 253-83�g4av,OF F
unuw.dtl t hVofcderalwaT
biUILD(NDEnnRccA ,,��L WAy
The following is required in•�r est—an incomplete ap•lication will not be acce•ted. P •• •tint legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS I 62
V `A _,S WA c
4 ! , SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# J ( & 3 - 9' U / 41 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION>ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
-4PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1 )- r?i /�.: C 6-1-4-A g l A-A6.; r- ' 1, a.e.-'71,-%Lf
XD/-ii
(.L_LZl-xJ :,A- 5i2 r o,t,/
PROJECT NAME(Name of Business or Owner Last Nam
a PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICEPHONE
`-Jc f ''f7'7//,(71 '�c `L.f %A►�J
A : Lil�v (?1;L- )2-z; - 69Z4
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
,i0 I (.r t-/ SQC--eCV IA16: (a-4 L., )Gdr. - ( L /
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
`,7._: C.0a✓h1. t=om ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT • FAX NUMBER
0 Architect ❑ Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME- PRIMARY PHONE - E-MAIL ADDRESS
K ( )
LENDERPer RCW 19.27.095: Lender information is, NAME
required if project 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? O YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES o NO
i WATER SERVICE PROVIDER O LAKEHAVEN O HIGHL NE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN O HIGHLINE O 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 r.XISTDtG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMA D SELLING PRICE $
FIXTURES -
Indicate number of each type of fudure to be installed or r.locat-. as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
EVAPORAT COOLER•• GAS LOGS REFRIG.SYSTEMS
AIR HANDLING UNITS
AS FANS (Commercial)l) WOODSTOVES
BBQS
'
BOILERS FIREP CE INSERTS RANGES MISC(Describe)
COMPRESSORS FUR•ACES GAS WATER HEATERS
DUCTS G. PIPE OUTLETS
PLUMBING WATER CLOSETS Roaeq MISC(Describe)
BATHTUBS(or Tub/Shower Combo) SHOWERS
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom sinks)
VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK -
,-------:-jr-
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
ppl cat iod isnthe in made. Iifurther on agrndde to
hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'j
f
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 off ers and employees,upon the accuracy of the information supplied to the city as a part of
this application. C//
r ---%4, O'-' - 1 DATE /23/o 5�NAME/TITLE (Title)
Signature)
! RELATIONSHIP T fa P•'.•JECT 0 Owner ai Agent 0 Contractor ❑ Architect 0 Other
E FOR OFFICE USE ONLY 1
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
(
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES a NO
1 ZONING DESIGNATION CHANGE OF USE o YES o NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Permit Application
ELECTRICAL PERMIT INFORMATION
r
RESIDENTIAL COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
NEW RESIDENTIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to 100 amp $ 94.50 $ 58.00
(First 1300112-$87.00;Each add'n 500 ft2-$28.00) ❑ 101 -200 amp 1 .50 74.00
❑ Detached outbuilding or garage ❑ 201-400 amp 220.50 87.00
(Inspected with service) $36.50
0 Detached outbuilding or garage
0 401-600 amp 256.50 103.00
I (Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
0 801 - 1000 amp 405.50 169.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 442.00 236.00
Service Feeder
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ Mast or meter repair $80.00
0 401 -600 amp 161.00 80.00
O 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50 Service or Feeders
L7 0 to 200 amp $ 94.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 220.50
Service or Feeder 0 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50
❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
177.00 /0'
#of circuits to be added/altered
❑ over 600 amp (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
C7 Service over 200 amps
❑ Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
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
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
0 101 -200 74.00 51.00
❑ #of service or feeders n/.
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00
a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Signs
❑ # of Thermostats (First sign-$43.50;add'n sign$20.50/ea)
(First
$43.50;add'n-$13.50/ea) ❑ Swimming pool/hot tub $87.00
❑ LowVoltage (Includes additional circuit,if required)
❑ Fire
Square Alarmato System served by system(s) ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
(Per❑ System(s) 1•V 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC 29646910(5)(!)(1&0i
Page 3 of 4
h\Handouts-Reviscd\Pennit Application
Bulletin#100-March 30,2004