12-102545City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: LITTLE GYM
Project Address: 1414 S 324TH ST SUITE B109
Project Description: Relocate (2) thermostats.
electrical
f Permit #: 12- 102545 -00 -EL
j Inspection Request Line: (253) 835 -3050
Parcel Number: 150050 0080
Owner
A_ Ipu ican
Contractor
THE LITTLE GYM
AMBIENT CONTROL CO INC (GENERAL)
AMBIENT CONTROL CO INC
1414 S 324TH ST SUITE B109
1411 'R" ST NW
(ELECTRICAL)
FEDERAL WAY WA 98003
AUBURN WA 98001
AMBIECCO03CJ (311!12)
1411 'R" ST NW
AUBURN WA 98001
Additional Permit Information
Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No
Electrical Fixtures
Thermostat ...... ............................... 2
PERMIT EXPIRES Monday, December 3, 2012
Permit Issued on Wednesday, June 6, 2012
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 accord a with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Owner or agent: Date: a<1X1z
• THIS CARD IS TO rection ON -SITE �
Cm� Construction InRecord
Fede ral Way INSPECTION REQU 3) 835 -3050
PERMIT #:
12- 102545 -00 -EL
Address: 1414 S 324TH ST SUITE B109
Project: THE LITTLE GYM FEDERAL WAY, WA 98003
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.
Final - Electrical (4055)
Approved
By Date L
LIFER Ground (4295)
Ditch cover (4030)
El
Slab /Concrete Floor (42 5)
0
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date L
Rough Electrical
Approved
Temporary Power (4275)
0
Service (4235)
By
Pool Bonding (4195)
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Approved
Rough Electrical (4225)
Feeders /Sub - panels (4045)
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date L
Rough Electrical
Approved
Final Electrical
Approved
11
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
FederNE WED ELEC'T'RICAL
JUN os 20,?ERMIT APPLICATION
Loll T U
its may be obtained on -line at www.
com * *
SITE ADDRESS: E, 3,;', y/* 7=--
SUITE /UNIT /SPACE # / ASSESSOR'S TAX /PARCEL # CURRENT /PROPOSED USE
)Da. 11 S 0 0 5 - b D _ A7�a
PROJECT NAME /
/Tenant or Homeowner Last Name)
S 7`14 �-s
IPROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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 a part of this application.
SIGNATURE: tir DATE
PRINT NAME : /0
33325 8" Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 1 fax: 253 -835 -2609 ♦ www.cityoffederalway -com
Bulletin 0 160 — January 1, 2011 Page I of 2 kAHandouts \Electrical Permit Application
NAME
PRIMARY PHONE
PROPERTY OWNER
S /S'� ldsa S
z� ) M - 1.2 4j/
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
MAILING ADDRESS
A/
E-MAIL
J ELECTRICAL
CONTRACTOR
CITY
vd v -A/
STATE
ZIP
S'� 6
FAX
c -
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E -MAIL
CITY
STATE
ZIP
( FAX
PROJECT CONTACT
NAME
1� -- --
PRIMARY PHONE
(266)--,16 -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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 a part of this application.
SIGNATURE: tir DATE
PRINT NAME : /0
33325 8" Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 1 fax: 253 -835 -2609 ♦ www.cityoffederalway -com
Bulletin 0 160 — January 1, 2011 Page I of 2 kAHandouts \Electrical Permit Application
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1st Service/Feeder Additional Feeders ( mcludin attached garage).
j
FEES: First 1300 ft2 - $122.00; 3�'i;I.54?c $1351
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more) 4143
Ist Service /Feeder Additional Feeders
2>3l
s
F(?l. -.8170
ALTERED SINGLE or MULTI FAMILY
I st Service /Feeder
AMNAW lam;`- u sa
Added or Altered Circuits
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
Wlwm
MANUFACTURED HOMES
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system: I jPb().F4&=-r
Pt 2,500 ft2- $71.00; each additional 2,500 ft2- $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/ inspection only x $121.00
ALTERED COMMERCIAL
1 st Service/Feeder Additional Feeders
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
SERVICE
TEMPORARY SERVICE
1s, Service /Feeder Additional Feeders
xrikx. „"Lt�0...� �4 �' '.$121.00 -'. i'...
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253- 835 -2607
33325 8' Avenue South 1 Federal Way ♦ WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 -January 1, 2011 Page 2 of 2 k:\llandoutsiElectrical Permit Application