14-103849 •
Electrical
Commun ty&EcconmDev.Services Permit #: 14-103849-00-EL
33325 8th Ave S
Federal Way,WA 98003 F.1Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: VICTORY GET FIT CLUB
Project Address: 34303 PACIFIC HWY S Unit 116 Parcel Number: 202104 9068
Project Description: Adding/altering up to(4)circuits to reconnect track lighting and receptacles
Owner Applicant Contractor
YRV LLC SPARKEY'S ELECTRIC LLC SPARKEY'S ELECTRIC LLC
1830 Marion St 6826 20TH ST E SPARKEL954RH(12/11/15)
Enumclaw,WA 98022-3109 FIFE WA 98424 6826 20TH ST E
FIFE WA 98424
•
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 4
PERMIT EXPIRES Tuesday, January 27, 2015
Permit Issued on Thursday, July 31, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
he of eWay.
Owner or agent apandtFderal
0 Date: — `Y
THIS CARD IS TO REMAIN ON-SITE - •
CITY OF SA
• Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103849-00-EL Address: 34303 PACIFIC HWY S Unit 116
Project: YRV LLC 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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
. .
�0 Pool Bonding(4195) .0 Temporary Power(4275) �El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 'El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By 020....... Date ea (malt, I ;
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
EICTRICAL'
CITY OFi.;>,,,<
Federal Way PERMIT APPLIR ' ON
O S JUL 31 2014
PERMIT NUMBER I _ 1 _ OC:)
«l g�/ �vfITY OF FEDERAL WAY
�S rDS
6,4
SUITE/IUNIT/SPACE#
SITE ADDRESS: I1 I /co L.99-
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PROJECT VALUATION ASSESSOR'S TAX/PARCEL# o / CURRENT/PROPOSED USE
$ 1, CX-) �)� zo Z 0 4 _ g a �'-
PROJECT NAME V ( C ?�/ G i P t r G U 2
(Tenant or Homeowner Last Name) V C7
if/71--61_ r-
l C%r- C� � e c o nn e c t tra c k
1-11/
PROJECT DESCRIPTION -'6 h 1f / i r S t ,6d` J Pe c
Detailed description of work to �J
be included on this permit only
NAMEV PRIMARY PHONE
PROPERTY OWNER l L � flt
e ss ( 06) 3 cy- yy y
MAILING ADDRESS E-MAIL
7 ' 36 1G. c� (`c_ / Go lib
CITY STATE 4iPtt FAX
NAMF �� / r/` ( ) PRIMARY PHONE
MAILING eDRESS I r/f--L� E-MAIL
ELECTRICALZ O o 5t. f /
CONTRACTOR CITYSTATE ZIP FAX
F t' F� 0/9- 7W2- ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
a, - )4 L f 5 y H- /2/ // / /Y
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME
` PRIMARY PHONE
PROJECT CONTACT ���� Q (70e) 2) _ /L y c>
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.
1/
SIGNATURE: DATE I .? i 2 d(
PRINT NAME: C o e r 1 1
e° j f films ( - 7
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application