13-100120 •
•
Electrical
City of Federal Way
Community&33325 Econ.8thAve DevS Services Permit #: 13-100120-00-EL
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: FITNESS INTERNATIONAL LLC 17ly
Project Address: 32818 1ST AVE S Parcel Number: 172104 9038
Project Description: Repair vandalized feeder
Owner Applicant Contractor
FITNESS INTERNATIONAL LLC B&G PROPERTY MAINTENANCE LLC B&G PROPERTY MAINTENANCE LLC
2600 MICHELSON DR#300 533 A 6TH ST S BGPROGP906M8(7/28/14)
IRVINE,CA 92612 KIRKLAND WA 98033 533 A 6TH ST S
KIRKLAND WA 98033
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps9 No
Electrical Fixtures
Alt. Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Monday, July 8, 2013
Permit Issued on Wednesday, January 9, 2013
I hereby certify that the above information is porrect 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 Stat of Washington
and the City of Federal Way.
Owner or agen: Date: t
• THIS CARD IS TO MAIN ON-SITE
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100120-00-EL Address: 32818 1ST AVE S
Project: FITNESS INTERNATIONAL LLC FEDERAL WAY, WA 98003-6303
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
•
o Pool Bonding(4195) '0 Temporary Power(4275) Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
FIVE®
EL CTRICAL
CITY OF a"
Federal Way 414N o9 2013 PERMIT APPLICATION
, ,
...„.__A,
CITY OF FEDERAL WAY /�
PERMIT NUMBER ( _ ` O O CqS Z 0 _ O�/
SUITE/UNIT/SPACE#
SITE ADDRESS: 5 2 }if) k.`> ' �� . S to 1 so 03
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
' J - - - -
PROJECT NAME �`
(Tenant or Homeowner Last Name) j- ` L]
PROJECT DESCRIPTION �Q,,fek,t '/A- A ( z-e4Y ice e-. .-\
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Lbs t L, ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
//
MAILING ADDRESS E-MAIL
ELECTRICAL '.�� ,rca ��;`(V ,. w�t�c:.1.� ,I'c
CONTRACTOR CITY STATE ZIP ' FAX
b :I(
r� . L.-) o`" ? ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE it
t5(x" V �4-(f--A tOL vW / /
NAME .. PRIMARY PHONE - -
APPLICANT �'VSn''1l —t �V� ( i ' )-1 , -
MAILING ADDRESS E-MAIL
(%tc-) i(AS-`I)
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT .; e- ,. 1,6,-\‘/\'' c) ( ) Y - i, ';v
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: C DATE
PRINT NAME: .141/11C-177t1"-,' --.: (:)(V1 .?
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application