16-101356 • • •
"electrical
CityFederalWay Permit #. 16-101356-00-E L
Community&Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: FREEDOM FITNESS
Project Address: 1320 S 324TH ST Unit A-111 Parcel Number: 150050 0070
Project Description: Installation of(2)1/v thermostats.
Owner Applicant Contractor
HARSCH INVESTMENT PROPERTY AMBIENT CONTROL CO INC(ELECTRICAL) AMBIENT CONTROL CO INC
1320 S 324TH ST • 1411 "R"ST NW (ELECTRICAL)
FEDERAL WAY WA 98003-8445 AUBURN WA 98001 AMBIECC003CJ(3/1/18)
1411 "R"ST NW
. . AUBURN WA 98001
Additional Permit Information
Electrical Work Valuation'? 500 Is this an Online or O.T.C.application Yes
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Thermostat 2
PERMIT EXPIRES Saturday, March 18, 2017
Permit Issued on Friday, March 18, 2016
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:97-‘e �-4 5. Date: /.S-
i
THIS CARD IS TO MAIN ON-SITE
CITY OF ( • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 16-101356-00-EL Address: 1320 S 324TH ST Unit A-111
Project: HARSCH INVESTMENT PROPERT 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.
O 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) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
▪ Feeders/Sub-panels(4045) '0 Rough Electrical(4225) 'El Ceiling Cover(4020)
Approved Approved Approved
By Date B -gi .-p- Date,- ____2. (_ ( By Date
❑ Final-Electrical(4055)
Approved
By . ‘94,,._itDate i‘ S -4
Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
E CT R I C A L
Federal Way MAR 18 2016 PERMIT APPLICATION
0 , j
CITY OF FEDERALcWAY
PERMIT NUMBER 1 _ I �J S) C _
IIII SUITE/UNIT/SPACE#
SITE ADDRESS: i3 Zv S. 324-- S+. A -0
1 /
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
s czz l 0 0 3 - Ll 0 7 '
PROJECT NAME `
(Tenant or Homeowner Last Name) ree U 'm P s S
r s (--rt I d (2) '"L,e v vk a S fce f 5
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ) ( t=t r S ( ) -
MAILING ADDRESS E-MAIL
G1,1 -1l Je
CITY STATE ZIP ( FAX
l )
NAMEnPRIMARY PHONE
11 m b 1 -+ Co tk.—)-6i-G I ( c/`j ',
MAILING ADDRESS E-MAIL
ELECTRICAL �e 2 r3 (�iAJ
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
i CCob3 C /) 1o( S(5_6o-1;L.
NAME PRIMARY PHONE
APPLICANT wl -e q l Co'� I (2-S-3)
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX yi f yb .
ebur h wA c1oo3 - q'4i3i
NAME PRIMARY PHONE
PROJECT CONTACT
61i I e- 5 (2C3 - 3 3
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: / � Oti. � //� __C DATE -3--/ S
PRINT NAME: ✓U�/ • 743(,,C-
Bulletin#160—January 1,2013 Page 1 of 2 k:vJIandouts\Electrical Permit Application