17-103721 4
Electrical
City of Federal Way Permit #:17-103721-00-EL
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: PLANET FITNESS
Project Address: 1211 S 320TH ST Parcel Number: 150050 0030
Project Description: Adding a booster panel and(14)audio/visual devices to the existing fire alarm system
Owner Applicant Contractor
MGP IX SUNSET SQUARE LLC WESTERN STATES FIRE PROTECTION WESTERN STATES FIRE PROTECTION
425 CALIFORNIA ST FLOOR 11 (ELECTRICAL) (ELECTRICAL)
SAN FRANCISCO CA 94104 7102 180TH AVE NE SUITE A105 WESTESF906P1 (11/9/18)
REDMOND WA 98052 7102 180TH AVE NE SUITE A105
REDMOND WA 98052
Additional Permit Information
Is this an Online or O.T.C.application? Yes
4
Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Thursday,2 August,2018
Permit Issued on Wednesday,August 2,2017
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: - Date: e/2,/24017
, r . s ,
THIS CARD IS TO REMAIN ON-SITE
CITY Of
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103721 00 Address: 1211 S 320TH ST
Project: MGP IX SUNSET SQUARE LLC FEDERAL WAY WA 98003-5339
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 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
•By Date By Date By Date
•
0 Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0
Q Ceiling Cover(4020)
Approved Approved Approved
By Date �\By Date .k '._Date (. i 7
0
El Final-Electrical(4055)
Approved
By d, N Date 44 _st., —+►^t
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
AUG 0 2 2017
0 3
MCITY OF FEDERAL WAY
CITY OF '- COMMUNfTY DEW A
Federal Way ELU TRICAL
PERMIT APPLICATION
**Most electrical pierntits inen be obtained on-line at www.cifyo•
ederalwg '.coin**
PROPERTY INFORMATION
SITE ADDRESS: I1 \� 3 lQ i K 5
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SUITE/UNIT/SPACE # ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
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0
WA)�
PROJECT INFORMATION
PROJECT NAME
(Tenant or Homeowner Last Name)
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
PEOPLE
NAME
PRIMARY PHONE
PROPERTY OWNER
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( )
MAILING ADDRESS
E-MAIL
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CITY STATE ZIP
NAME
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FAX
PRIMARY PHONE
(I-I15) `66\ - 0100
MAILING ADDRESS
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E-MAIL
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ELECTRICAL
CITY
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STATE ZIP
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FAX
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CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
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FEDERAL WAY BUSINESS LICENSE #
19-99 -1oVJJ 6'-o0•-DL
APPLICANT
NAME
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PRIMARY PHONE
(4)S-) a16( - 001
MAILING ADDRESS
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E-MAIL
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CITY
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STATE
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ZIP
FAX
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PROJECT CONTACT
NAME
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PRIMARY PHONE
(qa3 ) 41' - 910
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:
PRINT NAME:
DATE 1 A •- )
33325 8"' AVenue South 1 Federal Way ♦ WA ♦ 98003-6325 1 253-835-2607 ♦ tax: 253-835-2609 ♦ www,cityoffedetalway.com
Bulletin #I60-January 1, 2011 Page I of 2 k:AHandouts\Electrical Permit Application