07-104864City of Federal Way
Community Development Service$
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical Permit #: 07-104864-00-MiL
Inspection Request Line: (253) 835-3050
Project Name: LA FITNESS
Project Address: 27417 PACIFIC HWY S
Project Description: Install low -voltage audio/video cabling..
Parcel Number: 332204 9060
Owner
Applicant
Contractor
LA FITNESS INTERNATIONAL, LLC DBA
SAFE TECHNOLOGY GROUP INC
SAFE TECHNOLOGY GROUP INC
LA FITNESS
6400 NE HWY 99 SUITE G375
SAFETTG944RA (12/1/08)
8105 IRVINE CENTER DR SUITE 200
VANCOUVER WA 98665
6400 NE HWY 99 SUITE G375
IRVINE CA 92618
VANCOUVER WA 98665
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Low Voltage - Other CommerciaL.42,001
PERMIT EXPIRES Saturday, August 30, 2008
Permit Issued on Wednesday, September 5,.2007
1 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 ac rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
RIVALED
THIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104864 -00 -EL
Owner: LA FITNESS INTERNATIONAL, LLC DBA LA FITNESS
Address: 27417 PACIFIC HWY S .
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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
❑ Slab/Concrete Floor (4255)
❑ Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By Date
By Date
By
Date
❑ Temporary Power (4275)
❑ Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By Date
By Date
By
Date
❑ Rough Electrical (4225)
❑ Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
Byg Date ru — -Z `�
By Date /0 •1 jp "b
By
< Date '2
❑ UFER Ground (4295)
Approved
By Date
For infector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
0& RECEIVED
faIW'yS P 0 5 zoo? PERMIT
COMWMIYDBVELOPABRTSERVICES
3332S Sm AVEMIE SOWN • PO BOX 9718
FBDBRAL WAY, WA
• .9.A7
S�ify APPLICATION Y5307•FAX253.8
uwwduoFlEdrahuyaonBUILDING DEPS,
The following is required information - an incomplete application will not be
.SITE ADDRESS _
ASSESSOR'S TAX/PARCEL # 2— C ,L
—,(-- v �� v
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Aft -h pWfiwbwftIqqdd--WwQ
PROJECT•• •
q 6
,DE EN FP
Please print.legibiy (in ink) or type.
SUITE/UNIT #
LOT SIZE (sj)
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. ❑ MECHANICAL
❑ DEM OLI4ION`Q1iECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
of work
C T N —11 In . _`5 ..1 A.I 1. 7 /L2. 1.0 S % El,.,l t., /O _ . W C 1 ( . LL.
.
YMEST4W X11 1G'Ii1��ST�rillcivtiO��►Ji'��`�i.�iffw/ �xkww IIS
--tPROJECT NAME (Name of Business or Owner Last
NAME
/PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
PEOPLE•
•
FAX NUMBER
PROPERTY
( 3bo)
M LINO AD'rS
Crry,STATE, ZIP
OWNER
L
CITY O F DERAL WA U
CENSE NUMB
EXPIRATION DATE
FAX NUMBER
CONTRACTOR
V
APPLICANT
OJECT
ONTACT
LENDER
EXISTING USE
NAME % j� �
NAME
/PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
COj$pA
NAME
OFFICE PHONE
MAILING ADDRESS
AP NAM
OFFICE PHONE
\J'tzt0
FAX NUMBER
nr
( 3bo)
M LINO AD'rS
Crry,STATE, ZIP
CELL PHONE
L
CITY O F DERAL WA U
CENSE NUMB
EXPIRATION DATE
FAX NUMBER
CONTRA R'S
REGI"TIPN
pNUMBER
LRP TI DATE
EMAIL ADDRESS _
COM NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE EMAIL ADDRESS
p II 11
f 3 O 3- / rot, �a' hn�Ia�+l
NAME
Per RCW 19.2.7.096:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY.STATE, ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? ❑ YES
WATER SERVICE PROVIDER ❑
SEWER SERVICE PROVIDER [1 L HA
PROPOSED USE
VAL OF PROPOSED WORK $
NO FIRE SUPPRESSION SYSTEM POSED/REQUIRED? ❑YES ❑ NO
N ❑ HIGHLINE ❑ TACOMA ❑ ATE (WELL)
N 0 HIGHLINE 0 PRIVATE (SEPTIC)
611
PROJECT .•-
AREA DESCRIPTION
AREAS
GAS PIPE OUTLETS
BBQSFANS
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
BASEMENT
OODS (commerd,q
COMPRFURNACES
CHANGE OF USE? a YES
RST
DUCTSOAS
LOG SETS
REFRIG. SYSTEMS
SECOND
PLATTED LOT?
a YES a NO
BATHTombo)
THIRD .
URINALS
DISHWRAINWATER
SYST
ADDITIONAL FLOORS ESCRIBE)
DRINI
SHOWERS
WATER CLOSETS (roWq
DECK (❑ COVERED OR ❑ COVERED?)
SINKS
WASHING MACHINES
HOSE BIBBS
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
momas
TOTAL
sr
rorecpeorwsosr
MAL Mr
"NEW HOMES ONLY"' NUMBER OF BEDR MS 7OrMTED SELLING PRICE $
Indicate number of each type of fixture to be
Value of Mechanical Work
(A W—PY OF BID OR
as part of this project. Do not include existing furfures to remain
MUST BE INCLUDED WITH APPLICATION)
UNITSEVAPORATIVE
AIR HA/OUNTAINS
COOLERS
GAS PIPE OUTLETS
BBQSFANS
BUILDING SHELL ONLY?
GAS WATER HEATERS
BOILEFIREPLACE
INSERT3
OODS (commerd,q
COMPRFURNACES
CHANGE OF USE? a YES
o NO
DUCTSOAS
LOG SETS
REFRIG. SYSTEMS
3'
PLATTED LOT?
a YES a NO
BATHTombo)
IAVS (B�th.00m sinks►
URINALS
DISHWRAINWATER
SYST
VACUUM BREAKERS
DRINI
SHOWERS
WATER CLOSETS (roWq
ERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(jy that to the best of my
knowledge, the information submitted In support of this permit application is true and correct. I that I will comply mply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 flied against the city, but only
where such claim arises out of the reiian of the city, including its officers and employees, upon the accuracy of the 114/ormation supplied to
the city as a part of this application.
_.J 0
SIGNATURE: �' � -�.a.� DATE
Property Owner and/or Authorized Agent
a NEW a ADDITION
ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
—o
a YES. o NO
BASIC PLAN? a YES
a NO
ZONING DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU? o YES
o NO
PLATTED LOT?
a YES a NO
DEMO PERMIT REQUIRED? o YES
a NO
Bulletin #100 = August 16, 2007
Page 2 of 4 .
MandoutsTerinit Application
1
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder EarhAddh
(First 1300 ftp- $111.00; Each addh 500 ft2- $35.50)
❑ 0 to 100 amp $120.50. $ 74.00
❑ Detached outbuilding or garage
❑ 101- 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201- 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401- 600 amp327.00 131.00
(Inspected separately) $74.00
❑ 601-800 amp 423.00 179.00
❑ 80I - 1000 amp 516.50 216.06
NEW MULTI-FAMII.Y (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
Service or Feeder
E3601 - 1000 amp 423.00
L3 0 to 200 amp $ 92.50
❑ over 1000 amp 471.00
❑ 201 -'600 amp 149.50
❑ over 600 amp 225.50
❑ # of circuits to be kidded/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add% circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑
❑ Service - 1,000 amps or greater
Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑
ResidentiaMiti Famiiy $65.00
# of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommerefaWndustrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 74,00
(3 101- 200 amps 94.50
❑ 201- 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
(First -$55.00; add"n-$17.00/ea)
w Voltage
❑ # of Signs
(First sign -$55.00; addh sign $26.00/ea)
❑.Swimmiag pool/hot tub. $111.00
S are Feet to be served by system(sj 6�U
................
(tacludes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
13 Voice Cabling
❑ Additional Plan Review $111.00 hour
/
❑ Databring
(for modified submittals)
❑ Automation Fee on all Permits .. $5.00
Pt 2500 m- 5.00;
Each addh 2500 ft2-17.00) • Per WAC 29646910(5)tbN7 A iQ
Bulletin #100 -August 16, 2007 Page 3 of 4 k\Handouts\Permit Application