14-103893Electrical
City of Comm n4 & Econ. eM� r - :9 Permit #: 14 -103893 -00 -EL
33325 8th Ave S
Federal Way, WA 98003 t Inspection Request Line: 253
Ph: (253) 835-2607 Fax: (253) 835-2609 p q ( ) 835-3050
Project Name: HOT YOGA INC
Project Address: 31839 GATEWAY CTR BLVD S Parcel Number: 092104 9137
Project Description: Relocation of (4) thermostats.
Owner
LINDA BURCH
ARRI11cant
C F M HEATING AND COOLING INC
Contractor
C F M HEATING AND COOLING INC
HOT YOGA OF FEDERAL WAY
(ELECTRICAL)
(ELECTRICAL)
31839 GATEWAY CENTER BLVD
PO BOX 3205
CFMHEFM953QT (11/30/15)
FEDERAL WAY WA 98003
KIRKLAND WA 98028
PO BOX 3205
KIRKLAND WA 98028
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Service greater than 999 Amps? .............................No
Electrical Fixtures
Thermostat ..................................... 4
Is Use Educational or Institutional? ....................... No
PERMIT EXPIRES Saturday, January 31, 2015
Permit Issued on Monday, August 4, 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
d�the
� City of Federal Way.
Owner or agent: ellz
6-o Y" IL/
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -103893 -00 -EL Address: 31839 GATEWAY CTR BLVD S
LINDA BURCH 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.
Final - Electrical (4055)
Approved
By � Date ( e $
LIFER Ground (4295)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By � Date ( e $
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date S
$
Final - Electrical (4055)
Approved
By � Date ( e $
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF "•..
Federal Way
AUG 0 4 2014
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER / q _ / o 3 32_3 - J
SITE ADDRESS: '31651 5 . 644eway k-, fqa2r.
SUITE/UNIT/SPACE #
PROJECTVALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
$ L 6V
D C Z. 1 0
PROJECT NAME
� aI�C
'(
Tenant or Homeowner Last Name )
`IOT
e�oCc�}rr `4e✓Mo
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME 4
500 An
PRIMARY PHONE
118/3
PROPERTY OWNER
( 2o&) 2.V5- -
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
o1 I�
NAME �
CFM NPaiiflc c� lJpo (�
PRIMARY PHONE
(1-75)PRIMARY
- 129,5
MAILING ADDRESS
P.D . &X 3a )
E-MAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
( }
ZIP
96D6
FAX
;r�
(gA6)6- 343
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
cFc�►��FMas
FEDERAL WAY BUSINESS LICENSE #
n � � ��s
NAME
T� " "'�,-'�
PRIMARY
PRIMARY PHONE
( -25) � - 1213
APPLICANT
MAILING ADDRESS
pa. &X 3zos"
E-MAIL
CITY
STATE
2IP
FAX
PROJECT CONTACT
NAME
aefe"
PRIMARY PHONE
/zq3
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.
1 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 apartof this application.
SIGNATURE: - DATE 0
V
PRINT NAME: Gime tmq Mo-e116—
Bulletin #160 -January 1, 2013 Page 1 t' 2 k:AHandouts\Electrical Permit Application