13-105425s x
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2609
Project Name: FITNESS EVOLUTION
Project Address: 1211 S 320TH ST
Project Description: Low voltage voice & data cable.
t
Electrical
Permit #: 13 -105425 -00 -EL
�n Inspection Request Line: (253) 835-3050
Parcel Number: 150050 0030
Owner
ARtplSa
Contractor
FITNESS EVOLUTION
BEDDOW ELECTRICAL SRVS CO INC
BEDDOW ELECTRICAL SRVS CO INC
2144 INDUSTRIAL PKWY
3722 196TH AVENUE CT E
BEDDOES973CF (2/6/15)
SILVER SPRING MD 20904
LAKE TAPPS WA 98391
3722 196TH AVENUE CT E
LAKE TAPPS WA 98391
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Service greater than 999 Amps? .............................No
Electrical Futures
Low Voltage - Other (Commercial 1
PERMIT EXPIRES Tuesday,
Permit Issued on Thursday, Del
I hereby certify that the above information is
the occupancy and thg a will be in apcorc
Owner or agent:
2014
UVhTh the above described property and
egulations of the State of Washington
Date: Z Z — e —o
THIS CARD IS TO REMAIN ON-SITE
CITY OF
VA� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 13 -105425 -00 -EL Address: 1211 S 320TH ST
Project: FITNESS EVOLUTION 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.
UFER Ground (4295)
0
Ditch cover (4030)
Temporary Power (4275)11
Slab/Concrete Floor (4255)
Approved
Service (4235)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)11
Right of Way
Approved
Service (4235)
Date
Approved
By
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
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
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
RECEIVED
DEC 05 2013
CITY OF FEDERAL WAY
CDS
ELECTRICAL
PERMIT APPLICATION
PERMIT NUMBER / 3 - / U S
SITE ADDRESS:
SUITE/UNIT/SPACE t
PROJECT VALUATION
lLJ cD Ci
ASSESSOR'SCTAAX//PARCE/C /nL,/
V
/ CD J 0 - v O v
CURRENT/PROPOSED USE
1 I l
PROJECT NAME
(Tenant or Homeowner Last Name)
�. ^SS
F ( , V`�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME .-- i -
(
PRIMARY PHONE
( ) -
MAILING ADDRESS r
E-MAIL
CITY
STATE
ZIP
FAX
( ) -
ELECTRICAL
,z -CONTRACTOR
NAMEPRIMARY
c�Gc J L2 L
PHONE
(?,n6) 571 G ' L6
MAILING ADDRESS
-3-7 Zfir.
j cl Q 1c cE ,
F -MAIL
t4 P�10 l,ke @ a o cc -
CITY
Z -,a- k.-, T<
STATE
IWA
ZIP
��34
FAX
(�6) � 5-?- 0 70
WA STATE CONTRACTO CENSE i EXPIRATION DATE
9? 3CF
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
NAME
J
PRIMARY PHONE
( bb) -521 G Z 63
MAILING ADDRESS
Q
3 �� l ( �QItQ cT ��
E-MAIL
-,6(n-- Q C
CITY ,
STATE
(�
ZIP
�S3r/
FAX
tly') Z070�
PROJECT CONTACT
NAME
�
PRIMARY PHONE
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 defenyty�*Za
claim, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to thg. part o#this application.
SIGNATURE:
PRINT NAME:
Bulletin # 160 — January 1, 2013 Page 1 of 2 Ul-landoutsTlectrical Permit Application