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07-103486 Ctty of Development y Electrical Permit #: 07-103486-00- L `ComAiunily Devebpment Seryices P.O.Box 9718 Federal Way;WA 98063-9718 Ph:(253)835-2607 lax:(253)835-2609 Inspection Request Line: (253)835-3050 • Project Name: MY GYM Project Address: 1414 S 324TH ST Suite B206 '_.. G� Parcel Number: 150050 0080 Project Description: Relocation of(2)t-stats t l Owner Applicant Contractor , HARSCH INVESTMENT PROPERTIES LLC AMBIENT CONTROL CO INC(ELECTRICAL) AMBIENT CONTROL CO INC 1121 SW SALMON ST 1411 R ST (ELECTRICAL) PORTLAND OR 97205 AUBURN WA 98001 AMBIECC003CJ(3/1/08) 1411 RST AUBURN WA 98001 Additional Permit Information Electrical Fixtures Circuits. Commercial. '. PERMIT EXPIRES Friday, June 20, 200$ Perl oili'17,. .ed on a ay,Jute 26, 2007 I hereby certify t theabove •rmat correct anti that the constructiononthe abovedescribed prop tt r and the occupancy and the use •e in ac • dance with the laws, rules and regulations of the State o Washington r-.. the 'ty f Federal Way. Owner or agent: /fj� �`��, Date: o ..._ 9 1 ,. -( Ni -r 1 I THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-103486-00-EL Owner: HARSCH INVESTMENT PROPERTIES LLC Address: 1414 S 324TH ST Suite B206 FEDERAL WAY, WA 98003-6001 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. O Slab/Concrete Floor(4255) ❑ Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) 0 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 By67- 1-' Date ' /'T ( By Date By .0./ Date '•C5? ❑ UFER Ground (4295) Approved By Date • • For inspector reference only __ ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date , RECEIVED _. CITY O � ? - / 0 3 � �4i Federal way JUN 2 6 2 PERMIT �\ ' COMMUNITY DEVELOPMENT SERVICES SF MF CO ME/i'L� PL DE EN FP 33325 D AVENUE9OUTH•P3BOX971bITY OF re YI CATI ON ���// FEDERAL WAY.WA 98063-9718 �0) / / 253-83.5-2607•FAX 253-835-2609 g U I LD I uwiu.cugoJeri raltuay cant The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. , • PROPERTY INFORMATION SITE ADDRESS I 9/1/ S 3 'fil SUITE/UNIT# 6(206 ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4ich se wale page jar Ientahy legal descripaonl ■ PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION..KELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PRRJECT DESCRIPTION(Provide tailed escription of work included on is rmit on1 lelocg-t PROJECT NAME(Name of Business or Owner Last Name) / ' 9 ni • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER /-�A2SeN �'v)Vet.).`"1 Xi C. ( ) - MAILING ADDRESS Cf ,STATE.ZIP E-MAIL ADDRESS CONTRACTOR COrPANY AMET APPLICANT NAME OFFICEPHONE / 04n (Avdick1 .% j? y` (•OS ) 5 99;� ` MAILING ADDR SJTY.S� E,ZIP CELL PHONE ( Ll1l & /(lw -� t. ,.i C126°1 (cD•06) s/077Cy&- CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER aGto S lel19 l'9'—e0 -64 0/31/07 ) ‘ - ` COPY of card required CONTRACTORS414,163. REGISTRATION NUMBER EXPIATION TE E-MAIL ADDRESS with each application /�,.I Q .F ^C0 CWT.- ©Y ye,e wAi I-j� am' /// 7CO APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 541,4 -IS Co/v7PAe7m _ ( ) - MAILING ADDRESS CITY,STATE.ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT , 1�AC ^9 FAX NUMBER El ArchitectHq Architect ❑ Tenant Agentther _'L ( ) - PROJECT N E // // P IM Y PHON�y , 2 E-MAIL ADDRESS CONTACT ole 1 4 g tv-Pri4 (� /fie- J 3 LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY.STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) U PROJECT FLOOR AREAS AREA DESCRIPTION ERN. PROPOSED TOTAL Sa.FT. Sa.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) -_ DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Comn,o,rtal) �) 1 COMPRESSORS FURNACES RANGES 'I€ yyl�-�ol'Js DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS or it,h/Showa Combo) LAVS(Bat hi Sink,) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toil(I) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. NAME/TITLE DATE (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION REPAIR -J TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? n YES ❑NO NEW ADDRESS REQUIRED? (_YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? Cl YES c NO DEMO PERMIT REQUIRED? a YES ❑NO Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application