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12-105390e ARRlican City of Federal Way WORLD VISION US Community & Econ. Dev. Services SES INC 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 �y F f lw _ Project Name: WORLD VISION BLDG 2 FLOOR 2 Project Address: 3455 S 344TH WAY -Electrical Permit #: 12- 105390 -00 -EL Project Description: Install low voltage wiring for sound masking system Inspection Request Liner (253) 835 -3050 X1503 j Parcel Number: 222104 9006 Owne ARRlican Contractor WORLD VISION US S E S INC SES INC PO BOX 9716 1402 AUBURN WAY N PMB 371 SESIN* *990RA (12/1/13) FEDERAL WAY WA 98063 -9716 AUBURN WA 98002 1402 AUBURN WAY N PMB 371 AUBURN WA 98002 Additional Permit Information Is Use Educational or Institutional ? .......................No Low Voltage - Other (Commerciaf 1 Service greater than 999 Amps? .............................No PERMIT EXPIRES Tuesday, May 28, 2013 Permit Issued on Thursday, November 29, 2012 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: 1�2% %/2 CITY OF V& Federal inlay PERMIT #: 12- 105390 -00 -EL THIS CARD IS TO MAIN ON -SITE Construction In ection Record INSPECTION REQ TS: (253) 835-3050 Address: 3455 S 344TH WAY Project: WORLD VISION US FEDERAL WAY, WA 98001 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 UFER Ground (4295) Ditch cover (4030) 0 Slab /Concrete Floor (4255) E] Approved By Approved Approved to place concrete By Date By Date By Date Final - Electrical (4055) Approved By Date Pool Bonding (4195) E] Temporary Power (4275) E] Service (4235) By Approved By Approved By Approved By Date By Date By Date Feeders /Sub - panels (4045) E] 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 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: 33325 8h Avenue South 1 Federal Way ♦ WA 1 98003 -6325 ♦ 253- 835 -2607 1 fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 — January 1, 2011 Page I of 2 k:\Handouts \Electrical Permit Application _ i e S7 CITY OF Federal Way ELECTRICAL RECEIVED PERMIT APPLICATION NOV 2 9 2012 * *Most electrical permits maybe obtained on -line at www.cityoffederalway.com SITE ADDRESS: 1 r?OO1 /RRENT SUITE /UNIT /SPACE # ASSESSOR'S TAX/PARCEL # Z 2 Z O O d CURRENT/PROPOSED /PROPOSED USE �laov _ �>»>�E�e�� PROJECT NAME pwo p 7 (Tenant or Homeoumer Last Name) 5' (� PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAILING ADDRESS E -MAIL CITY STATE ZIP FAX ( ) NAME PRIMARY PHONE ELECTRICAL MAILING ADDRESS a �7 - 9x/02 CI) AY E -MAIL l e eomcq.54Ad CONTRACTOR CITY STATE A 6 04 ZIP 18002 FAX -©4,36 V (s3)s20 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # /Z/01 i (3 ?0 -o2- ?00823 -00 -3� NAME © �� PRIMARY PHONE () Z - -5/a 86 APPLICANT MAILING AbDRESS E -MAIL CITY hTATE 0,4 ZIP 6%82 00 FAX 32&6 PROJECT CONTACT NAME 461 ca PRIMARY PHONE (2 0(a) 71cl -'3 (0 84 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: 33325 8h Avenue South 1 Federal Way ♦ WA 1 98003 -6325 ♦ 253- 835 -2607 1 fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 — January 1, 2011 Page I of 2 k:\Handouts \Electrical Permit Application NEW SINGLE FAMILY RESIDENCE Total Square Feet (including attached garage): FEES: First 1300 ft2 - $122.00; Each additional 500 ft2 - $39.00 NEW MULTIFAMILY (3 units or more) 1 -1 Service /Feeder Additional Feeders �r° ,. 4flA.._ 1 �3, $r 83.5Q 6011i, '.., ALTERED SINGLE or MULTI FAMILY lst Service /Feeder Added or Altered Circuits... 1 -4 circuits $80.50; each additional $8.00 Mast or meter repair $60.50 MANUFACTURED HOMES MISCELLANEOUS LOW VOLTAGE ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice/ Data Cabling Other Area to be served by system: (JVV 1- 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50 # of Thermostats First $60.50; each additional $18.50 Yard Pole /meter loops /pedestal x $ 80.50 Portable Generator (transfer equipment) x $101.00 Ditch cover /inspection only x $121.00 NEW COMMERCIAL 1,1 Service /Feeder Additional Feeders ALTERED COMMERCIAL I Service /Feeder Additional Feeders ift 31va .�ls,._ _ .. x.$307 � ....,,� ..,.. �.� �•�1<:qt Added or Altered Circuits 1 -5 circuits $103.50; each additional $8.00 Mast or meter repair $111.50 PLAN REVIEW FEES Plan Review required only for: • New, or alteration to, service of 1,000 amps or greater • Medical /Educational /Institutional Facility $103.50 plus 351% of Permit Fee (Permit Fee x 35% _ + $103.50 = Plan Review Fee) Plan review for modified submittals $105.50 /hour TEMPORARY SERVICE 1-1 Service /Feeder Additional Feeders . $ 39 -00 60.50 FEE CALCULATIONS • Fees are determined by the scope of work as indicated. • A $6.00 Automation Fee will be added to all permits. • For assistance in calculating fees or completing the application form, contact the Permit Center at 253- 835 -2607 33325 e Avenue South ♦ Federal Way 1 WA 1 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com Bulletin #160 - January 1, 2011 Page 2 of 2 kAl- landoutsTlectrical Permit Application