12-101360 •
4r r
CITY of Ir•� O ` 3 6 O
R : =�' -• D ELECTRICAL
PERMIT RECEIVED 27 201 APPLICATION
MAR 2 72012
CITY OF F e', i al permits may be obtained on-line at www.ci o,ederalway.com**
11.
PROPERTY INFORMATION
SITE ADDRESS: 31-1-G5 3111-IF CDS
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL#4 CURRENT/PROPOSED USE
CT ORMATION
PROJECT NAME
(Tenant or Homeowner Last Name) t10 i61-017-1
PROJECT DESCRIPTION I — 22-C 22 A Pare i
Detailed description of work to
be included on this permit only
NAME U1/0►'1.t`n
PRIMARY PHONE
PROPERTY OWNER A�.11f L..U" - ?
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE —
Mc LeAl : ut (,lois.. 0.55)f - sci 3
MAILING ADDRESS
c SE-MAIL
�•it�'�-
ELECTRICAL 703 V -Y/Vv 'Y,{,tuae�'�(v.1nuti e l 1
CONTRACTOR C STATE ZIP
FAX
)Ql / -0511 Z
WA STATRvdLI1i9
RAICENSE# EXPIRATION DATE F WAY BUSINESS,LICENSE#� C LL V' Ze1OF /-2c,13 �6i 10 Li`6'4
C&
N `^''" PRIMARY PHONE
APPLICANT u t�"' oedlam
✓ ,
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
PRIMARY PHONE
NAS w�, c�
PROJECT CONTACT t"ZJ�3� ?'473
1 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,oY iters and employees, upon the accuracy of the
information supplied to the city as a pa t .-. application. /-
SIGNAT i RE: t•J��� � DATE/ I�I o
(nit
PRINT NAME: 'Jill / I" (nit -
33325 8ih Avenue South♦Federal Way♦WA♦98003-6325 1253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k:UHandoutsElectrical Permit Application
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
i7m
Project Name: WORLD VISION - BLDG 2 SUITE 200
Project Address: 3455 S 344TH ST Suite 200
V
FAectllical
Permit #: 12- 101360 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 222104 9006
Project Description: Adding(altering 0 -225 amp panel * ** 4/10/12 - REVISED scope of work to: Altering (9)
circuits from 225 amp Panel L2P7; Altering (1) circuit in 600 amp Panel H2P1. * **
Owner
Applican
Contractor
WORLD VISION BLDG II EC LE
DAWN LANZ
MCMULLEN ELECTRIC INC
20415 72ND AVE S SUITE 210
MCMULLEN ELECTRIC INC
MCMULEI529BF (3/2/13)
KENT WA 98032
203 W STEWART ST
203 W STEWART
PUYALLUP WA 98371
PUYALLUP WA 98371
'Additional Permit Information
Is Use Educational or Institutional ? ....................... No
Service greater than 999 Amps? .............................No
Electrical Fixtures
Alt. Srvc / Feeder 201- 600 amps (t 1 Circuits - Commercial .................... 1
PERMIT EXPIRES Sunday, September 23, 2012
Permit Issued on Tuesday, March 27, 2012
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
a ile City of Federal Way.
Owner or agent: Date:
(0 1W
'� '1"-� lnfl�
'4&CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
12- 101360 -00 -EL Address: 3455 S 344TH ST Suite 200
WORLD VISION BLDG 11 EC LE 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.
0
LIFER Ground (4295)
Ditch cover (4030)
0
Slab /Concrete Floor (42 5)
Service (4235)
Approved
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
� I,, U, -4
El
Pool Bonding (4195)
Temporary Power (4275)
Final Electrical
Approved
0
Service (4235)
Right of Way
Approved
Approved
Date
Approved
By
Date
Approved
By
Date
By
Date
By
Date
0
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
Date
Final - Electrical (4055)
Approved
By
C, Date
� I,, U, -4
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date