14-104501 •
• • Mechanical
Cat &Federal wayFILE Permit #: 14 104501 00 M E
CommunityEcon.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: WORLD VISION BLDG 1 FLOOR 4
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031
Project Description: Install VAV box for conference room 4032 of fourth floor in building 1
1
Owner Applicant Contractor
WORLD VISION BLDG II EC LE SUPERIOR HVAC&ELECTRICAL SUPERIOR HVAC&ELECTRICAL
20415 72ND AVE S SUITE 210 (GENERAL) (GENERAL)
KENT WA 98032 14900 INTERURBAN AVE S SUPERES885D3(3/23/16)
TUKWILA WA 98168 14900 INTERURBAN AVE S
TUKWILA WA 98168
Additional Permit Information
Mechanical Work Valuation 9000.00 Is this an Online or O.T.C.application? Yes
Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Monday, March 2, 2015
Permit Issued on Wednesday, September 3, 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 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: C q 3-/
Let)
tax
�t
• THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-104501-00-ME Address: 34834 WEYERHAEUSER WAY S
Project: WORLD VISION US FEDERAL WAY, WA 98001-9520
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.
❑ Mechanical Rough-in(4165) ' 0 Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By M Date i 124. I it
•
I
El Rough Electrical Final Electrical
El
Right of Way
Approved Approved Approved
By Date By Date By Date
;LA • 04 deral Way PERMIT
FeSF MF CO tigbefferiN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www.cituof/ederatwau.com SEP 03 2014
SITE ADDRESS CIT\D�fTE ' RAL WAY
'-/ we,Y64/AES +k (AA 11-4d
. •R s"¢
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL t
$ g, e2t2 7, 00 t z - t 0 Li - q 0 I
TYPE OF PERMIT ❑BUILDING 0 PLUMBING XMECHANICAL
❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT p 1
(Tenant Name/Homeowner Last Name) W 0 g G V)$!'Q t V 81-1)61. 1
PROJECT DESCRIPTION Nsir-ft-LA, V AV ES®)( F�4 -+3 P-- Fes. .. G {fes000.t �-L 03.2-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAUJNG ADDRESS E-MAIL
CITY STATE ZIP +
NAME
V P f t O R i C 1(� 64.°� -1 Gf4 L_.. tab-'' /- d x.16
MAKING ADDRESS `A
CONTRACTOR I V,00 l'`-FZo,Q& AVE S $L.?/ /3 0
CITY STATE ZIP FAX
WA STATE CONTRAC'TOR'S LICENSE# EXPIRATION DATE/ FEDERAL WAY BUSINESS LICENSE#
trz? 3 i X41 ills 2o/.�l o..20300
NAME PHONE
MAILING ADDRESS s tf EMAIL
APPLICANT
CITY STATE ZIP FAX
PROJEC
NTACT NAME
ji,vi, Cni o receive and i e °v< ' ^ PHONE
4 '3 O 4-3404)
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) SfritAJE S C,311411e C1Thot,„.
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP 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 defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where suck 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: DATE 9-3 - r
47/
PRINT NAME: ,-'0/ 64°S/ erJ
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application