14-103165 s
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Electrical
City of Federal Way • .//��
Community&Econ.Dev.Services Permit #: 14-103165-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: WORLD VISION BUILDING 1 CONFERENCE ROOMS 4038/4039
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031
Project Description: Install(2)thermostats
Owner Applicant Contractor
WORLD VISION US SUPERIOR HVAC&ELECTRICAL SUPERIOR HVAC&ELECTRICAL
PO BOX 9716 (GENERAL) (ELECTRICAL)
FEDERAL WAY WA 98063-9716 14900 INTERURBAN AVE S JSHMAMS894QA(12/14/15)
TUKWILA WA 98168 14900 INTERURBAN AVE S
TUKWILA WA 98168
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Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Thermostat. 2
PERMIT EXPIRES Saturday, December 27, 2014
Permit Issued on Monday,June 30, 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
d the CV of Federal Way.
Owner or agent: Date: --30
t elm
JINALED
. THIS CARD IS TO IN ON-SITE '
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103165-00-EL 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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) "❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) .0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ,El Rough Electrical(4225) �El Ceiling Cover(4020)
Approved Approved Approved
By Date By-- ---e S„ Date 7 /S , `By ye-S Date 7 1 (e.
.0 Final-Electrical(4055) '
Approved
c7 Date /- IS ,4
El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date i By Date
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CITY OF EL CTRICAL
Federal Way PERMIT APPLICA ON
14 — to
3 ( JUN 302014
PERMITNUMBER CITY OF FEDERAL WAY
CDS
SUITE/UNIT/SPACE i
SITE ADDRESS: 347/ ? 3 47/ Gv Y G-g j— . 64i 4'r* #c3.4„,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL I CURRENT/PROPOSED USE
$ S`aD OLP A a o y _ 9 o .3 /
PROJECT NAME GU 0 R. � v/ /0� „e34-44-.
— —
(Tenant or Homeowner Last Name) ) ��.r 3 f f
/Al S'? ,f (d 7 '.�;/r-s'4�a r pr;
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ,W P G'' V/,S/D (,253) '., - .A207
MARINO ADDRESS E-MAIL
,'o eon 9?/
yCI�TY y q�� STATE ZIPFAX
oft 9,4%s-9214.
)
NAME PRIMARY PHONE
s—t.ieP Q ' 441.14 e ' Ci /C,9-t. (,2rAff.)4e-r7- P ,/b
MAILING ADDRESS E-MAIL
ELECTRICAL /01,p co /Na m .900
CONTRACTOR CITY STATE ZIP FAX
.5 �►9 G t,0 %Pig?' ( ) -
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
ial`1kt, sp 'v ” / /f //S 3.0-', -/eks U,?'-- 1�
NAME PRIMARY PHONE
APPLICANT ,4-te (I Q )Z? ► -.S y s/PS
MAILING ADDRESS 4 ,�I' EMAIL
-r C49*'' weedeeekwh a 6Lec,et214
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ,4p/ A/se 0.),6 ( #
I certify under penalty of perjury that I am the property owner or authorised 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
an 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: t DATE dw' " 4 C ILL
PRINT NAME: 414 P/ "- r 2+f/a
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application