14-103423 r r •
• Electrical
City of Federal Way .//..//,
Community&Econ.Dev.Services Permit 1t. 14-103423-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: WORLD VISION CONFERENCE ROOMS
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031
Project Description: Wiring for relocating(2)notification devices and adding(1).notification device
Owner Applicant Contractor
WORLD VISION US FIRE SYSTEMS WEST INC(GENERAL) FIRE SYSTEMS WEST INC(ELECTRICAL)
PO BOX 9716 206 FRONTAGE RD N FIRESWI055LW(6/16/15)
FEDERAL WAY WA 98063-9716 PACIFIC WA 98047-1023 206 FRONTAGE RD N
PACIFIC WA 98047-1023
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
Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Tuesday, January 6, 2015
Permit Issued on Thursday,July 10, 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 a in accordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: Date: 1/16/1)y
FINALED
• THIS CARD IS TO MAIN ON-SITE ,
�,r,roF Construction In ection Record ,
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103423-00-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.
0 UFER Ground (4295) "❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) .❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) ElRough Electrical(4225) ' Ceiling Cover(4020)
Approved Approved Approved
By Date By Date 1371-12.2 Date Ot __...4--y
•
El Final-Electrical(4055) `
Approved
Z"
By 2 Date —.-./C7 ��
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.
Elear►'CAC
1/4
CITY OF = PERMIT PPLIC.;., WJE9N
Federal Way
JUL 10 2014
PERMIT NUMBER 0 ✓ 4 Z 3 0
TARGET DATE CITY OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
34834 Weyerhaeuser Way S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 2221049031-
L.
1,000 —
TYPE OF PERMITEREVEl
❑ BUILDING PLUMBING DMECHANICAL ❑ DEMOLITION ❑ ENGINEERING D FIRREE PREVENTION
NAME OF PROJECT WORLD VISION CONFERENCE ROOMS
Fire Systems West will be relocating 2 notification devices and adding 1 notification devices for tenant improvements.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER WORLD VISION US
MAILING ADDRESS E-MAIL
34834 WEYERHAEUSER WAY S
CITY STATE ZIP
Federal Way WA 98001
NAME PHONE
Fire Systems West, Inc. 253-833-1248
MAILING ADDRESS E-MAIL
CONTRACTOR 206 Frontage Road North PhiL@firesystemswest.com
CITY STATE ZIP FAX
Pacific WA 98047 253-735-0113
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FIRESWI 055LW 12 / 31 / 19 19-87-000014-00-BL
NAME PRIMARY PHONE
Phi Le 253-202-7045
APPLICANT MAILING ADDRESS E-MAIL
same as contractor PhiL@firesystemswest.com
CITY STATE ZIP FAX
NAME PRIMARY PHONE - -
PROJECT CONTACT Phi Le 253-202-7045
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence Same as contractor
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 pplication.
SIGNATURE: DATE 07/10/14
PRINT NAME: Phi Le
Bulletin#100—January 1,2013 Page I of 3 k:\Handouts\Permit Application