14-104065 ~ r
} • Ele4110trical
F I LE
Community&Econ.Deof Federalv.ay
ervices Permit #: 14-10406S-00-EL
33325 8th Ave S
Federal Way,WA 98003 ection
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)8354050
Project Name: WORLD VISION BLDG 1
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031
Project Description: Install miscellaneous power,rework light switching.
`
Owner Applicant Contractor
WORLD VISION US OLSEN ELECTRIC INC OLSEN ELECTRIC INC
PO BOX 9716 325 WASHINGTON AVE S SUITE 91 OLSENEI931PE(10/5/15)
FEDERAL WAY WA 98063-9716 KENT WA 98032 325 WASHINGTON AVE S SUITE 91
KENT WA 98032
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional" No
Service greater than 999 Amps9 No
Electrical Fixtures
Circuits-Commercial. 3
PERMIT EXPIRES Saturday, February 7, 2015
Permit Issued on Monday,August 11, 2014
I hereby certify that the above i• : ation is correct and that the construction on the above described property and
the occupancy and the us- • in accordance with the laws, rules and regulations of the State of Washington
ity of Federal Way.
Owner or agent: __= Date:
çFINALED
1
THIS CARD IS TO IN ON-SITE '
CITY OF 0 Construction Ins ection Record ` .
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-104065-00-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) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
�_ Date 8'S!! y B Date,t,-h_Date By eL
0 Final-Electrical(4055)
Approved
0j/ Da %7\_._ /
t/
❑ Rough Electrical ElFinal Electrical Right of Way
Approved Approved ElRight
By Date By Date By Date
AUG 11 2014 ELECTRICAL
CITY OF
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
f CDS
PERMIT NUMBER / _ / 0 c - C
L ((( SUITE/UNIT/SPACE#
SITE ADDRESS: D.+ ex-VC e -r- (-/y1
J t:-e- c,1(A)L4
PROJECT VALUATION ASSESSOR'S TAX/ CEL# CURRENT/PROPOSED USE
PROk000 o -4 - 6
CT NAME
(Tenant or Homeowner Last Name) V / l
\nom,\,\ <NV„5( . oweCs , kr--e_ `i4k�
PROJECT DESCRIPTION 6
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER V V CTC\L \J'5 t 04,N ( )
MAILING ADDRESS E-MAIL
3434e.�,uh eine� W�7
CrSTATE ZIP FAX
e-6eco VvA
NAME PRIMARY PHONE
Olsen — le t- . (a5 ) e-i (CLOS
MAILING ADDRESS E-MAIL
ELECTRICAL 3Ckc St�n�EJ�l�cn��ec�a�Cz Pie
CONTRACTOR CITY �J STATE ZIP FAX
VVe7V;-. tJ/ aPC)3°Z_ ( '? )02 -t 6e
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
G�- OL6cNE.ACk3\P (o i S 420 020-OS-(o ,t2 -coo -(
NAMEPRIMARY PHONE
APPLICANT Ius -`�
-4 (0`253) MOS
MAILING ADDRESS E-MAIL
S WC.,3 ,r� ,g�ie- E) ` Jus.-r.1e of e(,earu , nc4
CITY STATE ZIP FAX
theink_ WA cl3ova ( ) -
NAM PRIMARY PHONE
PROJECT CONTACT CXG,(A, LAJLe.is k- ( -) 431 -
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 th ity as a part of this application. t 1
SIGNATURE: 0 "*^ DATE S ` ` —02-0 I
PRINT N E: d u s t/N\. 6-„r c 1(Z1
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application