14-102817 •
Electrical
City ofFederalComm unity&Econ D w services Permit #: 14-102817-00—EL
33325 8th Ave S
Federal way,WA 98003 FILEInspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: WORLD VISION BUILDING 1,FLOOR 1 MULTIPURPOSE ROOM
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031
Project Description: Relocate(2)T-stats and install(1)new T-stat
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
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. 4
PERMIT EXPIRES Wednesday, December 10, 2014
Permit Issued on Friday, June 13, 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: 6././3/' y
FINALED
THIS CARD IS TO MAIN ON-SITE •
t
CITY OF • Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102817-00-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) .El Service(4235)
Approved Approved 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 By Date
.
0 Final-Elect 1(4055)
pproved
___(__5 Dat.q___(6?
El Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
s . ,,
I
%. ,, EL CTRICAL
OI Yof
Federal Way PERMI 4 LICATION
PERMIT NUMBER 14 _ / O Z -- (- CD JUN 13 2014
CITY OF FEDERAL WAY
CDS SUI IT/SPACE#
SITE ADDRESS: 3c f8y y bv.6 yF.,ge,H,4-E-to S coe. 6...09-rt. S• tz-,04,
PROJECT VALUATION ASSESSOR'S TAX/PARCEL i CURRENT/PROPOSED USE
$ 37 S. 00 Z 2. 2. i 0 Lf _ 9 0 3 1
PROJECTrH NAME
wne 1/00g1.-4 \/!S/0"1 & W 1 f2,,P 2 041,64.--r7 iter '�
(Tenant or Homeowner Last Name) � ) . , wl
2..€LocA-TE. (z)' r- s z-A-rc
PROJECT DESCRIPTION X-T-)C t'' _0 ) 'N -1---.cpityl—
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER WO,e,.c4) V/,sto6/f T-C.Pg a-10 ' 'e (22)2/S-- /000
MAILING ADDRESS E-MAIL
to cox' 97/6
CITY STATE ZIP FAX
e 0 w,.1'Y t4),4 9g &? 97/4. ( ) -
NAME PRIMARY PHONE
Su P�o,e, &t)Aa e't�,'cocyatC,4-L.. (ZOG.)VS'7- 74/,6
MAILING ADDRESS E-MAIL
ELECTRICAL /4/4100 /x/Ti '.."-1 'mJ "we s-,
CONTRACTOR CITY STATE ZIP FAX
1' 7're,e MM. 9e/145' ( ) -
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
TSNMAMS ?SyG?A lz 11q / i c Zo-(2-toS2o3- o0
NAME PRIMARY PHONE
APPLICANT fre4 D/ e e/v)u G Lie as? )726 -37 4./a-
0 ADDRESS E-MAI,
/ ver I AJ7t,e u-a e. ,ory s,
r �STATE1NZIP FAX
Sze 044 ( ) -
PROJECT CONTACT
�� / . .► PRIMARY 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 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: /l--"--o""' DATE 62 -/a -it/
PRINT NAME: Z-0l ie€/S 0‘)6 -fei
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application