15-100874 r • •
Electrical
City of ay
Community&EcoeonrDlev.Services Permit #: 15-100874-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
4—
Project Name: WORLD VISION 1ST FLOOR
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031,
Project Description: Adding/altering up to(4)circuits for lighting and switch in storage room
Owner Applicant Contractor
WORLD VISION US SUPERIOR HVAC&ELECTRICAL SUPERIOR HVAC&ELECTRICAL
PO BOX 9716 (ELECTRICAL) (ELECTRICAL)
FEDERAL WAY WA 98063-9716 14900 INTERURBAN AVE S SUPERHE869LQ(6/18/16)
SEATTLE WA 98168 14900 INTERURBAN AVE S
SEATTLE 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
Circuits-CommerciaL 4
PERMIT EXPIRES Monday, August 24, 2015
Permit Issued on Wednesday, February 25, 2015
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. t
Owner or agent: Date: 2-2-S--/
VXXSI
t
THIS CARD IS TO MAIN ON-SITE
40111
CITYConstruction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-100874-00-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.
LIFER 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) Ell Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' D Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By DateByn- `y Date 41.--9-t4-4,:s
O Final-Electrical(4055)
Approved
By 04 Date 3 A(,,-
•
r
❑ Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF E CTRICAL
Federal Way PERMIT APPLICCATTION
PERMIT NUMBER l 5 _ 1 0 0 8 -74 _ 00 FEB 2,4-2015
C$BISEpUNI'f ti L WAY
SITE ADDRESS: 3y8 34 v��.y�1-��E� ' L `J S. �c�r c�� tj, CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# O CURRENT/PROPOSED USE
$ 1, 100 2 2 1 O 41" _
PROJECT NAME p \ /�0�
(Tenant or Homeowner Last Name) W ��� V t 5 1 0 Ni t ��— F1-`'
Dtst K-4 t1NCSOP�t-
PROJECT DESCRIPTION" � >=A PVC-J. ( ,
Detailed description of work to 1 tJ S i TIL-1.-- >r- i� t,� SvJt i c - CZ) R N
be included on this permit only
c•-3 b P (l�_ �z�'� 1 . I.4tH}l C4 P.--c_L tT Z-
�w t 1-C-1-- (VILA_ t....-)012-11.-
NAME
)c l211.-NAME` PRIMARY PHONE
PROPERTY OWNER WI `o L .1'� �/ S I o>J (253 ) 1 -1000
MAILING ADDRESS E-MAIL
31-1 (6 3 L1 W.4-.}eR\nA'�t3tst✓.(4. V\1%./ S.
CITY STATE ZIPP FAX
ZI
k'-4. A L.- �!�-`-( \i (� i a c)O( ( ) -
NAME \ \ PRIMARY PHONE
`J...1( 0(2- i� ) (2.010 ) 1457 - 8(01(0
MAILING ADDRESS1#--
E-MAIL
ELECTRICAL 14900 J r f�-c c A S. #- U
CONTRACTOR CITY STATE ZIP FAX
52-CI-N C \ADACt81 (Za0 )6)74 - '-}G(o la
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
5%.4) (2.4-‘e• cod / I`2� /f la 2.0-i2.-/65203-o6-'BL..
NAME PRIMARY PHONE
..LSAac 77;51(--\ ( 253) 1911 - 6-1tp0
APPLICANT MAILING ADDRESS E-MAIL
1.4900 ASE S. 136 lsiagc-s @sem( .rioRN.lq <441
CITY STATE ZIP FAX
1BltGS (2C) (0-14{ - gtP6
NAME PRIMARY PHONE
PROJECT CONTACT 1_c1-01 t a S (ZO(u )C1 3 -3628
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,
i 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 o this application.
C_.
SIGNATURE: DATE Z -2 S )S—
Bu NAME: Tc�PuP L.- ='Sh
Bulletin#160-January i,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application