15-103241 • ElecF ims c, •
trical
City &Federal Way . Permit #: 15-103241 -00-E L
Communi Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: WORLD VISION 3RD FLOOR
Project Address: 34834 WEYERHAEUSER WAY S Parcel Number: 222104 9031
Project Description: Low-voltage wiring for fire alarm modifications.
Owner Applicant Contractor
•
WORLD VISION US FIRE SYSTEMS WEST INC(ELECTRICAL) 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 Saturday, January 2, 2016
Permit Issued on Monday, July 6, 2015
I hereby certify that the above informations 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:
Vt9
f‘141‘
THIS CARD IS TO REI�N ON-SITE _ _ _
CITY OF • Construction Ins a"tion Record
Federal Wayp eco d
INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-103241-00-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) - 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
'
El Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ElCeiling Cover(4020)
Approved Approved Approved
i t
By Date By Date By . '4,! Date "1 ' ca a
o Final-Electrical(4055)
Approved
By Date 1 (2t (,ç
❑ Rough ElectricalCI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Ait.
PJJECTRICAL
CITY OF �'-' JUL 06 2015
. Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
/ CDS
PERMIT NUMBER /15 _ 0 (.9 (/ / _ �j
(( ( CC�i SUITE/UNIT/SPACE#
SITE ADDRESS: - rte/ F%Uo
�/`b3`/ ��L 2klAc c�5c (t `/ 5 CCflgt Ia1�y R
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3 00 a a� a, Cf y _ c, cis ,, \
PROJECT NAME
(Tenant or Homeowner Last Name) L,_. (3„.Alsj VIS1c»J ,C- C Loo(L
/4/4-7711 c_ /VLf ' 4/ar-/-, /e-/Pr--4,,L-1 `,r�Crl//C C3 /W A,
PROJECT DESCRIPTION /�c-C 0647 Ah TiL'' 4-7 Cdr✓ �G7/e �.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER LTr,&A-Xi �/iS1o� 1K)C ( ) -
MAILING ADDRESS E-MAIL
5`/`63`1 C-3CyE^�r4"NL=(Th G11.- L..3 ' 5
CITY STATE ZIP FAX
�� ` NAME PRIMARY PHONE
f�/I C-k izc s� rc,ns �� s� I (25/3) S33 -/-y�
MAILING ADDRESS / E-MAIL
ELECTRICAL 4 c�Co (r as.g.- '}(,t<, (LD l-_) Su i - L
CONTRACTOR CITY STATE 'ZIP FAX
'.�N( t(_ c.ai `''196cb`t`1 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
r4��;-4c-sc.,/ c6S"sz-� / /t / /7 19 -%7-oc6w5l
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT M/971--- a A.i
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 y,ut 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: --."'/ DATE 2 i t/e--7 /5--
PRINT NAME: /Wig-- Na—/'1f/i(;/ —I
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application