13-105549 • • Electrical
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-105549-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: WORLD VISION BLDG II- 1ST FLOOR CONFERENCE ROOM
Project Address: 3455 S 344TH ST Parcel Number: 222104 9006
Project Description: Install(1)thermostat for VAV box
Owner Applicant Contractor
WORLD VISION BLDG II EC LE SUPERIOR ENGINEERING SERVICES DBA J SUPERIOR ENGINEERING SERVICES DBA J
20415 72ND AVE S SUITE 210 S H MAINTENANCE SERVICES LLC S H MAINTENANCE SERVICES LLC
KENT WA 98032 14900 INTERURBAN AVE S (ELECTRICAL)
TUKWILA WA 98168 JSHMAMS894QA(12/14/15)
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 Amps9 No
Electrical Fixtures
Thermostat I
PERMIT EXPIRES Wednesday, June 11, 2014
Permit Issued on Friday, December 13, 2013
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: � l l3! l 3
./6"( e(4)
THIS CARD IS TO AIN ON-SITZ
�.TYOF • Construction Ins ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-105549-00-EL Address: 3455 S 344TH ST
Project: WORLD VISION BLDG II EC LE FEDERAL WAY, WA 98001
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.
O UFER Ground (4295) 0 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) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ' 0Rough Electrical (4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical (4055)
Approved
By Vita Date 1 bd 14
Rough Electrical Final Electrical •I=1Right of Way
❑ Approved ElApproved Approved
By Date By Date By Date
• • . .
4 ELECTRICAL
CITY OF
Federal Way PERMIT APPLICATION
RECEIVE®
PERMIT NUMBER ( � _ ( v5— oo
—�—
DEC 132013
DI
SITE ADDRESS: ? 9,s—&— s� 3 L./�fT4 C.?, CIIY OF FEERAL WAY
CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ .2 s-o. ria 2 2 2 / 0 9, - 9 O O L
PROJECT NAME 14)0 X.L4) (II S1 o N / c--t)L, .r
(Tenant or Homeowner Last Name)
/A)ST?q'e'.4.. (, ) ? �4t-sr'7"*r +'e V/41/ QOX,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER EA--ST Cf4,n&A4 S GOA-P, PR-R..K ja_ ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
S
j MAILING ADDRESS s(,Ge. E-MAIL
'ELECTRICAL /c/9O 1 e°B,tr/ /tv4, S", /3 a
/6\ CONTRACTOR CITY STATE ZIP FAX
7-74,41w/4, 4 r . 4. 9f/6p ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE l
.TSuA4 ierms P9yQA /Z / Iy / /3 20-/a-/oY_ o3-00
NAME PRIMARY PHONE
APPLICANT / Pi
R.esti, 6 &/2 (�' 226.)7� - 32''S'
MAILING ADDRESS E-MAIL
,S/ H? e. 42/1.,s0/,Qe,f[J9ER/BRHVAG-6/eG,c044
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT /914P, P,e...S/r,G ER (zj'f ) 'J'L - 3 7 VS'
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: 04-'1-'4 ` ` DATE ie2//.2//y
PRINT NAME:
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application