07-104578City of elol Way
Community Development Services • Electrical Permit #• 07 -104570 -00 -EL
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: WORLD VISION
Project Address: 3450 S 344TH WAY Suite 200E - Parcel Number: 222104 9040
Project Description: Relocate (60) circuits
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Additional Permit Information
Electrical Fixtures
Circuits Commercial ................... 60
PERMIT FXPIRFA Mnnrinu Aiirnnct 14 9nnR
Owner
Applicant
Contractor
WORLD VISION US
MCMULLEN ELECTRIC INC
MCMULLEN ELECTRIC INC
PO BOX 9716
203 W STEWART
MCMULEI529BF 2/28/09
FEDERAL WAY WA 98063-9716
PUYALLUP WA 98371
203 W STEWART
PUYALLUP WA 98371
Additional Permit Information
Electrical Fixtures
Circuits Commercial ................... 60
PERMIT FXPIRFA Mnnrinu Aiirnnct 14 9nnR
City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WORLD VISION
Electrical Permit #: 07 -104578 -0a -EL
Project Address: 34834 WEYERHAEUSER WAYS
Project Description: Relocate (60) circuits
Inspection Request Line: (253) 835-3050
FI L 1pz*m Parcel Number: 222104 9031
Owner
Applicant
Contractor
WORLD VISION US
MCMULLEN ELECTRIC INC
MCMULLEN ELECTRIC INC
PO BOX 9716
203 W STEWART
MCMULEI529BF 2/28/09
FEDERAL WAY WA 98063-9716
PUYALLUP WA 98371
203 W STEWART
PUYALLUP WA 98371
Additlonai Permit lnfcrrmMidii
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104578 -00 -EL
Owner: WORLD VISION US
Address: 34834 WEYERHAEUSER WAY S
FEDERAL WAY, WA 98001-9520
This card is part of your required inspection documents. 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.
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
�j •�
❑
Pool Bonding (4195)
❑
Approved to place concrete
Approved
Approved
Date
Approved
By
Date
By
Date
By
Date
❑
❑
Temporary Power (4275)
❑
Service (4235)
Feeders/Sub-panels (404 5)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑
Rough Electrical (4225)
Approved
Byj(0—Date
�j •�
❑
UFER Ground (4295)
Approved
By
Date
❑ Ceiling Cover (4020)
Approved
By Date ? ` 5 .d
❑ Final - Electrical (4055)
Approved
By Dat 3-0
For rector reference only _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
C"Of � -
Federal way I i iW PERMIT
CJMMUNITY DEVELOPMENT SERVICES ^ 1 G
33325 STM AVENUE SOUTH • BOR 97] 8 A _ ' L I C AT I O N
FEDERAL WAY, WA 9806363 -97]8
',3 -835 -2607 -FAX 253-835.2609 Q� ��►�
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The following is
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will not be
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rted. Please print legibly /in ink) or type.
SITE ADDRESS ua�e ► V (, "q SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # - LOT SIZE (so
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) [A --k 1 lam- C�
/Attach separate Page jar lengthy legal desafPha^I
PROJECT• - •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION )(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROD T DESCRIPTION (ProWe detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE•- •
PROPERTY
-RINER
CONTRACTOR
APPLICANT
CONTACT
LENDER
ZSTING USE
NAME�y PRIMARY PHONE
MAILING ADDRESS CITY, S
JATE, ZIP
,-5 �j wa�i TitcUlyci- ( V\jr,7k-"--1 , vva
PAM
T
P �,V`NT tl/�l�
LICANT NAME
OFFICE PHONE
t,
CELL PHONE
MAILING ADDRESS
1C��
1C,6\V�
� V�ZvV
STATE ZIP /� �/ (� _
l (Al� oe \rvft I J f
CELL PHONE
(
-
C F FEDARA WAY BUSINESS LICEN N MBE PIRATION DATE
-� �I 1 o i r�B l i ���
FAX NUMBE
(-zsI )-
r
��, l
L
�O � Ctl'QR5 REGISTRATj9N NUMBER (copy ol�card r with each application)
EXPIRATI�
DATE
wmn ! I
`v��: �J�.
P �,V`NT tl/�l�
MAILING AD RESS
C STATE,?;I
CELL PHONE
RELATIONSHIP TO PROJECT /� FAX NUMBER
XOther
❑ Architect ❑ Tenant ❑ Agent (Describe)Yf
NAME PRIMARY PHONE E-MAIL ADDRESS
DC v� Ir1Gje2s c 5�- z'i `� 3
PIr��Y�CW191is095 Lmuder if4fO�itaLiOn i!
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
3 . FT.
TOTAL
SQ. FT.
BASEMENT
FANS
HOODS (commercial)
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS rrwii q
MISC (Describe)
DECK(COVERED?)
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
s�aeTaa
P-SZD
TOTAL
7DTAL sSSTIIa eP
TOTALPSOPO'm BT
TOTAL BT
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
Value of Mechanical Work $
AIR HANDLING UNITS
'EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
PLUMBIIVG
BATHTUBS (-Tub/Sh—Combo)
SHOWERS
WATER CLOSETS rrwii q
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS(Bathroom Sinks
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cortVy under poly of perjury that the Wormation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is mads I further agree to hold
harmless the City of Federal Way as to any claim (including coats, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made by any person, including the undersigned, andfiled sled against the City of Federal Way, 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.
NAME/TITLE T� v �/ v DATE1
(Signature)
RELATIONSHIP TO ROJECT o Owner o Agent U041t,actor ❑Architect o Other
ZONING I)ESIr3MATION '. ;;CHANGE yOF U8E? o YES, NO.
NEW:ADDRE88'REQUIRED? o YES, n NO.,
PL"ATTED:LOT?❑ YE9 .o NO =OEMO'�PERMIT REQUIREDP b YES `` .,'o NO`
Bulletin #100— August 19, 2004 Page 2 of 4 k\Handouts\Pennit Application