14-104502Project Name: WORLD VISION BLDG 1 FLOOR 4
Project Address: 34834 WEYERHAEUSER WAYS
Electrical
Permit #: 14 -104502 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 222104 9031
Project Description: Install (2) t -stats for VAV box install for conference room 4032 of fourth floor in building 1
Owner
ARRIlcant
Cky of Federal Way
Community & Econ. Dev. Services
FILE
33325 8th Ave S
SUPERIOR HVAC & ELECTRICAL
Federal Way, WA 98003
(GENERAL)
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY WA 98063-9716
Project Name: WORLD VISION BLDG 1 FLOOR 4
Project Address: 34834 WEYERHAEUSER WAYS
Electrical
Permit #: 14 -104502 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 222104 9031
Project Description: Install (2) t -stats for VAV box install for conference room 4032 of fourth floor in building 1
Owner
ARRIlcant
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
PERMIT EXPIRES Mo y, March 2
Permit Issued May, Se 2014
I hereby certify that the above informatioVn r nd that the
the occupancy and the use will with the laws,4
the City of_Feder
Owner or agent:
on on the above described property and
regulations of the State of Washington
Date: 4?, -T- (4
r
CITY OF VA�
Federal Way
PERMIT #:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -104502 -00 -EL Address: 34834 WEYERHAEUSER WAYS
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.
Final - Electrical (4055)
Approved
By Date
LIFER Ground (4295)Ditch
cover (403)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Pool Bonding (4195)
❑
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
C1W OF
ViZA�hhhl Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 34-434 W!W SPERMIT#: l4 - %o4-5'o2—ov—ci.
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.> WEAL 24 - -(0%3- 1lO - 07.2 r->1Sc-o1-1,'3EGr1Na VkAE1A v, s St-+ t. -G Se�
L-o'ISle. t'e1> W 1TF>' Ahi lIJEnl iI1=lGq T►O,.A ` 71�1aTE � OF Tl-te L1yj_ . %T
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Oi >
r-4 W_ I I D - 14 iA > - G, n -o t- r1 0 S S 141AL1, N► or f3 f; T� ✓� In. N u►-T�U I�'-' g Ls
D N E G 12-0 u N S c-�'�-✓� W 1,� n1 L� s s' SO 14 Ic rJ TI
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IF YOU HAVE QUESTIONS CALL i- A Tr' (253) 835- -1-(, 13
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
Iq 11-4- 11'1�
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF V&
Federal Way
ELECTRICAL
PERMIT APPLICATION
P.0a m
PERMIT NumBER ( + - 10 + �50 Z -0:, SEP 0 3 2014
..IAv
SITE ADDRESS: 3 y g3 r f y X, CDS
/UM/SPACE #
DDS k-�
PROJECT VALDATION
$ S-, OO U, 0o
A sassoR'S TAE/PARCEL #
2 -
CURREAT/PROPOSED USE
PROJECT
PROJECT NAME
(Tenant or Homeowner Last Name)
P e- V AV IT CK r
s �' ! fi P0\0t-, V AV
PROJECT DESCRIPTION
RRC,,O CATS Cj'F IC4-1— ,,'L V rA'V i
Detailed description of work to
be included on this permit only
SAYE
PSMARY PHONE
PROPERTY OWNER
WU A -A D-
YAH.IIfOADDRESS
�."•"
SA--V,�
CITY
STATE
ZIP
FAX
NAYS
S� Pf,. oA- 4V At, f�
PRIMARY PHONE
4S7 - i61
YAUMO ADDRE86 � J _
E-YAD.
ELECTRICAL
r'
CITY
STATE
MP
4glG 8
FAX
( ) -
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE # ZXPMAnON DATE
9'u ? > 8 Ile- G2 /d' /6
FEDERAL wAY susnu SS LICENSE #
20 l a, dos -a- 0.3 00
NAME
PRDfARY PHONE
APPLICANT
-
YAHdNo ADDRESS
rIMAEL
CrrY
STATE
ZIP
FAX
(
PROJECT CONTACT
NAYS
'k -6v// j
PREI[ARY PHONE
9Yo -3(. O
I certify under penalty of per, jury 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 comp1y with
all applicable City of Federal Way regulations pertaining to the work authorised 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 parf of this application.
SIGNATIJRi"
PRINT NAME:
9 - 3,,/
Bulletin #160 - January 1, 2013 Page 1 of 2 k:\Handouts\Flectrical Permit Application