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06-103673 * 1 Community De CityoeFederalWay velopmentServices Electrical Permit #: 06-103673-00-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: 3455 S 344TH WAY Suite 200 Parcel Number: 222104 9006 Project Description: Install low-voltage data cabling in tenant space. Owner Applicant Contractor WORLD VISION INC INTRACOMMUNICATION NTWK SYS INC INTRACOMMUNICATION NTWK SYS INC PO BOX 9716 4922 N PEARL ST INTRANS994JL (4/10/07) FEDERAL WAY,WA TACOMA WA 98407 4922 N PEARL ST 98063-9716 TACOMA WA 98407 Additional Permit Information Electrical Fixtures Low Voltage-Other Commercial-1,550.( PERMIT EXPIRES Monday, January 22, 2007 Permit Issued on Wednesday, July 26, 2006 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 an f th C of Federal Way. Owner or agent: �� Date: 7 ( 6 to t o r , A THIS CARD IS TO REMAIN ON-SITE • CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-103673-00-EL Owner: WORLD VISION INC Address: 3455 S 344TH WAY Suite 200 FEDERAL WAY, WA 98023-3131 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) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ] Final-Electrical(4055) Approved Approved Approved By Date By Date By WI Dates 4.1 D(j ❑ Under-slab groundwork(4295) Approved By Date BEC tVED AT'eder�aiWay JUL 2 6 ��'� Ea L _ / 6 _5 62 7 _3 RMIT - - - oo�fwuJmrnQvscorJ�nrrsaev1 SF MF COMk,EL PL DE FN FP c�� QF FED€RA6 W 333258nsAVENUESOU17/•NOBOX Q11f1 f1`Na E ro ; f,JDERAL WAY,WA 94063 9714 13 f� P LI C AT I O N 253-8354607*FAX 253-835-2609 _ www.citvof edemhuau.com The ollowin. is re•uired i ormation-an Inco .lete a.•lication will not be acce•ted. Please •rint legibl n or • . `/ III PROPERTY INFORMATION r� SITE ADDRESS 3'(�`r SO li`t k1 41.14 c„ ./ SUITE/UNIT# Qd�DQ�.�v�1 ASSESSOR'S TAX/PARCEL# 2. Z- Z. / U 9- - I/ D . 0 c p LOT SIZE(s� C �� `� LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Nmch• agwlw�Ww*al d �i • ■ PROJECT INFORMATION • TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 'l ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlii) I l'1544:II 1-Ow 00/1(4,c 04-64 nJ 'r 7, is . (1)44-) PROJECT NAME(Name of Business or Owner Last Name) 110 oriel Li l S 1 d ✓L • PEOPLE INFORMATION PROPERTY NAME 1 ' / PRIMARY PHONE OWNER O P l J V ((t O— tete 7 (-sr r)g - /404341 MAILINGiA©R 17K 2 ?I1e re-C 4.CITY, VV / l! .)•T . 4 004,2. ! 71ij CONTRACTOR COMPANY NAME AP LICANT NAME OFFICE PHONE till /�� gkSys. fni 4i S' ( a$.3) 73,7_ - ?335 MAILING ADDR CITY,STATE,ZIP CELL PHONE 'p — (�Sr/: elf AA Na. P> -r S "rte.�e, (' ) - --,.—. CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER — --QL- Q S" i ' . /q)--' 3( ' 0� FAX ) - CONTRACTORS REGISTRATION NUMBS copy of card regnirS with each apation) EXPIRATION DATE ,Z -LQ. & ts1 q _ ai-- / / APPLICANT CO/M:ANY NAME APPLICANT NAME OFFICE PHONE l.er'l`tC r ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑Tenant 0 Agent 0 Other(Describe) ( ) - CONTACT NA SL -L4i PRIMARY PHONE E-MAIL ABDRESS Ares 6,./dS(C410/11i '6014 LENDER NAME MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ • SPRINKLERED BUILDING? d YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT • FIRST SECOND THIRD FOURTH • ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) • GARAGE 0 CARPORT 0 RsuTRpa PROPOS= TOTAL NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(comm.rd.Q WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS i GAS PIPE OUTLETS PLUMBING • BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS goo MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS • LAVS(Bathroom arum VACUUM BREAKERS ELECTRIC WATER HEATERS • DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 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. Qs7(t76761& / NAME/TITLE �� ! G�(r1 r DATE 7( v?6 D& (Signature) (rule) RELATIONSHIP TO PROJECT a Owner o Agent 0 Contractor 0 Architect O Other • y i so A 151; °.7:, e'.,._,.,... ,i 0 'oJ.t;;S..ri.,,7 =33i3 ),:.'r0 ,. ,LJ� ,,ld�333. Bulletin#100—January 1.2006 Page 2 of 4 k\Handouts\Permit Application