02-101680 City of Federal Way Electrical Permit #:02 - 101680 - 00 - EL
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph 253 661 4000 Fax 253 661 4129 Inspection request line: 253.835.3050
Project Name: WORLD VISION
Project Address: 34834 WEYERHAEUSER S Parcel Number: 222104 9031
Project Description: ELE-Run low voltage conduits between 3455 S 344th St and 34834 Weyerhaeuser Way S.
Owner Applicant Contractor
WORLD VISION US MCMULLEN ELECTRIC INC MCMULLEN ELECTRIC INC
203 W STEWART 203 W STEWART
PUYALLUP WA 98371 PUYALLUP WA 98371
(253)845-7593
Electrical Fixtures
ag4tifrfitbescriptici►:,,, Qiiantity
Low Voltage-Other Commercial 1
PERMIT EXPIRES October 20,2002,IF NO WORK IS STARTED.
Permit issued on April 23,2002
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: �C€ Date: l /gs
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cnror CONSTRUCTION PERMIT APPLICATION
v\> ii� L APPLICATION NUMBER: at - J (2 L 0f✓
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APPLICATION NUMBER: - `� -
APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• - - • PROPERTY INFORMATION -
SITE ADDRESS: 34834 WEYERHAUSER WAY SO. ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
COMMERCIAL BUILDING
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING 0 PLUMBING ❑ MECHANICAL ❑ DEMOLITION
'ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): RUN LOW VOLTAGE CONDUITS TO 3455 S. 344TH
FROM ABOVE ADDRESS
PROJECT NAME: idirle 161 Vi. '
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
WORLD VISION ( 253) 815 - 2121 I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
34834 WEYERHAUSER WAY S.
CONTRACTOR: NAME: DAYTIME PHONE:
MCMULLEN ELECTRIC, INC. ( 253) 845 7593
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
203 WEST STEWART ( 253) 845 - 7593
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
9 0 - 1 0 1 8 6 7 - 0 0 ( 253) 840 - .,529
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) MCM ULEI 5 2 9 BF 02 / 28 / 03
APPLICANT: NAME: DAYTIME PHONE:
MCMULLEN ELECTRIC, INC. ( 253) 845 - 7593
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
203 WEST STEWART ( 253) 845 7593 I
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT f J OTHER(DESCRIBE): CONTRACTOR ( 253) 840 - 0529
E-MAIL ADDRESS: -
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ® CONTRACTOR
- ■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
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)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE: $
• . • PRO]ECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) - GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S)
FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ as
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• 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 employe ,upon the accuracy
of the information s "ed to the city as a pa o this plication.
NAME/TITLE: C DATE: 4 1 21 o
❑ PROPERTY OWNER ❑ APPLICANT CONT CTOR
FOR OFFICE USE ONLY:
0 NEW 0 ADDITION ❑ ALTERATION 0 REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? ❑ YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129