13-102089 t at
Electrical
City of Federal Way . ' • •
Community&Econ.Dev.Services Permit #: 13-102089-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609 „ M
Project Name: DUTKA
Project Address: 32233 MILITARY RD S Parcel Number: 236810 0190
Project Description: Permit to complete the work and receive final inspections for Permit#'s 09-102027
&11-102637.
Owner Applicant Contractor
VADIM&IRINA DUTKA NAVI PACIFIC CONSTRUCTION OMEGA ELECTRIC
37842 38TH AVE S 1335 120TH AVE NE OMEGAE*962JF(4/6/14)
AUBURN WA 98001-8720 BELLEVUE WA 98005 13337 SE 227TH PL
KENT WA 98042
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures'.
Low Voltage-Burglar Alarm(Res 1 New Service:Residential 1 Thermostat.
PERMIT EXPIRES Saturday, November 9, 2013
Permit Issued on Monday, May 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 Feder y.
Owner or agent: .o Date:
•
• 'THIS CARD IS TO MAIN ON-SITE
ctrr • , • - W Construction In, ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-102089-00-EL Address: 32233 MILITARY RD S
Project: VADIM & IRINA DUTKA 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.
❑ UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
•
By Date By Date By Date
o Final-Electrical(4055)
Approved
By N Date to_a g�‘..
E l Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
R,FEIVED
CITY OF �� MAY 13 2013
EL CTRICAL
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
/ CDS
PERMIT NUMBER / _ / 0 ,02k
O q —
3 a 2 3 SUITE/UNIT/SPACES
SITE ADDRESS: Z 2.3' fir//, N S �
PROJECT VALUATION ASSESSOR'S T ARCEL S CURRENT/PROPOSED USE
$ _ 8 / D - d qo _f /hal
PROJECT NAME
(Tenant or Homeowner Last Name) 6 e 7h 4
PROJECT DESCRIPTION 1 �
Detailed description of work to -� ( . T -
be included on this permit only y� l �y 2 o 2 - ) r f ` /0? (0 3
r cT
NAME PRIMARY PHONE
•
PROPERTY OWNER Zrj12,61r,1-1 (i06 )30'
MAILING ADDRESS �j E-MAIL
3�r�7 S 379 ...011:203 ri as/.0r el
CITY STATE ZIP FAX
�ccroc 094 'goo/ (1fic) 2L -
NAME PRIMARY PHONE
e 7 c'ic (tog ) 776'-
MAILING ADDRESS E-MAD.
ELECTRICAL /333 7 S 227// PZ
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
PHONE
APPLICANT
NAME !�t2 c-14,--1. /Jc1 Lam-! (f0V)79 PRIMARY 52'3
MAILING ADDRESS E-MAIL
J07 S' 37f
CITY
� a STA ZIP FAX
/9C ,� i Moo/ ( )PRIMARY
HONE
PROJECT CONTACT xwME G Q ' CA -14 (206')SS? 51-e
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: �`'4,�_ �� DATE ®-§A/3
PRINT NAME: G,/,22/`>P -A
Bulletin#160-January 1,2013 Page 1 of 2 k:\landouts\Electrical Permit Application