HomeMy WebLinkAbout15-105605 -�,...�►. ELECTRICAL
CITY OF
Federal Way PERMIT APPLWA T N
PERMIT NUMBER k _ ( d 5 Co 0 5_ 0 0 NOV 0 4 2015
CITY OF FEDERAL WAY
SUITE/UNIT/3PAQE#
SITE ADDRESS: 60 t( C j�7'j pL. 4,,,-0,( ,„k„, a� eio 3 `���V'�J'PROJECT VALUATION (l J ASSES��SOR'S TAX/PARCEL# ! J CURRENT/PROPOSED USE
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PROJECT NAME �0 - 1- ,6,1\1 L A VA-
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(Tenant or Homeowner Last Name) A-
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAMEI PRIMARY PHONE
PROPERTY OWNER �-Vct IA 4 IyvWt,\C (5j(C t t, wuk' W (40 ) :-;,-,)-7-- 6))i9-6)
MAILING ADDRESSE-MAI
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CITY STATE ZI FAX
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NAME ;j PRIMARY PHONE
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MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE
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APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
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NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 p of this application.
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SIGNATURE: �� DATE 11/ u�( /i J
PRINT NAME: U(1-✓l i )(G� V& + v
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application
•
Electrical
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&Federal Way Permit#• 15-105605-00-EL
Community&Econ.Dev.Services •
33325 8th Ave S F,..3!.. L
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LOKHAMATOVA
Project Address: 604 SW 307TH ST Parcel Number: 178880 0560
Project Description: Adding(1)circuit for lighting fixture for patio cover
Owner Applicant Contractor
LYUDMILA LOKHAMATOVA LYUDMILA LOKHAMATOVA OWNER IS CONTRACTOR
604 SW 307TH ST 604 SW 307TH ST
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 1
PERMIT EXPIRES Monday, May 2, 2016
Permit Issued on Wednesday, November 4, 2015
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.
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Owner or agent: � ����� Date: {/ O J /
' THIS CARD IS TO REMAIN ON-SITE
CITY OF , Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-105605-00-EL Address: 604 SW 307TH ST
Project: LYUDMILA LOKHAMATOVA FEDERAL WAY, WA 98023-3977
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.
-0 UFER Ground (4295) ❑ Ditch cover(4030) ' 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) CI Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
By �A‘.....� Date 1_11_11c
D Rough Electrical CI Final Electrical Right of Way
Approved Approved Approved
By Date By Date By .„ Date