13-105746 glectrical''
` City of Federal Way • •
Community&Econ.Dev.Services Permit #: 13-105746-00-EL
33325 8th Ave S
Federal Way,WA 98003 t
-, Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DUTKA ...J K
Project Address: 32233 MILITARY RD S Parcel Number: 236810 0190
Project Description: Low-voltage wiring for automatic gate.
• `
Owner Applicant Contractor
VADIM DUTKA SECURITY GATE AND ACCESS LLC SECURITY GATE AND ACCESS LLC
IRINA DUTKA (ELECTRICAL) (ELECTRICAL)
3407 S 379TH CT 5402 184TH ST E SUITE E SECURGA886KZ(5/9/14)
AUBURN WA 98001 PUYALLUP WA 98375 5402 184TH ST E SUITE E
PUYALLUP WA 98375
Additional Permit information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
Low Voltage-Other(Residential). 1
PERMIT EXPIRES Wednesday, June 25, 2014
Permit Issued on Friday, December 27, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andth 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: Date:/.Z.-/02 7/'G/3
THIS CARD IS TO MAIN ON-SITE
"TY OF "" Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105746-00-EL Address: 32233 MILITARY RD S
Project: VADIM 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.
0 UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
By ' a9 Date I 1 2I 1 4
El Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. ecEIVED .
t
CITYOF C2013
ELECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
l CDS
PERMIT NUMBER / 5 - / 0 5 7 7 6 - L
SUITE/UNIT/SPACE#
SITE ADDRESS:
33 ,y it-rthlit Y RD -
PROJ'v ALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 9/4 a 3 4 8 /- 0
-g / _ 0 ( 6. -•400c;-,,.. -
(Tenant or Homeowner Last Name) 6411,AI y',f,t/ ( `n L�� 1�- -)
J
,w v ,L-'r* E &L+ ) G-1-71-
-,-1 G �to r-AfA-- &A
i )
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER LEE M oil/VA-AI (360 )509 - yille 7
MAILING ADDRESS E-MAIL
3.2,233 "4,-mte•r RP
CITY STATE ZIP FAX
gED E w t wA- 9C00 ! ( ) -
NAME ,., PRIMARY PHONE
5,cz42I7 Y GA-1'E A.to hec ` (2.s3 )T197 - X1362
MAILING ADDRESS E-MAIL
ELECTRICAL Syo 2_, 1 8$1 5?E 5 c,/-;4" G 56A UPI F'0,04/2.. e.47
CONTRACTOR CITY STATE ZIP FAX
PvYA//v1° 114- 9' ' ( )
h" 18 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
S CvkGA g e6KZ S / / Ili
I
NAME PRIMARY PHONE
APPLICANT -40 ifA) Rai,9//- (263 )973 -/7/7
MAILING ADDRESS EMAIL
7:6. 4/ 60/ 96A-2 lk-d6r4/L.ta,--/
CITY STATE ZIP FAX
G I/Ai tvA- 94'336 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT
Ade-k- Ai/A- fLL ( ) 2
43 375- Ve9
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 supplie• to the city as a part this application.
Il 4„ 1 z
SIGNATURE: OL-- DATE /0Z4.17//3
PRINT N, , ,/J —L K4 //
Bulletin#160–January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application