16-102859 =City Electrical
Dev.Services Permit #: 16-102859-00-EL
ve SA s6003Ins ection Re uest Line: 253 x:(253}835-2609 p Q � )835-3050
Project Name: PRIDWEN DEVELOPMENT LLC
Project Address: 30226 7TH AVE S Parcel Number: 064300 0140
Project Description: Add(1)can light in kitchen and(4)in living room,add(2)circuits for dishwasher and
disposal.
Owner Applicant Contractor
PRIDWEN DEVELOPMENT LLC NIKOLA I MARTINOV NICK'S ELECTRIC SERVICE LLC
218 MAIN ST NICK'S ELECTRIC SERVICE LLC NICKSES859RG(12/07/2017)
KIRKLAND WA 98033 620 N 202ND ST 620 N 202ND ST
SHORELINE WA 98133 SHORELINE WA 98133
Additional Permit Information
Electrical Work Valuation? 1600 Is this an Online or O.T.C.application? Yes
Is Use Educational or Institutional? No
Electrical Fixtures
Circuits-Residential 2
PERMIT EXPIRES Saturday, June 10, 2017
Permit Issued on Friday, June 10, 2016
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: Date:&6//E2 //.6,
4/11 THIS CARD IS TO REMAIN ON-SITE
Festal Way INSPECTION
Construction
835-3050 rd
PERMIT#: 16-102859-00-EL Address: 30226 7TH AVE S
Project: PRIDWEN DEVELOPMENT LLC FEDERAL WAY, WA 98003-4050
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.
El LIFER Ground(4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) ' 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By INS Date to II-114, By % , Date L((-7 I I,,, By V Date (,(l1 I he
•
O Final-Electrical(4055)
Approved
By kiS.L Date 53"--.0--"i
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF A RECEIVED ELECTRICAL
Federal WayJUN 10 2016 PERMIT APPLICATION
CITY OF FEDERAL WAY ( - I 0 ,4 V S 9 - f -L
CDS PERMIT NUMBER41
-eh
SITE ADDRESS: SUITE/UNIT/SPACE#
50 226 7 44 i/E S && O ,?/9-L t(,'
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# , CURRENT/PROPOSED USE
$ /6-0 0 Q (4' U `3 C? - C r L! 0
PROJECT NAME
(Tenant or Homeowner Last Name)
"I) cot N Lt pi S , K tel/e& R e_ Lt.,. f g) .v G
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER P R I D W E 0 A£V£GO.p,c1 E 1 LI C:. ( ) -
MAILING ADDRESS t E-MAIL
W22G. 7 �l4v 3
CITY STATE ZIP FAX
Et Of 0-L lv,-y WA ( ) -
NAME PRIMARY PHONE
ill C11$ ECEc 2 / c_ °fR vi c Ge c (lei )353 - fi12-39
MAILING ADDRESS E-MAIL
ELECTRICAL 020 V 202 /143 E-MAIL
IVL(f Ni 6 Ypie0. Gott
CONTRACTOR CITY STATE ZIP FAX
5 REt/tiE u-'4 4/33 ( ) —
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
10C► 'j5 859' R6 12 / 7 //7
NAME �1PRIMARY PHONE
APPLICANT N/lWGA' A'APT l ov (26 47 )313 - 8z s9
MAILING ADDRESS E-MAIL
20 /f/ 2 d Z if/I) - 1 t
CITY STATE ZIP FAX
SHo1Z EtiVE lr✓As 9('/33 ( ) -
NA�N PRIMARY PHONE
PROJECT CONTACT /I f k,()i`
iitt4RfilN0 IZ' (246 ) 353 - $Zs9
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 part of this application.
SIGNATURE: DATE 00/,d7 th
PRINT NAME: Vi k 014- RAPT//11011
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application