15-103203 ' fttElectrical
City of Federal Way Permit #: 15-103203-00-E L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Request Ph:(253)835-2607 Fax (253)835-2609Inspectionq est Line: (253) 835-3050
Project Name: STARIKOV
Project Address: 36228 6TH AVE SW Parcel Number: 302104 9049
Project Description: NEW 200 AMP SFR, SQ FT 3900
Owner Applicant Contractor
PAVEL STARIKOV PAVEL STARIKOV OWNER IS CONTRACTOR
34425 16TH AVE S 34425 16TH AVE S
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
Service greater than 999 Amps? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Tuesday, December 29, 2015
Permit Issued on Thursday, July 2, 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.
Owner or agent: / -r" Date: 27"77G",/%
f"\IABED
. DATE INSPECTOR AREA AND TYPE OF INSPECTION
14 kIIc 1A* Pa+fiGi P=-• - 0tATa COtbeit Cam LilIn}s lk M}r�'rnr
SOf" f Fruo, 4 taGG(< of GGwait •
11 l 13 I It- Petr f i o l 11-t. - ow- -c CAWGaut 14:1 .1-s `_ _t___ K
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THIS CARD IS TO REMAIN ON-SITE�,rroF � `' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-103203-00-EL Address: 36228 6TH AVE SW
Project: PAVEL STARIKOV FEDERAL WAY, WA 98023-7215
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.
CI UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By /.4 Date ��
.,
';' ' IS, � ;
�;.�'� Date �((e, .__ !' By Date
ID Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
`By Date By Date B.,_ Date .
0 Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date 1.-al—'ib B --C Date ‘ . z1,_ \(o By Date
0 Final-Electrical(4055)
Approved
B cs Date L0(21 alp
C;. A.. 1.. 0344:,-,--- Cir-v-4 sem...
® Rough Electrical ❑ Final Electrical —. Right of Way -+�
Approved Approved Approved
By Date By Date By Date
CITY OF '�-.�►►.. ELECTRICAL
Federal Way PERMIT APDATION
PERMIT NUMBER / `� — f 0 � Z° 3 Dl 1 JUL O� 2015
v �/ CITY OF FEDERALCDSWAY
SUITE/Pr r/SPACE#
SITE ADDRESS: (�-�2 J� } -��/e
PROJECT VALUATION ASSESSOR'S TAX/PARCEL/# CURRENT/PROPOSED USE
`—'7›. 0 ,----,-.• t 0 4,
_ 9 0 4 v__
PROJECT NAME
(Tenant or Homeowner Last Name) f--51174-g;401/
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /�4E/ e/-44,2-,6'45,,/ L, 'SJ )3Y7--f X 7'
MAILING ADDRESS E-MAIL
3f�?Lr /4 A -d
CITY STATE ZIP
��`%/� [/ FAX
NAME / _,..�,� �L PRIMARY PHONE
-724 TJ.c ��' ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT
:5 -r_ -fr '4"' '- ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 6„ �/S ( )
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
aII 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: / /."3.7°
� ) DATE e 7/e-z/
PRINT NAME: F 4 Z
Bulletin#160—January 1,2013 Page 1 of 2 k:AHandouts\Electrical Permit Application