13-102723 f
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INV
•Ee�trical
City of Federal Way � •
Community&Econ Dev.Services
8th
33325 8th Ave S s Permit #: 13-102723-00-EL
Federal Way,WA 98003 3
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253}835-3050
Project Name: 141tANTSEVICH
Project Address: 4217 SW 335TH PL Parcel Number: 286730 0160
Project Description: Electrical service and wiring for new single family residence. **Includes low-voltage
t-stats**
Owner Applicant Contractor
VLADIMIR FRANTSEVICH VLADIMIR FRANTSEVICH OWNER IS CONTRACTOR
9606 S 219TH PL 9606 S 219TH PL
KENT WA 98031 KENT WA 98031
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional No
Electrical Fixtures
New Service:Residential 1 Thermostat 3
PERMIT EXPIRES Monday, December 16, 2013
Permit Issued on Wednesday, June 19, 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 Federal Way.
Owner or agent /iii (.4/ i/ Date: off-/3 -it
y
t
0 - 1. 'Electrical
CCommunity&Econ.Deof Federalv.aServicesf, r ----, Permit #: 13-102723-00-EL
33325 8th Ave S rr
Federal Way,vuA 98003 t i , Inspection Request Line: 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 `253,
Project Name: FRANTSEVICH
Project Address: 4217 SW 335TH PL Parcel Number: 286730 0160
Project Description: Electrical service and wiring for new single family residence.
Owner Applicant Contractor
VLADIMIR FRANTSEVICH VLADIMIR FRANTSEVICH OWNER IS CONTRACTOR
9606 S 219TH PL 9606 S 219TH PL
KENT WA 98031 KENT WA 98031
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Electrical Fixtures
New Service:Residential 1
PERMIT EXPIRES Monday, December 16, 2013
Permit Issued on Wednesday,June 19, 2013
I hereby certify that the above i ,j. •- is correct and that the construction on the above described property and
the occupancy and the 1'91.- ' accordance- it' r e laws, rules and regulations of the Sta e of Wa ington
and the; ,'Tof Federal Way. i
Owner or agent — O /
Date: i
A
♦•
•
.
THIS CARD IS TO MAIN ON-SITE 0{1&4*:, • ' ,
�
,.
•
CITY OF Construction In ectionRecord
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-102723-00-EL Address: 4217 SW 335TH PL
Project: VLADIMIR FRANTSEVICH FEDERAL WAY, WA 98023
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.
O 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) El Temporary Power(4275) ❑ Service(4235)
Approved Approved b Approved
By Date By Date By Date 3 I WI II
O Feeders/Sub-panels(4045) El Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved
By Date C Dater Z// / By Date
❑ Final-Electrical(4055) 1^4314. (I
Approved
By 1W) Date Cl I i I i I9'
0 Rough Electrical Final Electrical Right of Way
Approved Approved0 Approved
By Date By Date By Date
REC./ED ,
CITY ot:
ELEC'T'RICAL
Federal Way �uN 19 20�� PERMIT APPLICATION
CITY OF FEDERAL WAY
COg
PERMIT NUMBER _ / 0 a 7? 3 - 0 0
SUITE/UNIT/SPACE#
SITE ADDRESS: 1/0i / 7s---6,(.) 33 5 p&...,...e__PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 4/ O (AW6. -9- 30 - 0 i6
PROJECT NAME �_C� l Vt Ct
(Tenant or Homeowner Last Name) � r .��-
-
PROJECT DESCRIPTION k „cettae, 6_,
Detailed description of work to S /(
be included on this permit only
NAMH1� a J PRIMARY PHONE
PROPERTY OWNER C ‘ ,l-,r.4 C f��2,pLJ S.e-j ( ) -
MAILING 1L' 0( S. ,9 / /'
/ q Cd-
4,
/6/-.
' /"-, E-MAIL
FAX
�J 6 J
CITY ! STATE `/' x(,ZIP / CJ 03! ( )
NAME PRIMARY PHONE
" /LPZ) ( )
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 MAILING ADDRESS ( )
E-MAIL
CITY STATE ZIP FAX
( ) -
PROJECT CONTACT
NAME (.....1‘ 6L4t4.4.4PRIMARY PHONE
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 harmle the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of- ch claim),which may b •, by any person,including the undersigned,and filed against the city,
but only where such claim • is out of the re_liance , city, including its officers and employees, upon the accuracy of the
information supplied to the c •,
li
0of this applic- •• .
II1
SIGNATURE: ( ' DATE V 6//9//3
PRINT NAME: V1 g I Y Fl/' Bt Vl"]-.53 ev 1 i /I
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application