17-105023 . �
-
Electrical
CityufFederalway. Permit #:17-105023-00-EL
Commun33ity Development Dept.
325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: VRASPIR
Project Address: 30005 2ND PL SW Parcel Number:720530 0190
Project Description: Install(2)new outlets in dining area,relocate outlet in laundry and add hardwired smoke
detectors as required.
Owner Applicant Contractor
ALLEN VRASPIR ALLEN VRASPIR OWNER IS CONTRACTOR
29829 3RD AVE SW 29829 3RD AVE SW
FEDERAL WAY WA 98023-3510 FEDERAL WAY WA 98023-3510
Additional Permit Information
Is this an Online or O.T.C.application Yes
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PERMIT EXPIRES Thursday, 18 October,2018
Permit Issued on Wednesday,October 18,2017
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
ingt and the City of Federal Way.
Owner or agent:
---j�� � Date: /a//7/-.2-0/-7
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IA' THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105023 00 Address: 30005 2ND PL SW
Project: SALLY A VRASPIR FEDERAL WAY WA 98023-3568
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.
'� "
UFER Ground(4295) "0
•
Ditch cover(4030) 13 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date �.By Date ��By Date
® Pool Bonding(4195) ® Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date j By Date By Date
0 Feeders/Sub-panels(4045) I ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date .By Date 174 4'I 11 1. Date Z4 t (6 .
.
El Final-Electrical(4055)
Approved G
By 0 4_•
Date 1-1 6 .
0 Rough Electrical 0 Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
OCT 18 2017 ELECTRICAL
CITY OF Ciii I )���D�HAL Wa�
Federal Way COMMUN(TYDEVE�OPMEM PERMIT APPLICATION
PERMIT NUMBER J 7 _ I U 5- 0 2" 3 _
SITE ADDRESS: QSlit)
� SUITE/UNIT/SPACE#
PROJECT VALUATION ASSESS /A
TAXRCFy# CURRENT/PROPOSED USE
$ i -✓✓h�PROJECT NAME ' % /� dor ,
(Tenant or Homeowner Last Name) 1 ►1 ��^ V t !1 t+i
S tot/1 2 hew ot-t leas In ) / nno�F Gi/r-P—
PROJECT DESCRIPTION Q N v.c 1 oc-rAi-e a v.1t e 1 L c H GI'c'-i 1 l/( l'-av- p
Detailed description of work to r/1/I V 2� S n'�Q F tide GI/VYS t S h I y{(il
be included on this permit only
N PRIMARY PHONE
PROPERTY OWNER ' \ p V 1(a Sp Lir. ( 253) 7Utj- I-1 U
MAILING ADDRESS
E-MAIL
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CITY STATE ZIP FAX
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NAME PRIMARY PHONE
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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 W N r ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP ( FAX
)
NAME A PRIMARY PHONE
PROJECT CONTACT j ( e Vtra 5 p e r ( )
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 t• city as,aie oft s application.
f/7
SIGNATURE: 1/,145-fir
DATE /°/) /�)/7
PRINT NAME: '/�PA �,
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application