13-10448346
Applicant
Contractor
City of Federal Way
Community & Econ. Dev. Services
IGOR & LANA AFICHUK
FIVE STAR ELECTRIC LLC
33325 8th Ave S
16533 SE 262ND PL
FIVESSE946RF (12/8/14)
Federal Way, WA 98003
`.
PO BOX 1211
Ph: (253) 835-2607 Fax: (253) 835-2609
TACOMA WA 98401
Project Name: NORTH LAKE AFICHUK SHORT PLAT LOT I
Project Address: 3605 S 334TH ST
Project Description: Electrical work for new single family residence.
Electrical
Permit ih 13 -104433 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 614360 0440
Owner
Applicant
Contractor
IGOR & LANA AFICHUK
IGOR & LANA AFICHUK
FIVE STAR ELECTRIC LLC
16533 SE 262ND PL
16533 SE 262ND PL
FIVESSE946RF (12/8/14)
COVINGTON WA 98042
COVINGTON WA 98042
PO BOX 1211
TACOMA WA 98401
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..................................... 2
PERMIT EXPIRES Monday, April 7, 2014
Permit Issued on Wednesday, October 9, 2013
I hereby certify that the above informati6.is correct an that the construction on the above described property and
the occupancy and the use will be in c ordance wi the laws, rules and regulations of the State of ashington
and ` of Federal Way.
Owner or agent: Date:
row
CITY OF�
Faders! Way
PERMIT #:
Project:
THIS CARL) IS TO ILPMAIN ON=SITE ° ` , '-
Construction Inection Record
INSPECTION REQUE TS: (253) 835-3050
13 -104483 -00 -EL Address: 3605 S 334TH ST
IGOR & LANA AFICHUK FEDERAL WAY, WA 98001-9628
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)
E]
Slab/Concrete Floor (4255)
El
Approved
By
Approved
Approved to place concrete
By
Date t 0. '3
By �/"1/�
Date ?oto (�
By
Date
Final - Electrical (4055)
Approved
By VV3 Date LP 1_7 WI
EJ
Pool Bonding (4195)
E]
Temporary Power (4275)
El
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
V44 Date (
Lg
Lt
By
Date
Final - Electrical (4055)
Approved
By VV3 Date LP 1_7 WI
EJ
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
�A4
clrY of 'warn, ` ,
Federal Way
l�3
•
ELECTRICAL
loy y _ PERMIT APPLICATION
L RECE
PERMIT NUMBER --�/! O 2— 2 — —
OCT 09 2013
SITE ADDRESS: ' 1�� ��Gl/(.CL
(7D5
PROJECT VALUATION �`'"�.,
ASSESSOR'S TAX/PARCEL 4
CURRENT/PROPOSED USE
PROJECT..TAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
/ 1 Z J/ , 'C
PROPERTY OWNERA
NAME-P�R/I/MARY
4_ (,i �% J
PHONE
(,3)0'7'
MAILING ADDRESS �J /
16- \%
E-MAIL
CITY
�TATE
�
ZIP
1�2
FAX
c—�3)�3�
ELECTRICAL
CONTRACTOR
NAME
( PRIMARY PHONE
1
MAILINGDRES',� w
l" /
E-MAIL
2 `�
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME ` 1
r
PRIMARY PHONE
)
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
l
PROJECT CONTACT
NAME
PRIMARY 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 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:
PRINT NAME:
DATE D1D ` v
Bulletin 9 160 — January 1, 2013 Page 1 of 2 k:� Iandouts\Electrical Permit Application