18-102307l
Electrical
City of Federal Way Permit #:18 -102307 -00 -EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253)835-2609
Project Name: KULEV
Project Address: 2819 SW 350TH PL Parcel Number: 351800 0130
Project Description: Relocate (5) electric outlets.
Owner
Applicant
Contractor
YEVGENIY KULEV
YEVGENIY KULEV
OWNER IS CONTRACTOR
2819 SW 350TH PL
2819 SW 350TH PL
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Residential 5
PERMIT EXPIRES Thursday, 30 May, 2019
Permit Issued on Wednesday, May 30, 2018
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.
1
Owner or agent: Date: '5• r),
crry CW
Federal Way
PERMIT #: 18102307 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 2819 SW 350TH PL
Project: LYUBOV KULEV FEDERAL WAY WA 98023-3081
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
LIFER Ground (4295)
0
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
By Date
Approved
Berri Date
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
Q
Temporary Power (4275)
®
Service (4235)
By Date
Approved
Berri Date
Approved
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
® Rough Electrical (4225)
® Ceiling Cover (4020)
Approved
Approved
Approved
By Date
Date -
Berri Date
1a Final - Electrical (4055)
Approved
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
ByBy
Date
Date .. ... .. _
By
Date
RECEIVED
CITY OF MAY 3 2 0 0 ELEC'T'RICAL
Federal Way DRY OF FEDERALwAy PERMIT APPLICATION
CpMMUNn DEVELOPMENT
PERMIT NUMBER _ C ' — 3 0'? _
SITE ADDRESS: g ! (� PGe �_e s4
SUITE/UNIT/SPACE#
PROJECT VALUATION
$ X00.
ASSESSOR'S TAX/PARCEL #
3 5 i 0_ C 3 C�
CURRENT/PROPOSED USE
PROJECT NAME—
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Lt Pt
PROPERTY OWNER
NAME
Q,�J h `-P�
PRIMARY PHONE
(a53) ero9 - �o G,k�
MAILING ADDRES
E-MAIL
CITY
eJerQ
STATE
[WR
ZIP
FAX
-
ELECTRICAL
CONTRACTOR
NAME V
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME ^/,
�r )awn
PRIMARY PHONE
( )
MAILING ADDRESS
E-MAIL
CITY
STATE I
ZIP
FAX
( )
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 apart of this application.
SIGNATURE: DATE
PRINT NAME:
Bulletin # 160 —April 14, 2016 Page I of 1 k:AHandouts\Electrical Permit Application
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