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18-103865City of Federal Way FILE Community Development Dept. ALENA BABIY 33325 8th Ave S OWNER IS CONTRACTOR Federal Way, WA 98003 29913 2ND AVE SW Ph: (253) 835-2607 Fax (253)835-2609 FEDERAL WAY WA 98023 Project Name: BABIY Project Address: 29913 2ND PL SW fib- 4 Electrical Permit #:18 -103865 -00 -EL Inspection Request Line: (253) 835-3050 Parcel Number: 720530 0170 Project Description: Installation of can lights, kitchen island outlets, fireplace outlets and relocation of switches. ***REVISED 9/6/18 TO INCLUDE UPGRADE OF EXISTING METER BASE 100-200 AMP & SERVICE CHANGE*** Owner Applicant Contractor ALENA BABIY PETRO BABIY OWNER IS CONTRACTOR 29913 2ND AVE SW 29913 2ND AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 USA Additional Permit information Is this an Online or O.T.C. application? .................. Yes WA i Q' Circuits - Residential 4 PERMIT EXPIRES Thursday, 22 August, 2019 Permit Issued on Wednesday, August 22, 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 'j ,, Washington and the City of Federal Way. Owner or agent: Date: - / City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 836-2609 1 1 � Electrical Permit #:18 -103865 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: BABIY Project Address: 29913 2ND PL SW Parcel Number: 720530 0170 Project Description: Installation of can lights, kitchen island outlets, fireplace outlets and relocation of switches. Owner Applicant Contractor ALENA BABIY PETRO BABIY OWNER IS CONTRACTOR 29913 2ND AVE SW 29913 2ND AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 USA Additional Permit Information Is this an Online or O.T.C. application? .................. Yes Circuits - Residential 4 PERMIT EXPIRES Thursday, 22 August, 2019 Permit Issued on Wednesday, August 22, 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. O Owner or agent: Date: (.� arr CW Federal Way PERNM #: 1810386500 Project: PETRO BABIY THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 Address: 29913 2ND PL SW FEDERAL WAY WA 98023-3571 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. Wait 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) FAI FAI Ditch cover (4030) 0 Slab/Concrete Floor (4255) Approved Approved Approved lBy Approved lBy Approved to place concrete By Date By Date Date By Date ® Pool Bonding (4195) FAI Temporary Power (4275) © Service (4235) IBy Approved Approved By Date _ T -.4 $ Approved By Date By Date By Date AW Feeders/Sub-panels (4045) ® Rough Electrical (4225) 9❑ Ceiling Cover (4020) Approved IBy Approved Approved By Date _ T -.4 $ Date a By Date ® Final - Electrical (4055) Approved By Date Q — Rough Electrical Final Electrical ❑ Right of Way Approved Approved IBY Approved By Date By Date Date CITY OF .A Federal Way RECEIVED ELECTRICAL Alii 12 2M PERMIT APPLICATION 04w rQPERMIT NUMBER SITE ADDRESS: Z9 q 3 Z s,) PL ,� // � 11 // SV , r2t�2vj (,u Wj� %b -z,5 SUITE/UNIT/SPACE# PROJECT VALUATION ASSESSOR'S TAX/PARCEL # CURRENT/PROPOSED USE PROJECT NAME Homeowner Last Name)b� \- (Tenant or 1 ^ k k4 e�ke,-, L 1 t `Y� ce IPS tQ'Oc L PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME �5e!YD PRIMARY PHONE (Z 331t - ZP Zl MAILING ADDRESS MIS 7-1-14) L SW E-MAIL CITY STATE % W P ZIPro� �1� � O v o � FAX NAME PRIMARY PHONE (ZS"j ) Sl z - 1Z MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX / {^ovK2 C'wv�v„r WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME (� 1 PRIMARY PHONE APPLICANT MAILING LING iDRE33 � � E-MAIL rr Cr e der, STATE 14 Z / �oC/ lJ FAX ( ) PROJECT CONTACT NAME Q6- O PRIMARY PHONE ('L �'�) 3132 - Z 82I 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: PRINT NAME: �-V'O TE 4Q Bulletin # 160 — April 14, 2016 Page 1 of 1 k:\Handouts\Electrical Permit Application CITY OF >` Federal Way Property Owner Electrical Work Permit Application In Washington, only licensed electrical contractors may perform electrical work. Property owners may apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work. As authorized under RCW 19.28.261, I, �CYv m��'t hereby apply (Printed name of property owner, re ter, or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by submission of this affidavit. I own this property. Your name or your company's name must be shown on the deed to the property. Real estate agents' property management companies, relatives, etc. cannot purchase permits for the property owner. ❑ I rent or lease thisproperty. We need a copy of your rental agreement showing you have permission to perform electrical work. ❑ I am an officer for a 501(c)(3) nonprofit corporation, or a nonprofit religious organization. The total market value of electrical work must be $30, 000 or less and all electrical work must be done by a non -compensated appropriately certified electrician. Mark only one. If none appy ❑ New single family residence that is not intended for rent, sale, or lease, where I will be living for at least 24 months after completing the electrical work. I will be personally doing the electrical work. ❑ New 2, 3, or 4 unit residential building, owned by me, that is intended for rent, sale, or lease. I will be living in one of the units for at least 24 months after completing electrical work. I, personally, and/or a regularly employed employee(s), will be doing the electricalwork. ❑ New place of business, farm, or other property: Any new structure that is not intended for rent, sale, or lease. I, personally, and/or a regularly employed employee(s), will be doing the electrical work. Existing residential property, place of business, or farm. I, personally, and/or a regularly employed employee(s), will be doing the electrical work. DEPARTMENT OF COMMUNITY DEVELOPMENT / 33325 8TH AVENUE SOUTH / FEDERAL WAY, WA 98003-6325 253-835-2607 2s www.cityoflederalway.com zs permitcenter(a citvoffederalway.com Bulletin #080 — June 6, 2018 Page 1 of 2 k:\Handouts\ Property Owner Electrical Work Application ❑ 501(c)(3) or nonprofit religious organization owned property: The total market value of the electrical work must be $30,000 or less, and all electrical work will be performed by appropriately certified electricians, or certified and properly supervised trainees, who are volunteering and not being compensated for the electrical work per RCW 19.28.091(7). your signature is required below: I believe I should be exempt from the requirements to obtain an electrical license, or use a certified electrician, as provided under RCW 19.28.261. By signing below, I certify the information I am providing on this affidavit is true and accurate. I understand that if I make false statements or misrepresentations, I may be asses" �;K �:?sed penal ies. 2�- f 0- � I Printed Name of Property Owner, enter, or Lessee Signature 22 Dat Property Owner's Name (Last, First V Company Name Z (3 2 �,� 0l S w Fe ��i--tel cJ�..� 1� q k1 Z Mailing Address Unit/Apt.# City State Zip 2 5 Z Daytime Phone Email Address i 1 Inspection Site Address (if different) Unit/Apt.# City State Zip County Electrical Power Company / Serving Utility h Description of work being done (Example: adding'outlets in the kitchen, second floor break area, etc) .:.. ..... _ _ t DEPARTMENT OF COMMUNITY DEVELOPMENT / 33325 8TH AVENUE SOUTH / FEDERAL WAY, WA 98003-6325 253-835-2607 n www.citvoffederalwaV.com -es, permitcenter(a)cityoffederalway com Bulletin #080 — June 6, 2018 Page 2 of 2 k:\Handouts\ Property Owner Electrical Work Application