02-100261r
City of Federal Way
Community Development Services Electrical Permit #: 02 - 100261 - 00 - EL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
• Project Name: PASHCHINSKIY
1
Project Address: 33115 42nd�S Parcel Number: 327905 0070
Project Description: ELE - 200 amp service for new single family house i A,0d 50 - Vey d('UC 6 jwoinp psld) LJ'A
Owner
Applicant
Contractor
NICOLAY PASHCHINSKIY
NICOLAY PASHCHINSKIY
NICOLAY PASHCHINSK[Y
4218 SW 338TH ST
4218 SW 338TH ST
4218 SW 338TH ST
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
(253) 874-3923
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Service: -Residential 2850
PERMIT EXPIRES July 17, 2002, IF NO WORK IS STARTED.
Permit issued on January 18, 2002
• 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. ff%�
Owner or agent: lL7S �� ���
Date:
3—?` aZ `C-cTVC-C e olC �S .
-I-31-0Z
�•o" G CONSTRUCTION PERMIT APPLICATION
rPPLICATION NUMBER: Q � 0-
1200' PPLICATION NUMBER:
JAN PPLICATION NUMBER: - -
**The following is required information - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
_VRERTY
n O. O.
MATION
SITE ADDRESS: _3 �I15 ya PL W4 &&J ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT. •
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
�p�
PROJECT DESCRIPTION (Provide detailed description): , ej &V- L/
y (/ F %Cic� w•' ��
PROJECT NAME:
CONTRACTOR:
■ `. PEOPLE INFORMATION
NAME* t DAYTIME PHONE:
V11 K C)/ Ay PA 5'h C_At ,T e_e W 1 (15-3 3VR 3
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, P):
9d/e S� 33J" S•r /�o4� /-,o// 9?fCa3
NAME: �y�,.
, Gti t e .
DAYTIME PHONE:
Spij/9co
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE: I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
EXPIRATION DATE:
APPLICANT: NAME:DAYTIME PHONE:
/Ul'k0(A j'1f-44'1I5-key ) ser/w o
MAILING ADDRESS STREET ADDRESS; CITY, STATE, Z P : EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ `DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED USE:
SPRINKLERED BUILDING? ❑ YES ❑ NO
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
e BOILERS)
THIRD
RANGE(S)
MISC.( )
_ COMPRESSOR(S)
FOURTH
"
_--DUCT(S)
r
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
MSCI AIMFR/SIGNATURE BLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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.
NAME/TITLE: ,V r k0 .4 Plf 5- b [ {LC /%S/u Y DATE:
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE :USE ONLY:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.ckwffederalway.com
FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEM(S)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
e BOILERS)
FIREPLACEINSERT(S)
RANGE(S)
MISC.( )
_ COMPRESSOR(S)
FURNACE(S)
"
_--DUCT(S)
r
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
Misc.( )
INTERCEPTORS)
SUMP(S)
MSCI AIMFR/SIGNATURE BLC
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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.
NAME/TITLE: ,V r k0 .4 Plf 5- b [ {LC /%S/u Y DATE:
PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE :USE ONLY:
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
www.ckwffederalway.com