16-104836City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003-
Ph: (253) 8352607 Fax: (253) 835-2609 _
Project Name: MIRONYUK
Project Address: 3815 S 328TH ST
hec* tr'iea'l
Permit #:16 -104836 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 614360 0570
Project Description: New 0-200 amp service for single family residence. Install Uv t -stats.
Owner
Applicant
Contractor
TIM MIRONYUK
TIM MIRONYUK
OWNER IS CONTRACTOR
29507 21 ST PL S UNIT K2
29507 21 ST PL S UNIT K2
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
New Service: Residential 1 Thermostat
CONDITIONS:
2
1. A City Right of Way (ROW) Permit shall be obtained for the driveway approach/culvert/gravel
shoulder installation. Contact ROW permit desk at 253.835.2725 for more information. The ROW
Permit shall be fmalled, prior to Building Final or C of 0.2. West of the new driveway, clear vegetation
within the public right-of-way and onsite to provide as much visibility as possible. 3. Prior to
Occupancy, turnaround area shown on the approved site plan must be installed.
PERMIT EXPIRES Tuesday, 3 October, 2017
Permit Issued on Monday, October 3, 2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occup7=Was
e in accordance with the laws, rules and regulations of the State of
ington and the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CWV OF Way Construction Inspection Record
Fedy INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 16104836 00 Address: 3815 S 328TH ST
Project: TIM MIRONYUK FEDERAL WAY WA
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.
El
UFER Ground (4295)2❑
®
Temporary Power (4275)
Ditch cover (4030)
F11
Slab/Concrete Floor (4255)
Pool Bonding (4195)
UFER Ground (4295)
Temporary Power (4275)
Ditch cover (4030)
By
Slab/Concrete Floor (4255)
By ffo
Date /615 k
By
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Date
By
Date
By
Date _ 2 i
7❑
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
By
Date
Date Z — S —
By
Date
M10 Final - Electrical (4055)
Final - Electrical (4055)
By Date —1
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY OF Building Division
� 33325 Eighth Avenue South
Federal Way, WA 98003-6325
FedaraI Way
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
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IF YOU HAVE QUESTIONS CALL
YIVI-4 -tt-
(253) 835- 2 ea- 3
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF A
Federal Way
PERMIT NUMBER I �0 _
ELEC'T'RICAL
PERM�������.ICATION
10 4-e 3& OCT 0 3 2016
CITY OF FEDERAL WAIL
_ 016
SITE ADDRESS: S 328 f 1 ST �-ede ra i W l
SUITE/UNIT/SPACE #
rPECTV ON
'91,500
ASSESSOR'S TAR/PARCEL #
-t- L q— (� 0 -C
CURRENT/PROPOSED USE
S �
(OJE
Tenant or Homeowner Last Name)
! x' (r �n Lt k,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
w 'Slbale I HDI' U
PROPERTY OWNER
NAME
TiTaf) � 1 (O
PRIMARY PHONE
(253)(03Z - $035
MAILING ADDRESS i J
2150—I KZ
E-MAIL
NM0CW n (2 m
CITY
Ffoeral
STATE
wry
ZIP
g80o3
FAX
( ) -
ELECTRICAL
CONTRACTOR
NAME
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
T,
PRIMARY PHONE
t03�)
MAILING ADDRESS
2 JD )J, P,.S L2-Rdfr0IV
E-MAIL
moj
w I '' l
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAM
^� 1
PRIMARY PHO
(3)� e� rj
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 h ss the C of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and ense of such clai which may be made by any person, including the undersigned, and filed against the city,
but only where claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sdplied to the ci" a p of this application.
SIGNATURE:
PRINT NAME: I 1 ^�
IdZL�
Bulletin # 160 — January 1, 2013 Page 1 of 2 k: flandoutsTlectrical Permit Application
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