15-102078q.,
Electrical
City Cornmrifty&Federal Way
i Permit #: 15 -102078 -00 -EL
33325 8th Ave S
Federal way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2809 (� q
Project Name: ONISHCHENKO
Project Address: 36838 2ND AVE SW Parcel Number: 2188201100
Project Description: T -STAT
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical FbctUr,%
Thermostat ..................................... 1 \
PERMIT n1PIR7.,Y9
Permsuey,
I hereby certify that the above information ishe
the occupancy and the use will be i
A r / / d the City o
Owner or agent
Vt
, 2015
jiWon on the above described property and
and regulations of the State of Washington
Y
Date: %S
Owner
ALEKSEY ONISHCHENKO
ARRIlican
ALEKSEY ONISHCHENKO
Contractor
OWNER IS CONTRACTOR
6519 DISCOVERY ST E
6519 DISCOVERY ST E
FIFE WA 98424
FIFE WA 98424
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical FbctUr,%
Thermostat ..................................... 1 \
PERMIT n1PIR7.,Y9
Permsuey,
I hereby certify that the above information ishe
the occupancy and the use will be i
A r / / d the City o
Owner or agent
Vt
, 2015
jiWon on the above described property and
and regulations of the State of Washington
Y
Date: %S
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
15 -102078 -00 -EL
ALEKSEY ONISHCHENKO
Address: 36838 2ND AVE SW
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.
0 Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
LIFER Ground (4295)
0
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
E
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0 Pool Bonding (4195)
Approved
By Date
Temporary Power (4275)
Approved
By Date
0
Service (4235)
Approved
By
Date
0
Feeders/Sub-panels (4045)
❑
Rough Electrical (4225)
E
Ceiling Cover (4020)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
1�k-
CITY OF
Federal Way
PERMIT NUMBER Is
ELECTRICAL
PERMIT APPLICAMN
/��'R 3 0 2015
- � O r-70,79 - O O
Crry OF FEDERAL WAY
(,-r)C
SITE ADDRESS'
' Sig 33 2--? 1�cdeoca ��,
SUITE/UNIT/SPACE #�
PROJECT VALUATION
ASSESSOR'S TAX/PARCEL #
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME i
Al �cI�" e G11l �C ,�k U
PRIMARY PHONE
) 35�/ - 26E C �
MAILING ADDR
E-MAIL
CITY
F,c-
STATE
ZIP
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
PRIMARY PHONE
-
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
( FAX
1 )
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.
L
SIGNATURE: ` DATE - �S
l� L
PRINT NAME: / P 63j,'
Bulletin # 160 — January 1, 2013 Pagel of 2 k:AHandouts\Electrical Permit Application