14-104869s
�ectrical
City of Federal Way Permit #: 14 -104869 -00 -EL
Community &Econ. Dev. Services
33325 8th Ave S z =
Federal Way, WA 980031 Inspection Re quest dine: 253 83
Ph: (253) 835-2807 Fax: (253) 835-2809 p q ( ) 5-3050
Project Name: GRANDE VISTA LOT 28
Project Address: 33328 42ND AVE SW
Project Description: T -stat wiring
Parcel Number. 286730 0280
Owner
ARplicant
Contractor
VITALIY BABCHANIK
A & H HEATING & AC LLC
A & H HEATING & AC LLC
EURO STANDARD CONSTRUCTION LLC
402 VALLEY AVE NW
EATHH8640E (9/5/16)
6119 S 239TH ST SUITE C304
PUYALLUP WA 98371
402 VALLEY AVE NW
KENT WA 98032
PUYALLUP WA 98371
Additional Permit Information
PERMIT EXPIRES
Permit Issued on M4
I hereby certify that the above information
the occupancy and the use will be in aca
Owner or agent:
Nlll�% ozb��
cy,
City of
15
4
the Ziion on the above described property and
N s and regulations of the State of Washington
Way.
Date:�a / t/
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
14 -104869 -00 -EL Address: 33328 42ND AVE SW
VITALIY BABCHANIK FEDERAL WAY, WA 98023
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)Ditch
cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
0
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
❑
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date 3—
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
ELEC'T'RICAL
PERMIT APPLICATION
PERMIT NUMBER (4- _ 10 49"6q - 0 O
SEP 2 2 2014
SITE ADDRESS:3 3 3 a LC Z c� t 5� CITY OF FE VWArE #
CDS
PROJECT VALUATION
A:7SQR,$TA7�/PAR# _ Q ^ CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
�jL' G�`I C �/ S lJ✓� (�.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME ^
(J� r d("i ��
PRIMARY PHONE
X3) - 5
DIALLING ADDRESS A. y, 36 L(
b .S o1 S� " `1Q,
EMAIL
CITY
STATE
ZIP
FAX
ELECTRICAL
CONTRACTOR
CONTRACTOR
NAME
PRIMARY PHONE
t ) N6 -
MAILING ADDREss 11
Ud� Ac ivi - 0 `
E-MAIL
CITY
polAfive
STATE
ZIP
FAX
WA STATE CONTRACTO 'S LICENSE M ERPIRATION DATE
4 14t op -7
FEDERAL WAY BUSINESS LICENSE B
APPLICANT
NAME . C�
PRIMARY PHONE
c 3)
MAEUNG ADDRESS
W a.- Val J
FIJI,
CITY��
n
STATE
ZIP
5
FAX
PROJECT CONTACT
NAME ` Olt
I lr V�
t �S ) Y 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:
PRINT NAME:
Bulletin # 160 —January 1, 2013 Page 1 of 2 UHandoutsTlectrical Permit Application