13-103092Electrical
City of Federal Way r -_In
_--- ,
ComFedeta Way9600 60Permit #: 13 -103092 -00 -EL
33325 8th Ave S
i
Ph: (253) 835-2607 Fax: (253) 835-29 _, L'._. Ll Inspection Request Line: (253) 835-3050
Project Name: GLAVATSKIY
Project Address: 912 SW 316TH PL Parcel Number: 5557310300
Project Description: Adding/altering (1) circuit for associated 80 square foot addition
Owner
Aunlicant
Contractor
LEONID GLAVATSKIY
N W ELECTRICAL LLC
N W ELECTRICAL LLC
912 SW 316TH PL
8507 LUZADER LN SW
NWELEEL886NP (8/22/14)
FEDERAL WAY WA
LAKEWOOD WA 98499
8507 LUZADER LN SW
LAKEWOOD WA 98499
Additional Permit Information
Is this an Online or O.T.C. application? ................. es Is Use Educational or Institutional? ....................... No
Electrical Fixtures
Circuits - Residential ...................... 1
PERMIT EXPIRES Tuesday, January 7, 2014
Permit Issued on Thursday, July 11, 2013
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 Fede Way.
Owner or agent: _ Date: 7/// AS
� iz
CITY OF 'IoAi�
Federal Way
THIS CARD IS TO MAIN ON-SITE r
Construction In ction Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -103092 -00 -EL Address: 912 SW 316TH PL
Project: LEONID GLAVATSKIY FEDERAL WAY, WA 98023-4717
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
UFER Ground (4295)
Ditch cover (4030)Slab/Concrete
Final Electrical
Approved
Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By 0-0,a Date Ito It �?
Pool Bonding (4195)
E] Temporary Power (4275)
Final Electrical
Approved
Service (4235)
1:1Approved
Approved
By
Approved
Approved
By
Date
By
By Date
By
Date
E]
Feeders/Sub-panels (4045)
❑ Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
/
By/ lG —/ Date C
By
Date
Final - Electrical (4055)
Approved
By 0-0,a Date Ito It �?
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CRY OF
Federal Way
� ECTRICAL
PERMIT APPLICATION
RECEIVED
PERMIT NUMBER 1;3, - 10 'F7 l/ q2-_03
JUL 112013
SITE ADDRESS: l Z S 3( 46 44 p' �e �Q f Wo
C S
PROJECT VALUATION
0-0
ASSESSOR'S TAR/PARCEL # D
CURRENT/PROPOSED USE
PROJECT NAME
(Tenant or Homeowner Last Name)
C,,c> love+ �s 1 c r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
Ed' 4, o h d + i elf CAA c 2 J q
PROPERTY OWNER
NAND
PRUSARY PHONE
( ) -
MAILING ADDRESS
EMAIL
CITY
STATE
I ZIP
FAX
ELECTRICAL
CONTRACTOR
NAME � V V L le c l r( c t (SLC.
(� S 3) RR M Y PHONE
MAILING ADDRESS
S50-7 L4A 2q a(e r t S Uj
EMAIL
CITY
LA ire woo cd
STATE
c v/)
ZIP
5 8
FAX
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
,k)WEL-EE8�6/t/P g izz i
FEDERAL WAY BUSINESS LICENSE #
APPLICANT
NAME
PRIMARY PHONE
( )
MAEUNG ADDRESS
EMAIL
CITY
STATE
I ZIP
/ FAX
t )
PROJECT CONTACT
NAME
Lip t/a 4S K
PRIMARY PHONE
790 - 3 2.0--3
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, andfiled fled 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 a part of this application.
SIGNATURE: C_::�7y -7 4 DATE / /�� r ` O� 3
PRINT NAME: P? 140 �[ O k e
Bulletin # 160 -January 1, 2013 Page 1 of 2 k:\Handouts\Electrical Permit Application