19-101827 Electrical
City of Federal Way Permit #:19-101827-00-EL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: WEBBER
Project Address: 1622 SW 325TH PL Parcel Number: 010452 0310
Project Description: Altering up to 5 circuits to provide a sub-panel,electrical connection to heat pump,a generator
interlock kit,exterior outlet,and a new flood light.
•
Owner Applicant Contractor
SCOTT WEBBER LEO KOTKOT ELECTRIC LLC KOT ELECTRIC LLC
1622 SW 325TH PL 1513 105TH AVE CT E KOTELEL827RC(12/3/20)
FEDERAL WAY WA 98023 EDGEWOOD WA 98372 1513 105TH AVE CT E
USA USA
EDGEWOOD WA 98372
USA
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
Circuits-Residential 6
PERMIT EXPIRES Thursday, 16 April,2020
Permit Issued on Wednesday,April 17,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupanc and th- se will b in accordance with the laws, rules and regulations of the State of
Was ' gton and the City of Federal Way.
Owner or agent: /� Date: k 1,
-411
� �
1
44A THIS CARD IS TO REMAIN ON-SITE
Construction
Record 50 rdFederal Way INSPECTION (253)s330
PERMIT#: 19 101827 00 Address: 1622 SW 325TH PL
Project: SCOTT WEBBER FEDERAL WAY WA 98023-5419
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.
CI Service(4235) 0 Feeders/Sub-panels(4045) El Rough Electrical(4225)
Approved Approved Approved
By Date By Date By Date
® Final-Electrical(4055)
1,PrDa"teed
,By 5V /9
0 Rough Electrical El Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF
......._ _..4kkELECTRICAL
Federal Way RECEIVED PERMIT APPLICATION
APR 17 2019 - / (91 .�PERMIT NUMBER / ' U —
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MUTY NmY DEVORAL PME
SUITE/UNIT/SPACE#
SITE ADDRESS: \P ..2, s W 3 ,�.�,` Q
PROJECT VALUATION l� ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 3, so o _ -
PROJECT NAME
(Tenant or Homeowner Last Name) SCO W e.. b -,`C\
-CPov c_ 4 x✓17 << so feiet4
PROJECT DESCRIPTION — t(«4.4• E't ( C d h'\'-° o� 3,04.1da 4- P"'"'` •
Detailed description of work to .. C'rol erwir4 r-
be included on this permit only �Iu 4� N((Aaft
— ENic.1-.et•4 rr 9t,0 of- 1gok-
NAME PRIMARY PHONE
PROPERTY OWNER Sep-I}-y V...)e.l'.iyj...- -- ( ) -
MAILING ADDRESS E-MAIL
1622 SA•r 325+'1 ?l
CITY STATE ZIP FAX
,eJ tc•►l tk.,..y W A- ( ) -
NAME PRIMARY PHONE
Nketer E 1 eco t L LLL (20 ) 73? 7-01S
MAILING ADDRESSE-MAIL
ELECTRICAL \S t' to S 13‘ A-v, _ CT 104434 i V b,44\c a wt
CONTRACTOR CITY ed Q' ��1 STATE ZIP Z. FAX
0 CO
WA TE�N CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
V%otE'L.el- 2 7-RL (2.." 0 /W20
NAME PRIMARY PHONE
APPLICANT Lc ) \ t (153 ).3' --3015
MAILING ADDRESS E-MAIL
lS 13 t DS" ,A -- Cri r tovi k G. riqr2.&_ No
CITY STATE ZIP FAX
.dicu.0ao•12- wA- a 137-2 ( ) -
NAME v'c1.-,e0
(t91\----
t9� �'!! PRIMARY PHONE
PROJECT CONTACT ,^� r ` (&y6,) 437-70 I 5
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 a part of this application.
SIGNATURE: x77 Li/ �DATE 1 )
GI
PRINT NAME: 4 ye(
Bulletin#160-April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application