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19-101620
a -- ♦ �► a Electrical City of Federal Way Permit #:19-101620-00-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: KULEV Project Address: 2819 SW 350TH PL Parcel Number:351800 0130 Project Description: Electrical work for remodel including lighting,outlets and switches. Owner Applicant Contractor YEVGENIY KULEV YEVGENIY KULEV OWNER IS CONTRACTOR 2819 SW 350TH PL 2819 SW 350TH PL FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 • Additional Permit Information Is this an Online or O.T.C.application9 Yes •�' ,,;." ;,,•s�«i,. , „ �' -: k''t j»7:1*'** � ,” gar, „ V M.,5•,r:".:a'•'s, tY j�'mFtiaKS..:'�u�►fa14r+hl.r",zy�i w ,. :: n ��;•, , ':s=a.<`�'a.-�'a, r' Y :a.,,.. ..� aa:. .»s'. ''4•:.„�a Circuits-Residential 1 PERMIT EXPIRES Friday,3 April,2020 Permit Issued on Thursday,April 4,2019 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 Federal Way. ,�/� Owner or agent: Date: h• '+•we „ . - 41'4 THIS CARD IS TO REMAIN ON-SITE Federal Way Construction Inspection Record INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 101620 00 Address: 2819 SW 350TH PL Project: LYUBOV KULEV FEDERAL WAY WA 98023-3081 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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ® Pool Bonding(4195) 0 Temporary Power(4275) ® Service(4235) Approved Approved Approved By Date By Date By Date Feeders/Sub-panels(4045) ® Rough Electrical(4225) 9❑ Ceiling Cover(4020) ApprovedApproved Approved By Date Byde2.‘ Date ”" '/ By Date 0 Final-Electrical(4055) By ✓� Approved � Date 5t ^) o Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED CITY OF APR 04 2019 ELECTRICAL Federal Way ;Jlf +,,ice FEDERAL EE LWAY r PERMIT APPLICATION PERMIT NUMBER 1 - 0 / t /1 - SUITE/UNIT/SPACE t SITE ADDRESS: PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE $ a 0° 3 51700 - 011 3 J_ PROJECT NAME (Tenant or Homeowner Last Name) �j.Z4 yr2O IA" 7 a-Jci-i 'f- ,44,1 A:4J i o vt 01 13..e..44--c,D✓ri at-t F-( r j PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER y,Q,vof.e vt,y )CE c k-e.V ( L53) Sb 4- 66 8� MAILING ADURESS E-MAIL a-�3iq 6W 3So-tet Pi-- CITY STATE ZIP FAX rekv9,.1 it w4 g8©O ( ) - NAME /� ' /T Ll 1 PRIMARY PHONE ( ) MAILING ADDRESS E-MAIL ELECTRICAL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# N PRIMARY PHONE APPLICANT 'Q-u as'Z'tn%y (-e,t) (1)3 ) S64 J - 666'4- MAILING ARESS 4813,5O Pr— CITY E-MAIL STATE ZIP FAX Fc.1.e1/70%_( LL WI- 41Oj-3 ( ) PROJECT CONTACT NAME f PRIMARY PHONE K-A4 . j (153 )5 6 4- 6 6 e4- 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 c aim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied t 1`he city a part of this application. 1� SIGNATURE: S/ DATE -I 1 f 1 l PRINT NAME: Cv c 4-Lt.' k<.2 t-'J PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325 253-835-2607 + FAX 253-835-2609 +permitcenter(acityoffederalway.com Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application -sior / 9 - ,o /4d-o 4%66 ' Pro Property Owner CITY OF p Y Federal Way Electrical Work Permit Application Applying For=—our Electrical„P;eruut In Washington, only licensed electrical contractors may perform electrical work. Property owners 4 may apply for an exemption from these requirements by completing this application and signing the affidavit below before beginning electrical work. • .- ' Affidavit - ; , • x As authorized under RCW 19.28.261, I, 1: ]C f hereby apply (Printed me of p/erty owner,renter,or lessee) for an exemption from the electrical licensing and certification requirements of RCW 19.28 by submission of this affidavit. • Which'statement describes you? (Mark only one.if none apply,yokmay not take out this permit) • ' I own this property. • Your name or your company's name must be shown on the deed to the property. Real estate agents'propertyt management companies,relatives;etc. cannot.purchase permits for the property owner. t 0 I rent or lease this property. We need a copy of your rental agreement showing you have permission to perform electrical work. 1 0 I am an officer for a 501(c)(3)nonprofit corporation,or a nonprofit religious organization. The total market value of electrical work must be$30,000 or less and all electrical work must be done by a non-compensated appropriately certified electrician. Select your property type(Mark only one. If none apply,you may not take out this permit) ❑ New single family residence that is not intended for rent, sale,or lease,where I will be living for at least 24 months after completing the electrical work. I will be per-sonally.doing the electrical • work. ❑ New 2,3,or 4 unit residential building,owned by me,that is intended for rent, sale, or lease. I will be living in one of the units for at least 24 months after completing electrical work. I, personally, and/or a regularly employed employee(s),will be doing the electricalwork. ❑ New place of business,farm,or other property: Any new structure that is not intended for rent, sale,or lease. I,personally,and/or a regularly employed employee(s),will be doing the electrical work. f Existing residential property,place of business,or farm.I, personally,and/or a regularly employed employee(s), will be doing the electrical work. DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 s www.cityoffederalway.com 2s permitcenter(a)cityoffederalway.com Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application 100Plafr 0 501(c)(3)or nonprofit religious organization owned property:The total market value of the electrical work must be$30,000 or less,and all electrical work will be performed by appropriately certified electricians,or certified and properly supervised trainees,who are volunteering and not being compensated for the electrical work per RCW 19.28.091(7). Your signature is required below: I believe I should be exempt from the requirements to obtain an electrical license,or use a certified electrician,as provided under RCW 19.28.261. By signing below,I certify the information I am providing on this affidavit is true and accurate. I understand that if I make false statements or misrepresentations, I may be assessed penalties. Vet/sifter) 11 (-e4- of. Printed NAme of Pr erty Owner,Renter,or Lessee Signature 1{. 4.m Date - ---Prope-rtyOwner'and-nsptalon'Sitelinformnati<on-= Property Owner's Name(Last,First) Company me L✓ 3 O PG - ecJ-e(q I &At 4i)/ an c2.$ Mailing Address 11nit/Apt.# City tate Zip 6.-b) 60_ cr,�S-T-- 44ekq /98>?/ • aytime Phone Email Address Inspection Site Address(if different) Unit/Apt.# City State Zip County Electrical Power Company/Serving Utility Description of work being done(Example:adding outlets in the kitchen,second floor break area,etc.) j-2dCoonl 0n ___-- DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325 253-835-2607 Is.www.cityoffederalway.corn/ perm itcenter(a�cityoffederalway.com Bulletin 4080—June 6,2018 Page 2 of 2 k:\I-landouts\Property Owner Electrical Work Application