15-100145 Electrical
City of Federal Way
Community&Econ.Dev.Services Fermit #: 15-100145-00-EL
33325 8th Ave S
Federal Way,WA 98003 ec
Instion Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p Q (253)835-3050
Project Name: DAIRY QUEEN
Project Address: 2305 SW 336TH ST Parcel Number: 873217 0060
Project Description: Interior lighting replacement in dining room to include new LED's. Exterior work to
remove existing lights and install new LED lighing,extend lighting circuit.
Owner Applicant Contractor
EDITH GOSSAN STEFAN TATCHUKOV BALKAN ELECTRIC LLC
7301 NE 175TH ST#124 BALKAN ELECTRIC LLC BALKAEL882NO(8/21/16
KENMORE WA 8728 229TH PL SW 8728 229TH PL SW
98028-3534 EDMONDS WA 98026 EDMONDS WA 98026
Additional Permit Information
Is this an Online or O.T.C.application? Yes Is Use Educational or Institutional? No
Service greater than 999 Amps? No
Electrical Fixtures
Circuits-Commercial 3
PERMIT EXPIRES Saturday, July 11, 2015
Permit Issued on Monday,January 12, 2015
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 a rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: /l0?//s
foil Atilt)
• THIS CARD IS TO MAIN ON-SITE
+ `
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-100145-00-EL Address: 2305 SW 336TH ST
Project: EDITH GOSSAN FEDERAL WAY, WA 98003
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) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved I
By Date By Date By Date t I..l ( t S—
Final-Electrical(4055) 1
Approved
B C5 Date (_ k_ I6-----
❑ Rough ElectricalEl Final Electrical 'El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
411
'e ! 12 2015
,4„.... E&C'TRICAL
CITY OF
• Federal Way CIV' OF FEDERAL WAV'ERMIT APPLICATION
CDS
PERMIT NUMBER 1 57_ / b 6 / /S_ /� t-
SITE ADDRESS' 0 Al I• y a u C SUITE/UNIT/SPACE#
4305sw 336 ?'8'si. o2 2 <-_—
"
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ Z/5.0-0 . 0-0i 7 3 .a 1 -7 _ d o Co 0 _,
PROJECT NAME l�(� ( u e.e
(Tenant or Homeowner Last Name) y
/k'i a R I o eiy h-E-/-7-c y /i.e.()�Qe,2�me - (
PROJECT DESCRIPTION d?'X t ex Zit V
Detailed description of work to ay .cZ1'a "— R.em-0 V,-e._ _ex/ S 7-7,--k e(f''4 -:c 6.1 ,5i-gee
be included on this permit only
-*e w /-E7) 1-1,h-Tlemy._ e xt--4-7-ta f(f titin, c,2ca4
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
_
NAME PRIMARY PHONE
/1 A-I tcAnl I—t C 2)c- LZc (206) gM Clew
MAILING ADDRESS E-MAIL
ELECTRICAL 87 Z g 2_,.29-‘4 V?. s (Al
CONTRACTOR CITY STATE ZIP FAX
DM-ONUS W[4- ?.319Z4 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
S'i- ri )A-1 414 449 V ( ) -
APPLICANT MAILING ADDRESS E-MAIL
8?28 2e29 P1. S C/U
CITY STATE ZIP FAX
nr DS th4 g‘?-1) 2,‘ ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT 8B c 4-N -'Joq- v (ROG ) 7/P 6'�f ds-
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 s application.
P7
r
SIGNATURE: ID �__, V DATE j/,' /4S
PRINT NAME: —STS AlA d T I C1f '1G
vi
0 L
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application