19-102579 *
Electrical
City of Federal Way Permit #:19-102579-00-EL
Commumty 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: BOCEK
Project Address: 1102 SW 311TH CT Parcel Number: 525980 0420
Project Description: Add island plug,extend range circuit,add smoke detectors and recessed lighting.
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Owner Applicant Contractor
POORLADISLAV BOCEK MICHAEL HOFMANN,PRESIDENTHI AMP HI AMP ELECTRIC
33460 37TH PL SW ELECTRIC LLC. HIAMPAE844N6(9/7/20)
FEDERAL WAY WA PO BOX 196
98023 ROY WA 98580 PO BOX 196
ROY WA 98580
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Additional Permit Information
Is this an Online or O.T.C.application? Yes
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Circuits-Residential 3
PERMIT EXPIRES Thursday,28 May,2020
Permit Issued on Wednesday,May 29,2019
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
Washingt and the City of Federal Way. rr
Owner or agent: / / Date:
J ' /1�
• i
THIS CARD IS TO REMAIN ON-SITE
Arno. Construction Inspection Record ' •
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102579 00 Address: 1102 SW 311TH CT
Project: YARKA BOCEK FEDERAL WAY WA 98023-4536
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) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved I Approved to place concrete
By Date By Date I.By Date _
0 Pool Bonding(4195) 0 Temporary Power(4275) ' 0 Service(4235)
Approved Approved Approved
By Date ' By Date By Date
0 Feeders/Sub-panels(4045) 171 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date ' By A Date •^80 r 1 By L / Date ';:110.1
: Fi
Datte-E e /' al(4055)
o "IIto
By
•
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED ELECTRICAL
CITY OF 1111111
Federal Way MAY 2 9 2019 PERMIT APPLICATION
cm,/OF FEDERAL WAY
COMMUNITY DEVELOPMENT 1 0 2 5 7 9 -
PERMIT NUMBER I
SUITE/UNIT/SPACES
SITE ADDRESS: + , O; < L, l 3 1,
PROJECT VALUATION l ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ acv 5 -a 5 ct 0 _ ° t/ 2- 0
PROJECT NAME
(Tenant or Homeowner Last Name) V IR . t--e
PROJECT DESCRIPTION 0 U Shia Iz e d2:1-,e( -/-z -s� lir re ce,55r D
Detailed description of work to L,y,Jt f fv,
be included on this permit only //
NAME PRIMARY PHONE
PROPERTY OWNER ?COI- l d,S(a.v 6 DC L k ( ) -
MAILING ADDRESS E-MAIL
I 0 SL ) 3 ) 141" Gf
e STATE ZIP FAX
NAME /� PRIMARY PHONE
67) L (,Anile_ (Lc- ( )G 7?- y6-6 d
MAILINGDRESS /-MAH.
ELECTRICAL Pô < %r/, In/Lh hGI e E6l;'"pQied)1( •un
CONTRACTOR CITY 1.. STATE ZIP \ `c��--�/q�FAX
�/� taq- O G/6 G) 5' 32,9 l
WA STATE CCTOR'S LICENSES J O v EXPIRATION DATE FEDERAL WAY BIISINESS LICENSE#
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NAME {�,, PRIMARY PHONE
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APPLICANT 1 11 J1 G/ton _Nd X360 ) yiv - 2-3
MAILING AD.WNS S E-MAIL
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CITY STATE ZIP �� FAXt/ ti'� ( )
NAME PRIMARY PHONE
PROJECT CONTACT 1(70 l A/IJ (?-S-3) 6'77 -Y6 66
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: 1 1 /Ai OA DATE "4,//
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PRINT NAME: yr)/ / ,pNA)
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application