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02-103768 City of Federal Way Community Development Services Electrical Permit #:02 - 103768 - 00 - EL 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: KOSIUK Project Address: 33044 16TH SW Parcel Number: 010457 0290 Project Description: ELE-Electrical for hot tub Owner Applicant Contractor OLEG V&IRINA KOSIUK OLEG V&IRINA KOSIUK OLEG V&IRINA KOSIUK 33044 16TH AVE SW 33044 16TH AVE SW 33044 16TH AVE SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 . (253)874-2109 Electrical Fixtures ',k _-LiE};,escription :Agility' ,', ,. .;99,,escrili ►g' y1Quantiry . Pe criptiorilh +; K 10:06.iatity Hot Tub 1 PERMIT EXPIRES March 3,2003,IF NO WORK IS STARTED. Permit issued on September 4,2002 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: `� k07 t i V� Date: Se , 02 1\..) 0,- 62 - 07___ 9.0.1,4._ 1 .,(\ v„.or10.-D Wil" e — e s –,r./"2-_ F,Luc / 4,0,-w4 RECEIVED \.,� CONSTRUCTION PERMIT APPLICATION � SEP 0 4 2002 uv FEY _ APPLICATION NUMBER: OZ./- -0`h 8 - 6 CITY OF FEDERAL WAY APPLICATION NUMBER: - - BUILDING DEPT. APPLICATION NUMBER: - - **The following is required information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. -. - (. ■ `PROPERTY INFORMATION • SITE ADDRESS: '330144 t 6 �� f SW ASSESSOR'S TAX/PARCEL#: - FeckeN-a\ wA'j Quoa.S LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): .-----%-;--:-""-:;•-•-.::•---:,-;1'-'7 . ■ PROJECT INFORMATION'-. - - TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION V4LECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): - 4tn0"\-- 4-vb ebCIO SuYQ . PR 0 S ECT NAME: ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: k DAYTIME PHONE: Cjleq U \x 1aK ( ) _ MAILING ADDRESS(5T ADDRESS;CITY,STATE,ZIP): 33oL\4 16 '4' PL, SW Feelerp`-I Lva7 W4 cSOQS CONTRACTOR: NAME: 1 Q DAYTIME PHONE: I ��`p�\ �/ © S t K (a o6 )9'TS- - I33 3 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 33 OL 16Pv SW Fe 4e)-01 work �5 Wi} f3 ) 8 \ - 2109 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: r FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: ,, DAYTIME PHONE: dl,e6 v kos( LAg 00c) SSS - /333 MAILING ADD ES (STREET ADDRESS;QTY,STATE,ZIP): EVENING PHONE: S3°L1L) X641^ Pt) SGV Feclerc. J (VO y Wi4 (S3) gel - a1 bq RELATIONSHIP TO PROJECT: / FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION - EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: �•._.�.�....H:. .w._r, �,.. . . ,•. 4:.—.•..••4.•.s ro k,:t•FIXTURES'Kel4.xH•;• 4•••,.....,..�waad3rr.• �.. ,.. .,..0.;:�::.� N ••••••• Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTO BOILER(S) FIREPLACE INSERT(S) _ RANGE(S) MISC. ) COMPRESSOR(S) FURNACE(S) Ord DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: El ELECTRIC U'GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) - - •■ "DISCLAIMER/SIGNATURE BLOCK - : I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the citya/s a partaof this application. NAME/TITLE: 0 V f�` o c, ( K DATE: ( Se ©� PROPERTY OWNER 0 APPLICANT 0 CONTRACTOR ;FOR OFFICE'USE ONLY:-j NEW =F D ADDTfION;s 6 • ;, _ ,REPAIR:=_' '❑at-NA NL-IMPROVEMENT >n CENSUS:CODE: =tom OhfING E'SIGNATQN_ � _ _ =_ :rBUILDING SHELL ONLY?== (ES 'D`NU� SMP LAN DESIGN >_ — *$%1510 PL'A ?�. fES TN0`=s -i0t ten. �;,,��- .3• •- - �w.w,�.��.�-.�-�-�-..:_.� ' �. _ � �=TOWIVSFIIP�,,�-__ RANGE,ti=y�::$`_NEW ADDRESS REQUIRED?_ �.•�:.-= s ❑�',�U,��.�- ❑ fES ,❑=N0 _CHANGE OF USE?--:` ."❑YES.• COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com