19-100347 Electrical
Community of
opment Permit #:19-100347-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: STASYUK
Project Address: 34626 10TH PL SW Parcel Number: 132173 0530
Project Description: Main service panel replacement;some electrical wire replacement. (Fire damage)
•
Owner Applicant Contractor
YAKOV STASYUK YAKOV STASYUK OWNER IS CONTRACTOR
34626 10TH PL SW 34626 10TH PL SW
FEDERAL WAY WA 98023-8426 FEDERAL WAY WA 98023-8426
Additional Permit Information a
Is this an Online or O.T.C.application9 Yes
Alt.Serv./Feeder:0 to 200 am] 1
PERMIT EXPIRES Saturday, 18 January,2020
Permit Issued on Friday,January 18,2019
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. / fj
Owner or agent: / / Date: / /—/ v `
CA))i, i
/ V)
THIS CARD IS TO REMAIN ON-SITE
Yom '" • Construction
Fede�l Wa Inspection Record
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100347 00 Address: 34626 10TH PL SW
Project: NATALIYA I STASYUK FEDERAL WAY WA 98023-8426
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) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved
By Date By Date By fe Approved
to / /
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By de, Date "3 0#1 By Date
EI Final-Electrical(4055)
Approved
By eel
`
//---/-Date � -/ a,
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date , By Date By Date
ELECTRICAL
CITY OF
1111111 RECEIVED
Federal Way PERMIT APPLICATION
JAN 18 2019 (/ t w�
COM Y OF F EDERAL DEVELOPMENT IT NUMBER / _ / 06 3 lL /_ Ci
SITE ADDRESS: 3 / 2 l/ /0 /A ezs SUITE/UNIT/SPACE#
PROJE ALUATION ASSESSOR'S T /PARCEL# CURRENT/PROPOSED USE
X00 13 a f 7 S S I,
PRO XI
((Tenant or Homeowner Last Name) 1,60✓ \"��s
PROJECT DESCRIPTION ' 1 el I r14 S et v/C_ ,� P li A ' r l oCe_�� 7L
Detailed description of work to J� vt Q 2 /pr)i/_/ eq/ w/ f e ' ler e-e-kn e n
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER !GO✓ f. S K (206) ICI - ofg7q
MAILING DRESS E-MAIL
3WZZ' /OA PLs
CITY STATEZIP FAX
Federal u� y1 444 af I az 3 ( ) -
NAME / PRIMARY PHONE
0 w � ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAMEq PRIMARY PHONE
APPLICANT O W n r ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT PCO S L G (20 6)g 6/ - 1g7 ?
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: � DATE �/— 2g -?0/X
PRINT NAME: 1' W c V 5r k
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application