18-105179 , _ Electrical
C Cityiynevel Way
Permit #:18-105179-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 FILE
Project Name: PETROVSKIY
Project Address: 37226 1ST AVE SW Parcel Number:218820 3420
Project Description: Electrical work to include wiring in the garage.
Owner Applicant Contractor
VITALLY PETROVSKIY VITALLY PETROVSKIY OWNER IS CONTRACTOR
11816 SE 270TH ST 11816 SE 270TH ST
KENT WA 98030 KENT WA 98030
Additional Permit Information
Is this an Online or O.T.C.application? Yes
•
1
PERMIT EXPIRES Thursd 0 i •er,441# #
Permit Issued on Wednesday . • 31 2 8
I hereby certify that the above information is correct and t the cons on the above described property
and the occupancy and the use will be in accordan : 'th the la les and regulations of the State of
Washi • • _ . . ity of Feder ay.
Owner or agent: iv��:��_ Date: / /7(-
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' THIS CARD IS TO REMAIN ON-SITE
"~ Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 105179 00 Address: 37226 1ST AVE SW
Project: VITALLY PETROVSKIY FEDERAL WAY WA 98023-7313
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. Wait 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) Z❑ Ditch cover(4030) 3❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) El Ceiling Cover(4020)
Approved j Approved Approved
By Date By Date By Date
On Final-Electrical(4055)
Approved
By Date
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
.By Date By Date By Date
lkih, CITY qF - Building Division
Fed a ra I VIa Eighth Avenue South
Fe2deralderal Way,WA 98003-6325
Phone 53-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: `Y-1 `j., 'a lL L s PERMIT#: 1 $ - 1 G 5 \ `--
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IF YOU HAVE QUESTIONS CALL (253) 835- 210 2.'i
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
�`� _ RECEIVED ELECTRICAL
CITY OF "1.0./
Federal Way OCT 31 2018 PERMIT APPLICATION
CITY Off FEDERAL WAY / C� _
COMMUNITY DEVELOPMF ( �j - ' 0 Gv- / 7 / _
IT NUMBER O
SITE ADDRESS: 3-72-z / / 5AvP J SUITE/UNIT/SPACE#
tAJ
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
2 a I g 8 a a _ 3 q zD
PROJECT NAME � �
(Tenant or Homeowner Last Name) ry TjS
PROJECT DESCRIPTION 14 (/'-c--q-.8
Detailed description of work to 'Ie c-ir- e -Vi / r /QS k7t>(.G2. •P
be included on this permit only V
NAME
_ PRIMARY PHONE
�
PROPERTY OWNER 7i� �-�YC7(/S lc�—f-y (2s?) (b2c.)-67?
MAILING ADDRESS/ 7 P�
G/I(C5 e_ 2<0 / Q E-MAIL
CITY Fes- STATE� ZIP?P03-0 ( ) FAX
NAME PRIMARY PHONE
0wr`'t./l, ( 1 -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME / /
_- _
PRIMARY PHONE
(til.• -2 ( )
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( ) -
NAME PRIMARY PHONE
PROJECT CONTACT ( )
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 arty 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 a.•lication.
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SIGNATURE: ..........---___...0
/ DATE 3,'! j
PRINT NAME: 77 of 77,-4-let-, ,e(_.f I
Bulletin#160-April 14,2016 Page 1 of 1 k:AHandouts\Electrical Permit Application
l`vL.IVCV
OCT 31 2018
• CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
CITY OF Property Owner
Federal Way Electrical Work Permit Application
1S - I051.77
... Applying 'or Your Electrical 'ermit �� Q
In Washington, only licensed electrical contractors may perform electrical work. Property owners
may apply for an exemption from these requirements by completing this application and signing
the affidavit below before beginning electrical work.
•
•
As authorized under RCW
W 19.28.261, I, P-e4 ro v$1 r� hereby apply
(Printed name ofproperty owner,renter,or I see)
for an exemption from the electrical licensing and certification requirements ofRCW 19.28 by
submission of this affidavit.
Which statement describes:you? (Mark only one.if none apply,you may;not take out this peryrtit)
�I own this property.
Your name or your company's name must be shown on the deed to the property. Real estate agents'property
management companies, relatives, etc. cannot purchase permits for the property owner.
❑ I rent or lease this property.
We need a copy of your rental agreement showing you have permission to perform electrical work.
❑ 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.
Selectyour oPe�y type(Mark only one.,I(none aP1Y,You ma1not:take out f,
® 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 personally doing the electrical
I 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.
1.1 ❑ 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 It.www.cityoffederalway.com permitcentera.cityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application
❑ 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 i`
g
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 n
• understand that if I make false state is-s s or misrepresentations, I may be assessed penalties./
Printed Name of Property Owner,Renter,or Lessee Signature 4
, /627?i/a :
Date
� ..,. .r.a,r am a..-.a,s . Y t<_ •.t..s. s.. , .<...�_ ; . _..3: ,<>.. _.. . ..:,:r, a,s, ae.. .
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34 Jt 'e Y
- PrOPer OWnt1'' ila liSP'.ct J ite Information' 5
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Property Owner' Name(Last,First)or Company Name
i %(8!6 3 e 2.7c7c1 -tee ,t ." w4 'IP) 0 I
Mailing Address Unit/Apt.# City State Zip
i
�S3 g2e7 --673 3
Daytime Phone Email Address -.
31 2 6 /S. /4v P /Ll/ F4Pd a/tea w� 9)<12(72 /
1 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.)
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DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL WAY,WA 98003-6325
253-835-2607 is www.cityoffederalway.com zli,.permitcenter(a citvoffederalway.com
Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application