18-105069 ,i
N efr r
IP .. FILE e „
Electrical
City of Federal way Permit #:18-105069-00-EL
Community 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: STEFOGLO
Project Address: 144 S 293RD ST Parcel Number:720250 0070
Project Description: Electrical work to include new service and wiring for new single family residence.
Owner Applicant Contractor
VIKTOR STEFOGLO VIKTOR STEFOGLO OWNER IS CONTRACTOR
32330 4TH PLS APT P6 32330 4TH PL S APT P6
FEDERAL WAY WA 98003-5820 FEDERAL WAY WA 98003-5820
Additional Permit Information
Is this an Online or O.T.C.application' Yes
Alt.Serv./Feeder:0 to 200 ami 1
PERMIT EXPIRES Saturday,26 October,2019
Permit Issued on Friday,October 26,2018
o
I hereby certify that "" - above information is correct and that the construction on the above described property
and the occui
, the use 'II be in accordance with the laws,rules and regulations of the State of
1ft Washington and the City of Federal Way.
F
Owner or ag- Date: j a
1Z-6 (t.
14f,--/ a,
At. THIS CARD IS TO REMAIN ON-SITE ' \
arr.OP Construction Inspection Record
Way INSPECTION s
REQUE TS:(253)835-3050
PERMIT#: 18 105069 00 Address: 144 S 293RD ST
Project: VIKTOR STEFOGLO 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.
,
t❑ UFER Ground(4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
I Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Or Date --t! '"--
0
—tom0 Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved -
By 11 Date 0 Si By O 416... Date k V 4- i By Date
al al- , al(4055)
BY �r Date/9419
•
I�
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
• ELECTRICAL
CITY OF OCT 2 6 2018
Federal Way PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER ) 0 _ I 0 0 ‘ �_ _
SUITE/UNIT/SPACE#
)99
SITE ADDRESS: S Z9 3 5� rC {al bU � 0„4
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# yam/ CURRENT/PROPOSED USE
$ Si000 7 2 0 2 5- 0 _ 0 0 7 0
PROJECT NAME
(Tenant or Homeowner Last Name)
i60- Cans� TS'�,$fi�s/ 5-�(ac e /2v - ter — .c
PROJECT DESCRIPTION /0&-reset)1( S l 6"8-Sly")LGJeS / 3 -O/S Hea14er5 6K1 e c`j
Detailed description of work to
be included on this permit only 1 ,C 1
NAME 1 ,/� PRIMARY PHONE
PROPERTY OWNER V i C I D f 5 teroyly ( ?O6) e17-g7S V
MAILING ADDRESS u n� (� E-MAIL
3Z 3 3o q "^ i S poSIIJ/ ��u, /
. fors Iv SLctii ed,
t ��� STATE ZIP FAX
CITY (/ �'
,(' w& 618ov3 ( ) -
NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
0 wh eV ( ) -
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
-
NAMEPRIMARY PHONE
PROJECT CONTACT Vi C'f 0 r5-j--P-fo i
Li ( ?06) 617- 895C1
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 o t of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t_hhee�•11', % of this application.
SIGNATURE: DATE lam/? //Y
Fe
PRINT NAME: I thee Camp
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application
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❑ 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).
l
Your signature is required below: "'
I believe I should be exempt from the requirements to obtain an electrical license,or use a certified
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
understand that if I makefalsestatements or misrepresentations, I may be assessed penalties.
U i ) - S e�oc 1 /` A �'
Printed Name of Property Owner,Renter,or Lessee Signature
i
io(u )19
Date
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a ,tet �a 5117 7 3 s .zug" - s A �^s --n7l '� �'`.ur^mss"
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Property Owil' .and Inspecon
tiSite Ilnformation '-':::-.:41::A
Property Owner's Name(Last,First)or Company Name
-5Z330 1 P1 s 1lfr#i Firita1 a/a Ilial X8005
Mailing Address Unit/Apt.# City State Zip
C'2o67 617 84 s� 1//� orS jGty 1 Y1 � l`60 VII 1
Daytime Phone Email Address <! ss
,
i1y .5 7c3 5+ F c✓u1 it i Wa- 48003
Inspection Site Address(if different) Unit/Apt.# City State Zip
t
County Electrical Power Company/Serving Utility
Description ofwork being done(Example:adding outlets in the kitchen,second floor'break area;etc)
j. See. Apl cr,A.1-tof
k
1
DEPARTMENT OF COMMUNITY DEVELOPMENT/33325 8TH AVENUE SOUTH/FEDERAL W,v',WA 98003-6325
253-835-2607 www.cityoffederalway.com�.permitcenter(c�cityoffederalway.com
Bulletin#080—June 6,2018 Page 2 of 2 k:\Handouts\Property Owner Electrical Work Application
41/4
CITY OT Property Owner
Federal Way
Electrical Work Permit Application
R
x t�
r
.Applying For Xbiir ectr al P r
In Washington, only licensed electrical contractors may perform electrical work. Property owners f4
may apply for an exemption from these requirements by completing this application and signing
the affidavit below before beginning electrical work.
(
lid t�vtt
As authorized under RCW 19.28.261, I, \ t 12.)1.14(' c c' IQ hereby apply
(Printed name of property owner,‘ enter,or lessee)
1 for an exemption from the electrical licensing and certification requirements of RCW 19.28 by
submission of this affidavit.
Which statement describes you? (Mark only one.If none apply you may not take out this permit)
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 thisro er
P p ty
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.
Select your property type(Mark only one. If none apply you may not take out this permit)
1
T- 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
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.
❑ 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'es.www.cityoflederalway.com permitcenter(c�cityoffederalway.com
Bulletin#080—June 6,2018 Page 1 of 2 k:\Handouts\Property Owner Electrical Work Application