17-102188 •
Electrical
City of Federal WayPermit #:17-102188-00-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: STAKHOV
Project Address: 29820 23RD AVE SW Parcel Number:012103 9154
Project Description: Completion of the work of permit#16-102871 for new construction electrical wiring.
Owner Applicant Contractor
ALEX STAKHOV ALEX STAKHOV OWNER IS CONTRACTOR
35704 22ND PLS APT B 35704 22ND PL S APT B
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Additional Permit Information dli
Is this an Online or O.T.C.application Yes
Pr
Circuits-Residential 15 New Service:Residential erm•. , 1
PERMIT EXPIRES Friday, May, ,
Permit Issued on Th sd: 1 ,- 17
`
I hereby certify that the above information i liPa hat the ruction on the above described property
and the occupancy and the use wi e' rd- ce with the I , rules and regulations of the State of
Was ' g a i e Ci Federal Way.
Owner or agent:
.,f______,/,....... G ( Date: /////".'7
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VT i
kl0-11111516 (11
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THIS CARD IS TO REMAIN ON-SITEInspecon
ord
Federal Way CO INSPECTION REQUESTS:nstruction (253)835-30500
PERMIT#: 17 102188 00 Address: 29820 23RD AVE SW
Project: ALEX STAKHOV FEDERAL WAY WA 98023
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 LIFER Ground(4295) 1 :1 Ditch cover(4030) .. 3❑ Slab/Concrete Floor(4255)
Approved Approved I Approved to place concrete
By Date . By Date . By Date
® Pool Bonding(4195) e El Temporary Power(4275) ® Service(4235)
Approved I Approved Approved
By Date By Date By kr 14....s..... Date t c_l g
El Feeders/Sub-panels(4045) ® Rough Electrical(4225) ' l Ceiling Cover(4020)
Approved Approved Approved
„By 0___,Q,„,.... Date Li ..,r-byg , By 0 ,�...('��
Date +t1% ..By Date
1ttElectrical- _l (4055)
Approved
By Date
ID Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
CITY OF Building Division
35
Fed era I JIJayr
Federal332Way,Eighth WAAvenue 98003-6325South
Phone 253 835 2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: & a iS 2 `, 2.3_a SUV . PERMIT#: \ -a C
er\--‘ t We- 11--4A-c-2A
cll.-
IF
IF YOU HAVE QUESTIONS CALL (253) 835- ''--L 2 7
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
CITY OF MAY 11 2017 ELECTRICAL
Federal Way coM OF FERE OPWAY MErrr PERMIT APPLICATION
PERMIT NUMBER / 7 _ / j - 6 `/S - a
` l/ [J ✓ SUITE/UNIT/SPACE#
SITE ADDRESS:
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
PROJECT NAME - L/
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION A){7. ec Cid?ti P/P c e/ 0.2 AN,e/i/y
Detailed description of work to J
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER CPh (/ (.. )3/0
MAILING ADDRESS /� �//c / E-MAIL
1.0117 CZY)7
CITY STATE ZIP FAX
iC2�?/ 20,9q3 ( ) -
NAME PRIMARY PHONE
O&vr',P ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAMEPRIMARYPHONE
APPLICANT Ue3/ 7'P-G?" ( )
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME Rex PRIMARY PHONE
PROJECT CONTACT L/�/01K\' -57•/44- (J ( 3 ) 3/o - /2(z
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 _ ,/1"(
l t
PRINT NAME: '111.f I dr
w
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application