19-101936 ,
E R
Electrical
City y ral Way Permit #:19-101936-00-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: DIAGNOSTECHS
Project Address: 840 S 333RD ST Parcel Number:926500 0150
Project Description: Electrical work to include replacing lighting for added offices on the third floor and provide
power for lab equipment.
•
Owner Applicant Contractor
AMGP PROPERTIES LLC VITALLY PANASPANAS ELECTRIC LLC PANAS ELECTRIC LLC
19110 66TH AVE S BLDG G 26721 119TH AVE SE PANASEL867RH(12/10/20)
KENT WA 98032 KENT WA 98030
USA 27621 119TH AVE SE
KENT WA 98030
•
Additional Permit Information
Is this an Online or O.T.C.application9 Yes
•!:::3'; meted T P - v7r t
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PERMIT EXPIRES Thursday,23 April,2020
Permit Issued on Wednesday,April 24,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy a the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. /167Owner or agent: Date: y/2_v.
.
THIS CARD IS TO REMAIN ON-SITE
�a Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 101936 00 Address: 840 S 333RD ST
Project: AMGP PROPERTIES LLC FEDERAL WAY WA 98003-6343
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.
• •• ,
❑ UFER Ground(4295) 0 Ditch cover(4030) ; ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date •By Date
0 Pool Bonding(4195) $❑ Temporary Power(4275) 1°0 Service(4235) , •
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 9❑ Ceiling Cover(4020)
ApprovedApproved Approved
.By Date •`By ® � Date � '/ `By Date
El Final-Electrical(4055)
leyApproved
By Date c tao` 8
3 rd IA)txi1 eirt0A 3-13-161 ,e, tic&
,gtio moi Arh A ./_/9 �i<C La.b , ) ,
01-ConPotoalr-e-
ilt FO ar , i;k,e dz, .� q3-4, $/i, V , _ 'II_Itr /A
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0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OFAA APR z X019 ELECTRICALL
4
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
COMMUNITY DEVELOPMENT
PERMIT NUMBER 9 � , 0 / 3 _
SUITE/UNIT/SPACE#
SITE ADDRESS: �110 S . 353e c, + FeA a1 W,.y VJ/I- 9goo3
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ (9?i ooD 'l z 5 0 0 _ D l S ö
PROJECT NAME
(Tenant or Homeowner Last Name) �, 0(0 lit oS f e c4'
1evlavt+ �w410rcJe -evr f1 Replace nL '
� �q it-h°,1.4 4CUQd n ,'cue s
PROJECT DESCRIPTION 0tA ^i'✓d 1loo2 , �ri'D✓rde �wc✓ 7Dr /a b e7/--'erwte44+-
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
n
PROPERTY OWNER ,v,airn0v\ El K 1,0 ry (253 )737 - g793
MAILING ADDRESS E-MAIL
Ai ktioy Plkafi icA,),covv‘
CITY STATE ZIP FAX
/
NAME.p PRIMARY PHONE
OV r c ttPc,-{-ekC
1 - LL.L (2S3 ) 335 -S6`1'7--
MAILINGADDRESS DDRESS E-MAIL
Pa ELECTRICAL T"8 is '0\ .4a6elec-1i",4�wua I•cows
CONTRACTOR CIT STATE ZIP FAX r-e�� WA- 9803( ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Pav\ase, V63- 'Ri-f ii/ 1 o /iozo
NAME , 'Cl
t PRIMARY PHONE
APPLICANT v' )a' PAvk 6--s (2S3) 3.. -S6 y
MAILING ADDRESS E-MAIL
PD c3ox X63
Q,i,,I,y p ewo.selecfr«.c.awc
CITY STATE ZIP FAX
K-ev►-V WA 9g0s?i ( ) -
NAME`I PRIMARY PHONE
PROJECT CONTACT V 0 . I‘t y' Pak S (-2.53 )335 -5.64
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 ity as a part of this application. J
SIGNATURE: 7 DATE 'T/Z 7 /ck
ki'PRINT NAME: V I 1 k y P.......5
v 5
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application