19-103412City of Federal Way
�•
I� F
Community Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CARMONA
Project Address: 30104 17TH AVE SW
Electrical
Permit #:19-103412-00-EL
Inspection Request Line: (253) 835'3060
Parcel Number: 005070 0100
Project Description: Upgrade 2 panels, add 2 circuits for elevator, add 5 kitchen appliance circuits, add 1 bath
circuit, add 1 floor heat circuit, add 3 appliance circuits, add 9 dedicated circuits and 8 altered
circuits.
Owner
Applicant
Contractor
SERGIO & NORMA CARMONA
JAN ROSANDERCUSTOM ELECTRICAL
CUSTOM ELECTRICAL SERVICES LLC
30104 17TH AVE SW
SERVICES LLC
(01)
FEDERAL WAY WA 98023
3716 AUBURN WAY N
CUSTOES893J2 (4/22/23)
AUBURN WA 98002
3716 AUBURN WAY N
AUBURN WA 98002
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical FLxtu res
Alt. Serv./Feeder: 0 to 200 aml 2 Circuits - Residential 24
PERMIT EXPIRES Friday, 17 February, 2023
Permit Issued on Thursday, July 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
llWashington and the City of Federal Way.
Owner or agent: (' zDate:
L��' 1
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) $35-3050
PERMIT #: 19 103412 00 Address:
30104 17TH AVE SW
Project: ANTHONY CARMONA
FEDERAL WAY WA 98023-3453
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE TIIIS 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.
in
UFER Ground (4295)
Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By Date
By Date
®
Pool Bonding (4195) ® Temporary Power (4275)
® Service (4235)
Approved Approved
Approved
By
Date By Date
By Date of - _
0
Feeders/Sub-panels (4045) E Rough Electrical (4225)
0 Ceiling Cover (4020)
Approved Approved
Approved
By
Date By Date
By Date
10 Fina - Electrical (4055)
proved
ByDate'�
❑
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date