23-101360City of F'eden,I W~y
Community Developmcnl Dept.
3332~ 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LEMOS
Project Address: 2619 S 310TH ST !I.-
. l'l-l(J0Jf1s~
,. .. -.....
Electrical
Permit #:23-101360-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 798440 0 l l 5
Project Description: Complete the work of permit 17-!01672 and get final inspection. Permit to wire new addition;
instaJJ sub panel; relocate meter to outside fence line and feed existing 200-amp panel.
Owner Applicant
DA VlD J LEMOS DAVID J LEMOS
2619 S 310TH ST 2619 S 310TH ST
FEDERAL WAY WA 98003-5009 FEDERAL WAY WA 98003-5009
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Alt Serv./Feeder: 0 to 200 am1
Electrkal Fixtures
PERMIT EXPIRES Sunday, 10 September, 2023
Permit Issued on Tuesday. March 14, 2023
Contractor
OWNER IS CONTRACTOR
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
-~ Washington and the City of Federal Way .
Owneroragent: d L ~~/ ~ Date : .S -J"t ·'J... ]
CITYOF
Federal Way
PERMIT#:
Project:
23 101360 00
DAVID J LEMOS
, THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253)"835-3050
Address: 2619 S 310TH ST
FEDERAL WAY WA 98003-5009
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE Tl 11 $ CARO. Inspections are listed as close to sequential order as possible
(read left to right, top to bonom). 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.
[II UFER Ground (4295)
Approved
By Date
[il Pool Bonding (4195)
Appmved
By Date
II) Feeders/Sub-panels (4045}
I?//'{)) J' f'7Approved
By Date~"'JZS' .. /'f
Final -Electrical (4055)
By ~
D
By
Approved
Date J <,t{:J ~~
Rough Electrical
Approved
Date
0 Ditch cover { 4030}
Approved
By Date
0 Temporary Power (4275)
Approved
By Date
0 Rough Electrical ( 4225)
/'7.,//1/ 157 A pproved
By Da te%-#-/;
D
By
Final Electrical
Approved
Date
II] Slab/Concrete Floor (4255)
Approved to place concrete
By Date
II] Service (4235)
/1 · /IJ/ }5'7 A pproved
By Date}(*'#-'/?
~
By
D
By
Ceiling Cover (4020)
Approved
Date
Right of Way
Approved
Date
RECEIVED
MAR 1 4 2023
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
ELECTRICAL
PERMIT APPLICATION
PERMITNUMBER d 6 _ 1 _0 1 3 ~ o _ 6L-
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this pennit only
PROPERTY OWNER
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
ASSESSOR'S TAX/PARCEL#
MAILING ADDRESS
CITY
WA STATE CONTRACTOR'S LICENSE 11
NAll'IE
MAILING Al>l>RESS
CITY
NAME
SUITE/UNIT/SPACE /I
CURRENT /PROPOSED USE
D03S7-
PRIMARY PHONE
( "){"3) q, -/,. l,f~J.).
E-MAIL
STATE ZIP FAX
U'lh q1QCJ
PRIMARY PHONE
E-MAIL
STATE ZIP FAX
EXPIRATION DATE UBl#
I I
PRIMARY PHONE
E-MAIL
STATE ZlP FAX
PRIMARY PHONE
1 certify under pena.lty of perjury that I Cll1t the property owner or authorized agent of the property owner. I certify that to the best of
my knowledge, the information submitted tn 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 wit1i local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold hannless the Ctty of Federal Way as to any claim (including costs, expenses, and attorneys' fees tn.curred 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 :."::~:g:~f•>u~~ DATE ,~ ~L/ ~ 2 J
Bulletin #160 -April 14, 2020
PERMIT CENTER + 33325 8 1" Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoliederalway.com
Page 1 of 1 k:\Handouts\Electrical Permit Application