23-105010City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: RAMOS
Project Address: 30605 9TH AVE S
Project Description: Update service panel
Electrical
Permit #:23-105010-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 174500 0150
Owner
Applicant
Contractor
MICHAEL A RAMOS
MICHAEL A RAMOS
OWNER IS CONTRACTOR
30605 9TH AVE S
30605 9TH AVE S
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
Alt. Serv./Feeder: 0 to 200 aml 1
PERMIT EXPIRES Wednesday, 3 April, 2024
Permit Issued on Friday, October 6, 2023
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
and the City of Federal Way.
Owner or agent: Date:
Clrr OF '05�&
Federal Way
THIS CARD IS TO RE--II_JI1 ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (2-53) 835-3050
Scheduled inspections nii-. be filed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
i read left to right. top to bottoni�. Please schedule Inspections as appropriate. Work niust not be co, Bred until it li approved- Check xi ll your inspector ;u
'oLl are unsure about any of the inspections of the inspection sequence. On -golfs inspect -ions are logged on the back of ,h--s card.
ELECTRICAL
0
tiFER Ground (4295)
❑
Ditch corer (4030)
❑
S1ablConcrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
Bz
Date
El
Pool Bonding (4195j
❑
Temporary Power (4275)
❑
Service (4235)
By
Approved
Date
By
Approved
Date
By
��ppmved
Date
FeederslSub-panels (4045)
El
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
B`-
Date
❑
Final - Electrical (4055)
12__Xrl1g
BvX�epproved
Date
MECHANICAL
❑
Mechanical Rough -in (4165)
❑
Gas Piping (4125)
❑
Final - ]lechanical (4065)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
PLUMBING
Plumbing Groundwork (4190)
❑
Rough Plumbing (4230)
0
Final - Plumbing (4075)
Approved to cover
Approved
Approved
B--
Date
By
Date
B3-
Date
CITY OF • Buiidijig Diaision
FederalWayd3325 Etghfih Avenue South
Federal Way, WA 4$003-6325
Phone 253-835-2b07 Fax 253-835-2509
CORRECTION NOTICE
ADDRESS: ► � PERMIT#: ;V ` 10T (210
IF YOU HAVE QUESTIONS CALL
(253) 835-
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.
fL ����5d4le -
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF RECEIVED ELECTRICAL
Federal Way OCT 0 6 2023 PERMIT APPLICATION
CITY OF FEDERAL WAy
COMMUNfTY DEVELOPME PERMIT NUMBER 1 0 5 0 ) D _
SUITE/UNIT/SPACE #
SITE ADDRESS: 3 p oo T� R*f _ kqe- ) I DD3
PROJECT VALUATION ASSESSOR'S T PARCEL @ � CURRENT/PROPOSED USE
, _L J
PROJECT NAME
(Tenant or Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Mj e,c�_✓ha (253) 3& - I3
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
MAILING ADDRESS E-MAAIL
ELECTRICAL
CONTRACTOR
APPLICANT
PROJECT CONTACT
CITY STATE I ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE UBI #
NAM PRIMARY PHONE
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
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 claimarisS v reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to t as p cation.
SIGNATURE: DATE DATE
PRINT NAME: IJrl• L'[�! rr+►dlr+�
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentercO_cityoffederalway.com
Bulletin #160 —April 14, 2020 Page I of 1 k:\Handouts\Electrical Permit Application