19-100357 r r
Electrical
City of Federal Way Permit #:19-100357-00-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: LEMOS
Project Address: 2619 S 310TH ST Parcel Number:798440 0115
Project Description: Wire new addition;install sub panel; relocate meter to outside fence line and feed existing 200-
amp panel.
OwnerApplicant Contractor t
DAVID J LEMOS R E CTRICAL SERVI LLEIC> R R ELECTRI I' S 'VI 6' LC
2619 S 310TH ST 5 GTON AVE S S RREL • . 41,4 f"9)
WAY WA 98003-5009 KENT A 98032
325 WAS 0 • S SUITE 71
4. ` WA 98032
Additional Permit ormation
1(k4
Is this an Online or O.T. a ' a�flon7 Ye% ie. ,
Alt.Serv./Feeder:0 to 200 aml 1
PE- , IT EXPIRES Wed y,22 January,2020
e ii sued on T ,January 22,2019
I hereby certify that the a ove i /mation is correct and that the construction on the above described property
and the occ 0 y and the use will be in accordance with the laws, rules and regulations of the State of
Was`ingtaA and the City of Federal Way.
viltIPI.
Owner gen kIlk . qillw Date: I a-el
Al r
Ovi4THIS CARD IS TO REMAIN ON-SITE
CITY OP Construction Inspection Record
vvay
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100357 00 Address: 2619 S 310TH ST
Project: DAVID J LEMOS FEDERAL WAY WA 98003-5009
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TRIS 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 my of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
Q UFER Ground(4295) 2❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
® Pool Bonding(4195) ® Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By �‘ Date 2 By .„ Date 2,.
Feeders/Sub-panels(4045) ® Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date • By Date
El Final-Electrical(4055)
Approved
By Date
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
-
Nil, CITY OF Building Division
JhIay33325
EighthAvenue South
o„ ..,,, FedaraI Federal Way,WA 98003-6325
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: a Cell, , S 3l ST- PERMIT#: -to 0-.3 -7
.a. -z •-• p fc ?'o fes_ 6rZtity2CS L-77 .�
. ` Svc P mss- cE % t S LI -f^ -4A 4.
3f
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 AR ED TO BE MADE WITHIN 15 DAYS.
tit
D TE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
RECEIVED
CITY OF ELECTRICAL
Federal Way SAN 2 2 2019 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT 9 +�
PERMIT NUMBER / _ / 0 O 5 /r�
_ g I
S.,j UITE/UNIT/SPACE#
SITE ADDRESS: alVl^`1 C , �h __
\
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 9 ,o o0 7 9 S +f V a - . o / 5
PROJECT NAME
(Tenant or Homeowner Last Name) S
\, ` --e- {\LA. Ci j r\‘o ri -Ind-A-00) t,,b p cA N--e. 1 a-
PROJECT DESCRIPTION Q 1- \oc Qt V -CC.r 1 O' \' 1 ' n-e L``1\-( k--
Detailed
Detailed description of work to f e-c '1----10.A ' yam/, - � Q(/'41- l
be included on this permit only 1
NAME PRIMARY PHONE
PROPERTY OWNER &Ai A LS . 063)O y I-L--I 1
MAILING ADDRESS E-MAIL
)‘U \ C\ 5i310‘C‘^ S\ ,
TY STATE ZIP FAX
,s4mE PRIMARY PHONE
62I8rti4, VarT-ItarZui.\ \-v IcthL-Lc DE19 )a7J - CL (/7
MAILING ADDRESS 1
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ELECTRICAL 3( 66 n�j�•�-v/c V'1 (Lt S , 11 ) I S -Y V iLL •/40N/Wot GCyW\
CONTRACTOR CITYSTATE ZI FAX i
_
\3 GuG, ,i%®3c ( ) -
- A STATE LICENSE 0 YYN ‘1 ��f T��� FEDERAL WAY BUSINESS LICENSE#
NAME • �� PRIMARY PHONE
APPLICANT 0CA5 t'
\t� e L\ ` (.,•\ QAC \ • ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT ( ) -
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 th application.
SIGNATURE: l ���• DATE I d I I
PRINT NAME: \ \� ► !j %0-e S
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application