17-100777 Electrical
City of Federal Way
Community Development Dept. FILE
Permit #.17-100777-00-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: DONOVAN
Project Address: 30625 43RD AVE SW Parcel Number: 112103 9088
Project Description: Master bedroom and bathroom remodel to include adding switches,outlets and lights;Conduit
under slab repair.
** REVISED on 4/18/17 TO INCLUDE UPGRADE SUB PANEL AND DISCONNECT FOR
NEW MINI SPLIT HEAT PUMP**
Owner Applicant Contractor
MICHAEL C VELLING TONY FAYMODERN ELECTRIC LLC MODERN ELECTRIC LLC
30625 43RD AVE SW PO BOX 65785 MODEREL923CL(2/14/18)
FEDERAL WAY WA 98023-2123 UNIVERSITY PLACE WA 98464
PO BOX 65785
UNIVERSITY PLACE WA 98464
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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PERMIT EXPIRES Friday, 16 February,2018
Permit Issued on Thursday,February 16,2017
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.
Owner or agent: eA) 'er/l b--r .C; Date: 11
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• Electrical
City of Federal Way
Community Development Dept. r d 7-/-...-.;.i Permit #.17-100777-OO-EL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: DONOVAN
Project Address: 30625 43RD AVE SW Parcel Number: 112103 9088
Project Description: Master bedroom and bathroom remodel to include adding switches,outlets and lights; Conduit
under slab repair.
Owner Applicant Contractor
MICHAEL C\TELLING TONY FAYMODERN ELECTRIC LLC MODERN ELECTRIC LLC
30625 43RD AVE SW PO BOX 65785 MODEREL923CL(2/14/18)
FEDERAL WAY WA 98023-2123 UNIVERSITY PLACE WA 98464 PO BOX 65785
UNIVERSITY PLACE WA 98464
,
Additional Permit Information
Is this an Online or O.T.C.application? Yes
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PERMIT EXPIRES Friday, 16 February, 2018
Permit Issued on Thursday, February 16,2017
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.
Owner or agent: Date: Z /1 ' 11 7
.
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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THIS CARD IS TO REMAIN ON-SITE ' ' ` '
CITY OFAL
•
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Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 100777 00 Address: 30625 43RD AVE SW
Project: DUMAS POND LLC FEDERAL WAY WA 98023-2123
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) ® Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date —,--c, Date 2— lR— l
® Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date Date _ �� �� � By Date
CI Final-Electrical(4055)
Approved
B Z t 8 _2-
rtv Date
0 Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
�� RECEIVED ELECTRICAL
CITY OF
Federal Way FEB 16 2017 PERMIT APPLICATION
CITY OF FEDERAL WAY V
CDS PERMIT NUMBER V 7 7r �...-
SUITE/UNIT/SPACE#
SITE ADDRESS:
30625 43rd Ave SW, Federal Way
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# 0 r^ CURRENT/PROPOSED USE
$ 3000.00 I
PROJECT NAME
(Tenant or Homeowner Last Name) Donavan
Master bed and bath remodel
PROJECT DESCRIPTION S W(� .*
Detailed description of work to i�t�(l-es�� , )►\C'L
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Thomas Doavan ( 253 ) 230- 6506
MAILING ADDRESS E-MAIL
30625 43rd Ave SW
CITY STATE ZIP FAX
Federal Way WA 98023 ( ) -
NAME PRIMARY PHONE
Modern Electric,LLC ( 253) 223- 3626
MAILING ADDRESS E-MAIL
ELECTRICAL PO Box 65785 tony@modernelectricllc.com
CONTRACTOR CITY STATE ZIP FAX
University Place WA 98464 ( ) -
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MODEREL923CL Of 08 / 2016
• NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS ( ) E-MAIL
CITY STATE ZIP FAX
( )
NAME PRIMARY PHONE
PROJECT CONTACT Rick Hjelm (253 ) 377 - 3400
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 this application.
SIGNATURE: • !�\ DATE 02.16.2017
PRINT NAME: hony Fay
PERMIT CENTER f 33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@?cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application