14-103763City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FILE
Project Name: LAKE GENEVA GOLD
Project Address: 30380 30TH AVE SW
s . r 01 Y IR
' Electrical
Permit #: 14 -103763 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 416660 0476
Project Description: New Construction House. 200 amp service, Grinder pump, phone and tv
Owne
MELISSA GAYDOSH
ARRlicant
TOMMY BENNYHOFF
Contractor
MODERN WIRING INC
DANIEL GAYDOSH
MODERN WIRING
MODERWI91 IKK (5113115)
30201 33RD AVE S
1563 THORNTON AVE SW
11102 25TH AVE E SUITE C
FEDERAL WAY WA 98023-2322
PACIFIC WA 98047
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes Is Use Educational or Institutional? ....................... No
Electrical Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Saturday, January 24, 2015
Permit Issued on Monday, July 28, 2014
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: Lis ELSIE Date:
I •4 '
CITY OF VAI�
Federal Way
THIS CARD IS TOMAIN ON-SITE '
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 14 -103763 -00 -EL Address: 30380 30TH AVE SW
Project: MELISSA GAYDOSH FEDERAL WAY, WA 98023
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)
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By Date
By , Date
By Date
Final - Electrical (4055)
�C 4�' Approved
By 01 Date �" 5
El
Pool Bonding (4195)
1:1Approved
Temporary Power (4275)Service
(4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
V -S Date 814111
Feeders/Sub-panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
V_*3 Date g 1; 0
1 l
By
Date
Final - Electrical (4055)
�C 4�' Approved
By 01 Date �" 5
El
Rough Electrical
Approved
1:1Approved
Final Electrical
Right of Way
Approved
By
Date
By
Date
By
Date