21-101783e-- ,
City of Federal Way
Cornmunity Development Dept
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Electrical
Permit #:21-101783-00-EL
+�=! 'Inspection Request Line: (253) 835-3050
Project Name: MIRROR LAKE HIGHLAND LOT 16
Project Address: 30925 6TH LN SW
Project Description: temp power pole
Parcel Number: 555790 0160
Owner
Applicant
Contractor
WILLIAM MCCAFFREYMIRROR LAKE
DENNIS ROSSADVANCED HEATING &
ADVANCED HEATING & ELECTRICAL
HIGHLAND LLC
ELECTRICAL SOLUTIONS LLC
SOLUTIONS LLC (ELECTRICAL)
30929 37TH PL SW
16415 211TH ST E
ADVANHS8401N (4/25/22)
FEDERAL WAY WA 98023
GRAHAM WA 98338
PO BOX 1004
ORTING WA 98360
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
New Service: Residential 1
PERMIT EXPIRES Thursday, 5 May, 2022
Permit Issued on Wednesday, May 5, 2021
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
Wash in ton a rlid e i of,Federal Way.
Owner or agent: Date:
_11;k
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 21 101783 00
Address: 30925 6TH LN SW
Project: WILLIAM J MCCAFFREY 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.
El
UFER Ground (4295)
Q
Ditch cover (4030)
❑ Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By Date
❑ Pool Bonding (4195)
❑
Temporary Power (4275)
❑ 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
By
Date
By Date
El Final- Electrical(4055)
Approved
By
Date
❑
Rough Electrical
❑
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date