23-102408Ciiy of Federal Way
Community Development Dept.
33325 8th Ave .S
Federal Way. WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
...
FIL
Project Name: BELMOR MOBILE HOME PARK Space 077
Project Address: 210 I S 324TH ST
Project Description: Street Light pedestal
Owner Applicant
Bf.I.MOR MOBILE HOME PARK LP GAVIN LUMSDENCOPPER CREEK
2101 S324THST ELECTRIC INC
FF.DF.RAL WAY WA 98003 I 8506 26 7TH /\ VE CT I:
WILKESON WA 98396
Additional Permit Information
ls this HJ! Onlim: or O.T.C. application? .................. Yt:s
Electrical Fixtures
Service or Feeder -Manu./ M.l
Electrical
Permit #:23-102408-00-EL
Inspection Request Line: (253) 835-3050
Parcel Number: 162104 9037
Contractor
COPPER CREEK ELECTRIC LLC
COPPECE984KP (12/21/23)
PO B0X236
WILKESON WA 98396
PERMIT EXPIRES Wednesday, 1 November, 2023
Permit Issued on Friday, May 5, 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 0 f\JtTKr f:t Federal Way . Date
----------Owner or agent:
<11.Y Ot' ---.;~3>
Federal Way
THIS CARD IS TO RE:\L\.[\" O~-SITE
Construction Inspection Record
INSPECTIO:'.\" REQl"ESTS: (25J) 835-3050
Scheduled in;pections 1uay be failed if this card is not on-site. DO :'\OT LOSI. IfilS CARD. I.!lspections are lisied as dose to seql!Ol.tial order as pos.sible
(read ldt to right. top to bottom). Pl~se schedule ill.spectioas as appropriate. Work must not be co·,ered until it is approved. Cbo:k \\ith your inspector if
you are \~"re about any of the inspections or lhe inspection sequence. On-going inspection5 are logged on the back of thi; card.
uJ
By
0
By
II]
By
By
u]
By
[i]
By
Ufl:R Ground (4295)
Appro\>l!d
Date
Pool Bonding (4195)
Approved
Date
Feeders/Sub-panels (4045)
Apptoved
Date
Final -Eledtical (405:-)
Appro\~
Date.f /
Mechanical Rough-in (4165)
Appto\~
Date
Plumbing Groundwod~ (419-0)
Approved to '°""r
Date
ELECTRICAL .
[il Ditch co,·er (4030) m Slab/Concrete Floor (4255)
Appro,"d Approved to place <:011cretc
By Date B}· Date
m Temporary Power (4275) II] Senice (4235)
Appto'l.'l!d Appro,;ed
By Date By Date
m Rough Electiical (4225) 0 Ceiling Conr (4020)
ApprO\'ed Approved
By Datl' By Date
MECHANICAL
Ill Gas Piping (412~ [11 .final -Mechanical (4065)
.4.pptnvcd to reltt..e te.t Approved
B)· Date By Date
PLUMBING
0 Rough Plumbing (4230) ~ final -PlambiDg (4075)
Appro,,"d Approved
By Date By Date