16-101905City 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: MMROR ESTATES LOT 17
Project Address: 31526 11TH PL SW
Project Description: NEW 200 AMP SFR; SQ FT 3661
Electrical
Permit #: 16- 101905 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 555700 0170
Owner
ARRIlcan t
Contractor
HENLEY USA INC
NANCY BA13ST
PROVIDENT ELECTRIC INC
1 1100 MAIN ST SUITE 100
PROVIDENT ELECTRIC INC
PROVIEI103C2 (2/22/16)
BELLEVUE WA 98004
17615 SE 252ND ST
PO BOX 7087
COVINGTON WA 98042
COVINGTON WA 98042
Additional Permit Information
Electrical Work Valuation ? ......... ...........................7775 Is this an Online or O.T.C. application? ................. Yes
Is Use Educational or Institutional ? .......................No
Electrical'Fixtures
New Service: Residential ............... 1
PERMIT EXPIRES Thursday, April 20, 2017
Permit Issued on Wednesday, April 20, 2016
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: I'M% Date:
UNLINI=
�- ':-J�
CITY CW
Federal Way
PERMIT #:
. THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
16- 101905 -00 -EL Address: 31526 11TH PL SW
Project: HENLEY USA INC 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 ptt,3 Date 9 / L ?) j 4
By Date
By Date
0 Final - Electrical (4055)
Approved
By Date 4 —g
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By V44�
Date 1
ill
(S,
0
Feeders/Sub- panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
tAVI Date (� g� (�
By
Date
0 Final - Electrical (4055)
Approved
By Date 4 —g
Rough Electrical
Approved
Final Electrical
Approved
Right of Way ---,
Approved
By
Date
By
Date
By
Date