16-105912Electrical
C;nityDe Development FILE Permit #:16- 105912 -00 -EL
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835 -3050
Ph: (253) 835.2607 Fax: (253) 835 -2609
Project Name: MIRROR ESTATES LOT 18
Project Address: 31524 11TH PL SW Parcel Number: 555700 0180
Project Description: Hookup air conditioner
Owner
Applicant
Contractor
HENLEY USA INC
CHELSIE PEREMOVIDENT ELECTRIC
PROVIDENT ELECTRIC INC
11100 MAIN ST SUITE 100
INC
PROVIEI103C2 (2/22/18)
BELLEVUE WA 98004
17615 SE 252ND ST
PO BOX 7087
COVINGTON WA 98042
COVINGTON WA 98042
Additional Permit Information
Is this an Online or O.T.C. application ? .................. Yes
Circuits - Residential
PERMIT EXPIRES Friday, 15 December, 2017
Permit Issued on Thursday, December 15, 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: Date:
THIS CARD IS TO REMAIN ON -SITE
CM W Construction Inspection Record
Fecleral way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16105912 00
Address: 3152411TH 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.
El
UFER Ground (4295)
F11
Ditch cover (4030)
®
Slab /Concrete Floor (4255)
Approved
IBY
Approved
1BY
Approved to place concrete
By
Date
By
Date
By
Date
0
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Approved
Approved
1BY
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub- panels (4045)
®
Rough Electrical (4225)
0
Ceiling Cover (4420)
Approved
Approved
Approved
By
Date
By
Date
By
Date
o Final - Electrical (4055)
Approved
By Date
(l
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date