16-102532City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
EleAr eal
Permit #: 16- 102532 -00 -EL
FILEInspection Request Line: (253) 835 -3050
Project Name: MIRROR ESTATES LOT 21
Project Address: 31510 11TH PL SW
Project Description: NEW 200 AMP SFR; SQ FT 4544
Parcel Number: 555700 0210
Owner
A n�
Contractor
HENLEY USA INC
NANCY BABST
PROVIDENT ELECTRIC INC
11100 MAIN ST SUITE 100
PROVIDENT ELECTRIC INC
PROVIEI103C2 (2/22/18)
BELLEVUE WA 98004
17615 SE 252ND ST
PO BOX 7087
COVINGTON WA 98042
COVINGTON WA 98042
Additional Permit Information;
Electrical Work Valuation ? ......... ...........................8621 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, May 25, 2017
Permit Issued on Wednesday, May 25, 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: n u l l l N I C Date:
■ 1 L.
Crr %oF'
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 16- 102532 -00 -EL Address: 31510 11TH PL SW
Project: HENLEY USA INC FEDERAL WAY, WA 98023
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE THIS CARD..'
ARD Inspections are listed.a"lose 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) lab /Concrete Floor (4255)
Approved Approved . Approved to place concrete
BY ( ; Date 13 J l � By Date By Date
E] Temporary Power (4275)
Approved
BY Date
Rough Electrical (4225)
Approved
BL.- Date 17 _ S
13
Pool Bonding )
Approved
BY
Date
Ceiling over (4020)
Feeders/Sub- panels (4045)
BY
Approved
BY
Date
Final - Electrical 55)
Approved
BY
QLI&.�A Date ,
E] Temporary Power (4275)
Approved
BY Date
Rough Electrical (4225)
Approved
BL.- Date 17 _ S
13
Service (4235)
Approved
B �
Date 7 - ZS -
Ceiling over (4020)
Approved
BY
Date
F1 Rough Electrical El Final Electrical Right of Way
Approved
Approved
Approved
BY Date By Date
BY Date