16-102534Project Name: MIRROR ESTATES LOT 24
Project Address: 31505 11TH PL SW
Project Description: NEW 200 AMP SFR; SQ FT 3215
Electrical
Permit #: 16- 102534 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 555700 0240
Owner
ApRlican
City of Federal Way
HENLEY USA INC
Community & Econ. Dev. Services
PROVIDENT ELECTRIC INC
33325 8th Ave S
FILE
Federal Way, WA 98003
BELLEVUE WA 98004
Ph: (253) 835 -2607 Fax. (253) 835 -2609
PO BOX 7087
Project Name: MIRROR ESTATES LOT 24
Project Address: 31505 11TH PL SW
Project Description: NEW 200 AMP SFR; SQ FT 3215
Electrical
Permit #: 16- 102534 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 555700 0240
Owner
ApRlican
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 ? ......... ...........................6557
Is Use Educational or Institutional ? .......................No
Electrical Fixtures
New Service: Residential ............... 1
Is this an Online or O.T.C. application ? .................Yes
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: Date:
r"
Federal Wary
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Consf: fiction Inspection Record ti
INSPECTION REQ TS: (253) 835 -3050
16- 102534 -00 -EL Address: 31505 11 TH PL SW
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 (
Ditch cover ( )
a oncrete r
11
Approved
Approved
Approved to place concrete
By V4 Date 5I P. ( 1,L,
By Date
By Date
❑
Pool Bonding (4195)
■
Temporary Power (4275)
Approved
Right of Way
Approved
By
Approved
By
Date
Date
By
Date
Date
0
Feeders/Sub- panels (4045)
0
Rough Electrical (4225)
Approved
Approved
By
Date
By
16 Date
El
Final - Electrical (4055)
Approved
By y
Date
0 Service (4235)
Approve!
By U+5 Date 1 f V
0 Ceiling Cover (4020)
Approved
By Date
[1
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date